Prior Authorization Nurse - PHRN (QA)

HR TechX Corp.


Date: 2 weeks ago
City: Taguig
Contract type: Full time
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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