USRN & PHRN - Prior Authorization & Triage - Competitive Salary and benefits

2 days ago


Taguig, National Capital Region, Philippines Nezda Technologies Full time $30,000 - $50,000 per year

Looking for USRN and PHRN

Hiring for both USRN and PHRN roles in Bonifacio Global City

PHRN

- Responsibilities

  • Gather clinical documentation for Prior Authorization

  • Verify the patient eligibility and benefits

- Qualifications

  • Active Philippine RN license

  • With healthcare or prior auth experience preferred

  • At least 1 year bedside

USRN

- Responsibilities

  • Review patient records and provider notes

  • Escalation of cases to the medical director

  • Complete prior authorization forms and submit to payers

- Qualifications

  • Active USRN license, based in the Philippines

  • With BPO Experience in utilization management, prior authorization

  • Familiarity with U.S. healthcare and payer systems

  • At least 1year bedside

Interested Applicants may send their CVs to ***************


  • USRN Triage

    2 days ago


    Taguig, National Capital Region, Philippines Cobden and Carter International Full time ₱500,000 - ₱1,000,000 per year

    Role: USRN – Nurse Triage Position Summary The Nurse Triage USRN will serve as the point of clinical contact for patients in virtual behavioral health program. This role is responsible for scheduling appts, assisting with rx refills, assessing patient symptoms, determining urgency, documenting interactions, and directing patients to the appropriate level...


  • Taguig, National Capital Region, Philippines Nezda Technologies, Inc. Full time $40,000 - $60,000 per year

    About the role Nezda Technologies, Inc.' is seeking a dedicated and experienced PHRN - Prior Authorizations to join our dynamic team in Taguig City Metro Manila. In this full-time position, you will play a crucial role in managing the prior authorization process, ensuring timely and efficient approvals for our healthcare clients.What you'll be...


  • Taguig, National Capital Region, Philippines Nezda Technologies, Inc. Full time ₱40,000 - ₱53,000 per year

    We Are Hiring: Clinical Authorization Specialists (Surgery, Pharmacy, Oncology) - BLENDED ACCOUNT Taguig | Night Shift | Onsite | Up to 53K Package | Start ASAP - September 22Open Roles:Clinical Authorization SpecialistClinical Authorization Specialist (Pharmacy)Clinical Authorization (Surgery & Oncology)QA – Clinical Authorization (Surgery &...


  • Taguig, National Capital Region, Philippines HR TechX Corp. Full time

    OverviewWe are hiring for the PHRN - Utilization Review / Clinical Authorization role at HR TechX Corp. Location: Onsite, Mckinley, Taguig. Schedule: Night Shift | Monday to Friday. Hiring Target Date: Preferably by July 21, 2025. Salary Range: Up to 50k.QualificationsActive PHRN license (Not a USRN)Prior experience as a Quality Auditor in a healthcare BPO...


  • Taguig, National Capital Region, Philippines Nezda Technologies, Inc. Full time $40,000 - $60,000 per year

    WE'RE HIRING: QUALITY AUDITOR – CLINICAL AUTHORIZATION Join our dynamic healthcare team and make an impact in clinical quality assurance Qualifications • Active PHRN license (USRN license holders are not eligible) • Proven experience as a Quality Auditor in Clinical Services within a healthcare BPO – Alternatively, 4–7 years of focused...


  • Taguig, National Capital Region, Philippines Tata Consultancy Services Full time $40,000 - $60,000 per year

    Position SummaryThe Nurse Triage USRN will serve as the point of clinical contact for patients in virtual behavioral health program. This role is responsible for scheduling appts, assisting with rx refills, assessing patient symptoms, determining urgency, documenting interactions, and directing patients to the appropriate level of care. The nurse will...


  • Taguig, National Capital Region, Philippines beBeeClinicalAuthorization Full time ₱30,000 - ₱45,000

    About Our RoleWe are seeking a skilled professional to join our team in the field of Utilization Review and Clinical Authorization.Job OverviewThis role is responsible for conducting audits in accordance with Quality Improvement Plans (QIP), providing actionable feedback, and tracking corrections. Additionally, this position involves verifying patient...

  • Triage Nurse

    2 days ago


    Taguig, National Capital Region, Philippines Tata Consultancy Services Full time $40,000 - $60,000 per year

    The Nurse Triage USRN will serve as the point of clinical contact for patients in virtual behavioral health program. This role is responsible for scheduling appts, assisting with rx refills, assessing patient symptoms, determining urgency, documenting interactions, and directing patients to the appropriate level of care. The nurse will operate within...


  • Taguig, National Capital Region, Philippines AMPED HQ PTY LTD Full time ₱600,000 - ₱1,200,000 per year

    Amped HQ is growing fastWe need the best of the best to come and contribute to our staff & clients.With unprecedented client and employee retention, Amped HQ is out to disrupt the industry in opportunities for both clients and employees. Bringing together the best talent, leadership & systems while fostering real relationships, personal & professional...

  • PHRN QA

    2 days ago


    Taguig, National Capital Region, Philippines AGS health Full time ₱104,000 - ₱130,878 per year

    Job Title: Quality Auditor - Clinical Authorization SpecialistLocation: Robinsons Cyber Sigma Building, McKinley TaguigQualifications:• Must hold an active PHRN license (not a USRN license holder)• Relevant experience as a Quality Auditor in Clinical Services within a healthcare BPO environment; alternatively, 4 to 7 years of specialized experience in...