USRN PTP

2 days ago

Quezon City, National Capital Region, Philippines ACCPRO INTERNATIONAL Full time

Job Title: USRN PTP (Prior Authorization / Clinical Review)

Location: Quezon City / Taguig City / Cebu, Philippines

Employment Type: Full-time, Work From Home (WFH)

Vacancies: 10

Start Date: February 5, 2026

Salary: To be discussed

Job Description:

We are seeking experienced US Registered Nurses (USRN) to join our team as PTP (Prior Authorization / Clinical Review) Specialists. In this role, you will be responsible for evaluating clinical documentation to support authorization requests for patient care, ensuring compliance with evidence-based criteria, and providing comprehensive clinical reviews.

Responsibilities:

  • Write client-facing clinical reviews evaluating authorization requests
  • Assess documentation support or gaps for requested procedures
  • Apply evidence-based criteria in evaluating the appropriateness of requests
  • Perform complex clinical evaluation of each request as a whole

Qualifications:

  • College Graduate of BS Nursing
  • Active PHRN & USRN license
  • US license in at least one state
  • 1–3 years of acute, hospital-based clinical experience in Medical-Surgical, ED, and/or ICU
  • Strong analytical and communication skills

Job Type: Full-time

Pay: Up to Php65,000.00 per month

Application Question(s):

    1. Years of acute, hospital-based clinical experience (ICU, Medical-Surgical, ER):

  • USRN licensed?

  • Amenable with the shift? (day shift to midshift)
  • Amenable to a wfh set-up
  • Amenable to attend onsite training in QC?
  • Current Salary:
  • Expected Salary:
  • Reason for leaving current company:
  • Availability to start:
  • Availability for virtual interview:
  • Active Viber number:
  • Full name (First Name. Middle Name, Surname)

Work Location: In person

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