USRN PHRN Representative

This role is responsible for improving the quality, accuracy, and completeness of clinical documentation in the medical record. This role collaborates with physicians, coders, and other healthcare team members to ensure documentation reflects the true clinical picture, supports appropriate code assignment, and meets regulatory and quality reporting...

This role is responsible for improving the quality, accuracy, and completeness of clinical documentation in the medical record. This role collaborates with physicians, coders, and other healthcare team members to ensure documentation reflects the true clinical picture, supports appropriate code assignment, and meets regulatory and quality reporting...

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...

We are seeking a highly skilled and detail-oriented CDI Specialist who holds an active U.S. Registered Nurse (USRN) license with Compact State privileges. The ideal candidate will be responsible for improving the quality, accuracy, and completeness of clinical documentation to ensure that patient records reflect the severity of illness, risk of mortality,...

We are seeking a highly skilled and detail-oriented CDI Specialist who holds an active U.S. Registered Nurse (USRN) license with Compact State privileges. The ideal candidate will be responsible for improving the quality, accuracy, and completeness of clinical documentation to ensure that patient records reflect the severity of illness, risk of mortality,...

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...

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 ReviewRelevant experience as a Quality Auditor in Clinical Services within a healthcare BPO environment (preferred only, not...

We are seeking a highly skilled and detail-oriented CDI Specialist who holds an active U.S. Registered Nurse (USRN) license with Compact State privileges. The ideal candidate will be responsible for improving the quality, accuracy, and completeness of clinical documentation to ensure that patient records reflect the severity of illness, risk of mortality,...

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...

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...