phrn clinical trainer

2 hours ago

Quezon City, National Capital Region, Philippines International Jobs Gateway Connect Full time ₱1,500,000 - ₱3,500,000 per year

Job Title: PHRN CLINICAL TRAINER

Shift: Night shift

Work Set-up: On-site in Bridgetowne, Quezon City

Start date: Dec 31, 2025/ ASAP

Recruitment Process: 2 Virtual interview processes

QUALIFICATIONS:


• Bachelor's Degree in Nursing with an active and valid license in PHRN


• Must have at least 2 years experience in utilization management and medical necessity approvals and denials


• Clinical instructors with BPO/CPO experience are welcome to apply


• Minimum of 1 to 2 years of experience in a trainer role


• Experience in a hospital setting or other clinical environment/ contact center setting


• Familiarity with Medicare rules and regulations and guidelines including coverage criteria and coding principles


• Experience in handling appeals, utilization review, or related healthcare management functions.


• Excellent verbal and written communication skills are essential for preparing appeal arguments


• Ability to analyze complex medical information and identify relevant clinical issues


• Willingness to work on-site with flexible schedules, including US hours and holidays


• Must not be a current or former employee of Concentrix

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