PHRN Clinical Trainer

Compensation: NegotiableLocation: Onsite – Cebu CityWork Shift: ShiftingQualification:Bachelor's Degree in Nursing with an active and valid license in PHRNMust have at least 2 years experience in utilization management and medical necessity approvals and denialsClinical instructors with BPO/CPO experience are welcome to applyMinimum of 2 years of...

We are looking for a Training Quality Manager with strong experience in InterQual and Utilization Management Review (UMR) to lead training effectiveness, quality governance, and performance calibration for a healthcare BPO environment. This role is ideal for leaders who can drive measurable improvements and build high-performing clinical teams.Key...

Job Title: PHRN Appeals DenialsShift: Night shiftWork Set-up: Onsite in Bridgetowne, Quezon CitySalary range: 50,762 package (Basic:43,762 and Allowance: 7K) with signing bonus to be released on their first payout for those who can join on Dec 9th/ImmediatelyTarget Start Date: December 9, 2025Headcount: 12Recruitment Process: VirtualQUALIFICATIONS:• An...

Qualifications:Active Philippine Registered Nurse (PHRN) with License Required1 Year(s) Minimum of Clinical Nursing Experience (Hospital, Clinic, or Managed Care Setting)6 Month(s) Minimum of Clinical Process Outsourcing Experience and Background Handling Clinical Role Focusing on Clinical Appeals and Utilization Management and Other Related FunctionStrong...

As an Inpatient Trainer, your primary roles will be onboarding and training new hires through different modules of the Clinical Skills University program, which includes but not limited to domain training, charts immersion, and process training. You are also expected to provide support during ramp phase and do random internal quality reviews aimed at...

Job Title: Operations Manager for Appeals - PHRNShift: Night shiftWork Set-up: On-site in Bridgetowne, Quezon CitySalary range: 120K to 150KStart date: Dec 31, 2025/ ASAPJOB DESCRIPTION: Medical necessity review for appeals (Claims denied due to medical necessity)JOB SUMMARY:The Operations Manager for Appeals is responsible for managing and overseeing...

Medical Necessity Review for Appeals (Claims denied due to medical necessity)Job SummaryThe Operations Manager for Appeals is responsible for managing and overseeing operations related to clinical appeals. ensuring compliance with industry standards and regulatory requirements. The role involves close collaboration with various stakeholders to drive...

CLINICAL LEADERSHIP HIRING2 PHRN Training & Quality ManagersSalary: 150,000 PHP + 10%Locations: 1 for Ortigas, 1 for QCQC – PHRN Healthcare Training & Quality ManagerSalary Range: 130,000 – 150,000 PHPRequirements:Minimum 2 solid years of PHRN Healthcare Training & Quality Manager experienceStrong background in UMR, Appeals, Denials, and InterqualSolid...

About the Job: DRGV Trainer (Quezon City) | OnsiteLocation: Quezon City / Fully OnsiteQualifications: Certifications: Active RHIA, RHIT, and/or CCS, along with additional Clinical Documentation Improvement (CDI) credentials such as CDIP and/or CCDSBachelor's degree in nursing or a related medical field (e.g., allied medical courses). Advanced degrees or...

As a Trainer, your primary roles will be onboarding and training new hires through different modules of the program, which includes but not limited to domain training, charts immersion, and process training. You are also expected to provide support during ramp phase and do random internal quality reviews aimed at identifying improvement and education areas...