PHRN Quality Analyst

HIRING NOW: PHRN QUALITY ANALYST – HYBRID & ONSITE (PASIG)Step up your nursing career with a role that values both clinical expertise and analytical excellence. We're looking for passionate Philippine Registered Nurses (PHRNs) who want to make an impact in healthcare operations while enjoying great pay, growth, and flexibility.Work Setup & Locations:Hybrid...

5 PHRN Healthcare Team Leaders and 2 PHRN Healthcare Quality Analysts5 PHRN Healthcare Team Leaders2 years Hospital Experience1 year of PHRN Healthcare Team Leader ExperienceCan work onsiteCan start asap3 Easy steps before your Job Offer60, ,000php + night diff2 PHRN Healthcare Quality Analysts1 year PHRN Healthcare QA experience is a mustwilling to work...

PHRN – Healthcare Account (BPO and Hospital Experience)Work Setup: 100% OnsiteWork Location: ManilaStart Date: ASAPOpenings: 7Job OverviewWe are hiring Active Philippine Registered Nurses (PHRN) with both hospital and BPO healthcare voice experience. The successful candidate will provide clinical support and medical review assistance to international...

Job Title: PHRN – Healthcare Account (BPO and Hospital Experience) Work Setup: 100% Onsite Work Location: Manila Start Date: ASAP Openings: 7 Job Overview We are hiring Active Philippine Registered Nurses (PHRN) with both hospital and BPO healthcare voice experience. The successful candidate will provide clinical support and medical review assistance to...

Key Responsibilities Supervise, coach, and mentor a team of PHRNs in handling clinical and non-clinical BPO-related tasks (e.g., utilization management, prior authorization, claims review, telehealth support). Monitor daily team performance, productivity, and quality metrics. Conduct regular performance reviews and provide constructive feedback. Assist in...

Job Responsibilities:Monitor and evaluate nursing processes to ensure compliance with quality standards and clinical accuracy.Review documentation and workflows to identify areas for improvement in clinical operations.Support the enhancement of QA tools and methodologies to drive consistent and high-quality patient care.Collaborate with cross-functional...

We are seeking a highly skilled and dedicated Philippine Registered Nurse (PHRN) with a strong background in Emergency Department (ED) or Intensive Care Unit (ICU) settings. The ideal candidate will provide exceptional patient care, apply critical thinking in high-pressure situations, and support clinical documentation or healthcare-related operations in...

Coverage and Access Specialist (PHRN)· Professionally and compliantly interact with insurance payer representatives during outbound phone calls for benefit verifications (New BVs, Annual reverification BVs and Bridge Eligibility Checks) and coverage exception follow up calls (Prior Authorization (Pas), Non- Formulary Exceptions (NFEs) and Appeals)· Volume...

Overview We are seeking a highly skilled and detail-oriented PH Registered Nurse (PHRN) to join our team. The ideal candidate will have hands-on experience with InterQual , MCG , NCD , and LCD Guidelines. Key Responsibilities Conduct clinical reviews of inpatient and outpatient services using InterQual, MCG, NCD, and LCD criteria. Analyze patient records to...

We are seeking a highly skilled and detail-oriented PH Registered Nurse (PHRN) to join our team. The ideal candidate will have hands-on experience with InterQual , MCG , NCD , and LCD Guidelines . Key Responsibilities Conduct clinical reviews of inpatient and outpatient services using InterQual, MCG, NCD, and LCD criteria. Analyze patient records to...