PHRN and USRN

Nezda Technologies Inc. is currently hiring for PHRN and USRN Roles Virtual Process Only.

Salary : Up to 68,000 + Sign on bonus

Qualifications :

Active RN and USRN License.

Must have 1 year Bedside experience.

Can start ASAP.

Job Description :

Conduct Non-Clinical Research to Support Determinations.

Determine that the case is assigned to the appropriate team and health plan for review (e.g., Medicare, Medicaid, Commercial, Dual Special Needs Plan).

Validate that cases / requests for services require additional research.

Review Existing Clinical Documentation.

Identify and validate usage of non-standard codes, as necessary (e.g., generic codes).

Job Type : Full Time Job Location : Alabang Cebu Iloilo Pasig Quezon City Taguig