***Job Overview***

Deliver high-impact clinical training that equips licensed clinicians to excel in US managed care operations. Build clinical competency, strengthen quality, and support continuous learning across clinical teams.

***Key Responsibilities***

Facilitate onboarding, pre-production, and continuing education (CE) training for clinical staff.

Deliver training modules on Utilization Management (UM), Utilization Review (UR), Case Management (CM) workflows, clinical documentation, HIPAA/PHI compliance, and clinical protocols.

Conduct skills validations, case simulations, and competency assessments.

Develop, review, and update standard operating procedures (SOPs), job aids, and workflow guides.

Maintain accurate, audit-ready training records and competency files.

Collaborate with Operations, Quality Assurance (QA), and Talent Acquisition (TA) to address performance gaps and support training pipeline needs.

***Qualifications***

Bachelor of Science in Nursing (BSN).

Active Philippine Registered Nurse (PHRN) license.

Active, unrestricted USRN license; NCLEX must be passed.

At least 3 years of clinical experience.

At least 1–2 years of clinical training, education, or facilitation experience.

Strong understanding of US managed care, Utilization Management (UM), Utilization Review (UR), and HIPAA/PHI compliance.

Excellent facilitation, communication, and clinical documentation skills.

Willing to work onsite in Vertis North, Quezon City, on a US day shift.

Healthcare BPO training experience.

Experience supporting UR/UM operations.

Exposure to URAC/NCQA standards or clinical documentation platforms.

Currently working as a Clinical Trainer or Apprentice Trainer, with relevant clinical training experience.

***USRN License Validity: The license must be active. Candidates whose licenses are nearing expiration must be willing to renew it.***

***Required Assessment***

***You must complete an on-the-spot clinical review writing assessment during the interview.***

***Please be advise in advance that a laptop or desktop computer is required to complete the assessment.***

***Recruitment Process***

Profile Validation

Profile Review

Talent Acquisition (TA) Interview

Hiring Manager (HM) Interview

Client Interview