Prior Authorization Nurse - PHRN (QA)

HRTXTaguig, Metro Manila, Philippines

30+ 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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