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Prior Authorization Nurse - PHRN (QA)
HRTXTaguig, Metro Manila, Philippines30+ days ago
Job description
Position : Clinical / Prior Authorization - Quality Auditor
Qualifications :
- Must hold an active PHRN license (not a USRN license holder)
- Must have at least solid 4 to 7 years experience in Clinical / Prior Authorization or Utilization Review
- Relevant experience as a Quality Auditor in Clinical Services within a healthcare BPO environment (preferred only, not required)
- Strong familiarity with EPIC , MCG , or InterQual guidelines required
- Amenable to working onsite in McKinley, Taguig
- Can start in 30 days or less
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Prior Authorization • Taguig, Metro Manila, Philippines
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