PH USRN Authorization Nurse

Position SummaryThe Prior Authorization Nurse (PHRN) will support the review and submission of prior authorization requests for behavioral health treatments, medications, or services. The nurse will review clinical documentation to ensure accuracy and medical necessity, complete required payer forms, and work closely with administrative support staff to...

Key ResponsibilitiesReview patient records and provider notes to validate clinical necessityComplete prior authorization forms and submit to payers via online portals or faxFollow up on status of submitted requests and escalate delays appropriatelyMaintain documentation accuracy and compliance with turnaround time requirementsRequirementsActive USRN license,...

Let your Passion Lead You at the Home of Clinicians with over 5000+ employees who have trusted us with their careersPhysical Site: Taguig City, and CebuOur Clinicians & Associates advocates for better patient care while enjoying these benefits:Hybrid SetupHMO on Day 1 with 2 Dependents upon regularization.Group Life InsuranceHighly Competitive...

Key ResponsibilitiesReview patient records and provider notes to validate clinical necessityComplete prior authorization forms and submit to payers via online portals or faxFollow up on status of submitted requests and escalate delays appropriatelyMaintain documentation accuracy and compliance with turnaround time requirementsRequirementsActive USRN...

Position SummaryThe Nurse Triage USRN will serve as the point of clinical contact for patients in virtual behavioral health program. This role is responsible for scheduling appts, assisting with rx refills, assessing patient symptoms, determining urgency, documenting interactions, and directing patients to the appropriate level of care. The nurse will...

Overview Join to apply for the Prior Authorization Nurse - PHRN (QA) role at HR TechX Corp. 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...

About the job Prior Authorization Nurse - PHRN (QA) 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...

USRN – Nurse TriageWork set up: On-site in BGC TaguigWork shift: US Time Zone; Must be open to Night ShiftSalary:2-4 yrs Clinical Experience: 40K-50K Package5-6 yrs Clinical Experience: 60K- 65KpackageStart date: Immediately/ ASAP Joiners onlyHeadcounts: 2-4 yrs experience is 5 HC, 5-6 yrs experience is 5 HCPosition Summary:The Nurse Triage USRN will serve...

The Nurse Triage USRN will serve as the point of clinical contact for patients in virtual behavioral health program. This role is responsible for scheduling appts, assisting with rx refills, assessing patient symptoms, determining urgency, documenting interactions, and directing patients to the appropriate level of care. The nurse will operate within...

UST Taguig, National Capital Region, Philippines UST HealthProof is searching for a highly motivated Utilization Review RN to join our team. As a Utilization Review US Registered Nurse, you will perform prospective, concurrent and retrospective review of inpatient, outpatient, ambulatory and ancillary services to ensure medical necessity, appropriate length...