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...

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...

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...

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 organization...

JOB PURPOSE This position is responsible for coaching and supporting Team Leads and ensures that each team lead meets or exceeds their team performance. This position is also responsible for ensuring client quality and service levels are met on a consistent basis. PRIMARY DUTIES & RESPONSIBILITIES Meet all Client Service Level Agreements (deliverables)...

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...

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...

Responsibilities Lead and manage a team of USRNs involved in clinical functions such as utilization management, case management, prior authorizations, appeals, or claims review. Track and evaluate team performance against established KPIs and SLAs, ensuring quality, productivity, and timely delivery. Ensure full compliance with HIPAA, client-specific...

USRN Nurses (Clinical Documentation, Coding) About the job USRN Nurses (Clinical Documentation, Coding) Job Title: CDI / DRG Specialist (Pasig) | OnsiteWork Arrangement/Shift: Onsite (Work From Office), Night ShiftStart Date: ASAP (this June 2025) Qualifications: Bachelors degree in Nursing or a related healthcare field. Must hold a valid Medical Coding...

This is a full-time remote role for a USRN Senior Operations Manager / Associate Director. The individual in this role will oversee daily operations, manage team performance, ensure compliance with industry standards, and drive strategic goals. Responsibilities include mentoring and leading teams, enhancing operational efficiencies, managing budgets, and...