PHRN/USRN Trainer

3 hours ago

Quezon City, National Capital Region, Philippines RSD Human Resource Management Consultancy Full time

Qualifications:

  • Bachelor's Degree in Nursing with an Active and Valid License (PHRN) / (USRN) - 2 Year(s) Experience in Utilization Management and Medical Necessity Approval(s) and Denial(s) with at least 1 Year(s)

  • Minimum Experience in a Similar Role or Function (Trainer, Learning Specialist, and Other Related

  • Role(s) with Similar Function(s) are Considered)

  • Experience in a Hospital Setting or Other Clinical Environment (Contact Center Setting), Familiarity with Medicare Rule(s), Regulation(s), and Guideline(s) Including Coverage Criteria and Coding

  • Principle(s), Experience in Handling Appeal(s), Utilization Review, or Related Healthcare Management

  • Function(s), Excellent Verbal and Written Communication Skills are Essential for Preparing Appeal

  • Argument(s) and Communicating with Different Stakeholder(s), Ability to Analyze Complex Medical Information and Identify Relevant Clinical Issue(s)

Job Type: Full-time

Pay: Php62, Php90,000.00 per month

Benefits:

  • Paid training

Work Location: In person

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