Prior Authorization Nurse - PHRN (QA)
HR TechX Corp.
Date: 8 hours ago
City: Taguig
Contract type: Full time
Position: Clinical/Prior Authorization - Quality Auditor
Qualifications:
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
How to apply
To apply for this job you need to authorize on our website. If you don't have an account yet, please register.
Post a resumeSimilar jobs
Safety Officer
Dempsey Resource Management,
Taguig
1 day ago
QualificationsEducation: Bachelor’s degree in Occupational Health and Safety, Environmental Science, Industrial Engineering, or a related field.Experience: Proven experience in safety management, preferably in a similar industry or environment.License/Certification: Professional certification such as Certified Safety Professional (CSP) or Occupational Health and Safety Technician (OHST) preferred.Salary Range: ₱20,000–₱25,000Job description: The Safety Officer ensures compliance with occupational health and safety guidelines by investigating...
General Manager - Hotels Real Estate
Career Professionals, Inc.,
Taguig
1 day ago
A General Manager in Hotels Real Estate is a leadership role responsible for overseeing all aspects of hotel operations, ensuring guest satisfaction, and driving profitability. This involves strategic planning, financial oversight, staff management, and maintaining high standards in service and operations.
Customer Service Representative | 1year BPO experience needed
DXC Technology,
Taguig
3 days ago
Job DescriptionEssential Job Functions: Execute business process transactions, ensuring accuracy and adherence to established procedures Collaborate with senior analysts, managers, and other team members Assist in process improvement projects and data analysis Support the team in identifying process bottlenecks and maintaining quality standards Ensure compliance with established quality and procedural guidelines Contribute to updating and documenting process procedures Work with...
