Prior-Authorization Nurses USRN

Role Overview: We are seeking a skilled Utilization Management/Review Nurse to join our team. This role is essential in ensuring patients receive appropriate, timely, and cost-effective care by reviewing medical records, treatment plans, and healthcare resource utilization. Key Responsibilities: Conduct concurrent and retrospective reviews of patient...

Overview Visaya Pasig, National Capital Region, Philippines — 1 week ago Be among the first 25 applicants. Role Overview: We are seeking a skilled Utilization Management/Review Nurse to join our team. This role is essential in ensuring patients receive appropriate, timely, and cost-effective care by reviewing medical records, treatment plans, and...

Qualifications: Graduate of BS Nursing, USRN required.At least 1 year previous hospital nursing experience or Case Management experience in a clinical setting for a US-based healthcare company, required.Experience in Prior Authorization, Case Management and Utilization ReviewExperience: Prior Authorization: 1 year (Preferred)Case Management: 1 year...

TASQ is urgently hiring a USRN Case Manager for an on-site role in Pasig. The pre-screening interview will be conducted via a phone call.Work set up/schedule: Night Shift | Onsite HMO day 1 with 1 free dependent Qualifications: Must hold a Bachelor's degree in Nursing and have an active USRN license At least one year of experience in a hospital or clinical...

About the role Nezda Technologies, Inc. is seeking a talented registered nurse to join our team as a USRN UMR & PHRN - PRIOR AUTH. This is a full-time, based in Ortigas Pasig City Metro Manila. In this strategic position, you will play a crucial part in our efforts to deliver exceptional healthcare services to our clients.What you'll be doingReviewing and...

TASQ is seeking a USRN case manager to join their team in Pasig on-site as soon as possible.The pre-screening interview will be done over the phone. Qualifications: - Bachelor's degree in nursing; a USRN license is mandatory. - A minimum of 1 year of hospital nursing or case management experience within a clinical setting for a US-based healthcare...

Qualifications:Philippines registered nurse with at least 1 year prior authorization experienceDiagnosis codes (CPT codes, ICD 10 / 11)with signing bonus and competitive salary packageOnsite Ortigas, Pasig City

Job SummaryWe are seeking a highly skilled Prior Authorization Analyst to join our team. This is an exciting opportunity for a seasoned professional to utilize their expertise in authorization and workflow management to drive business growth.">Responsibilities:Prioritize incoming authorization requests based on urgency and ensure timely completion of...

Overview Visaya Knowledge Process Outsourcing Corporation is a proudly Filipino organization recognized globally for service excellence, innovation, and a culture of malasakit. We are committed to building long-term partnerships through quality, reliability, and a people-first approach. Role: Utilization Management / Review Nurse We are seeking a skilled...

Job Duties and ResponsibilitiesPrioritize incoming authorization and referral requests according to queue urgencyReview patient's clinical and chart documentation related to the service submitted by the provider's officeObtain and/or follow up on authorization and referral requests from the patient's payer/s through any of the following methods—depending...