phrn

ResponsibilitiesTo provide support to the clinical team and client team to assist in the promotion of quality member outcomes, to optimize member benefits, and to promote effective use of resources. Supports the procedures that ensure adherence to medical policy and member benefits in providing service that is medically appropriate, high quality, and cost...

On-site - Manila 1-3 Yrs Exp Bachelor Full-time Qualifications With 1-year clinical experience With Active PRC License Willing to work onsite in Pasay (MOA) and in night shift Responsibilities Handle patient or member inquiries via phone, email, or chat with professionalism and empathy. Use nursing knowledge (PHRN scope) to gather clinical information,...

PHRN Quality Analyst (QA)We are seeking a licensed Philippine Registered Nurse (PHRN) with Quality Analyst experience to join our US Healthcare team. The role is responsible for conducting quality audits, ensuring compliance with established processes and call guidelines, identifying performance gaps, and supporting continuous improvement initiatives within...

PHRN - CebuThe Registered Nurse will provide clinical and healthcare support services aligned with operational and quality standards. The role is responsible for delivering patient-centered support through documentation review, clinical coordination, and healthcare process assistance while ensuring compliance with healthcare regulations and company...

PHRN - CebuThe Registered Nurse will provide clinical and healthcare support services aligned with operational and quality standards. The role is responsible for delivering patient-centered support through documentation review, clinical coordination, and healthcare process assistance while ensuring compliance with healthcare regulations and company...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers,...

The PHRN Coder Supervisor is responsible for leading and managing a team of Philippine Registered Nurses (PHRNs) and Medical Coders to ensure accurate, compliant, and timely coding of medical records and healthcare documentation. This role oversees daily operations, productivity, quality performance, client deliverables, and employee development while...

Explore meaningful roles that let you make an impact in healthcare while growing your career with purpose, innovation, and global opportunities. Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire...

We are seeking a Philippine-licensed Registered Nurse to join our growing healthcare BPO team. The successful candidate will leverage clinical expertise to provide high-quality support to patients, healthcare providers, and insurance partners in a professional and efficient manner. This role is ideal for nurses who wish to apply their clinical background in...

About the job PHRN - Prior Authorization Quality Auditor hiring Clinical Authorization Process. Onsite, Night Shift, Mon-Friday Qualifications 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...

Who Thrives Here: Registered Nurse (RN) At least 1 - 3 years of experience working in a BPO company or Healthcare account Preferably with experience in grievance handling and case appeals. Experience in back-office/non-voice operations is preferred. Willing to work full onsite during training and hybrid (2x onsite per week) upon production in Taguig Good...

On-site - Manila 1-3 Yrs Exp Bachelor Full-timeRequirements1 year clinical or hospital experience with active PHRN licenseComfortable handling a voice accountWilling to work onsite during night shiftsResponsibilitiesAssist patients in navigating healthcare services and offer information on available resources.Manage patient inquiries and address concerns in...

A Taste of what the role entails:Lead, coach, and develop a team of healthcare professionalsContinue applying your clinical knowledge to support patient-centered healthcare programs and member outcomesDrive quality, productivity, and operational excellenceIdentify opportunities for process improvement and enhance the member experienceHelp shape and develop...

This role is responsible for improving the quality, accuracy, and completeness of clinical documentation in the medical record. This role collaborates with physicians, coders, and other healthcare team members to ensure documentation reflects the true clinical picture, supports appropriate code assignment, and meets regulatory and quality reporting...

We are seeking a Philippine-licensed Registered Nurse to join our growing healthcare BPO team. The successful candidate will leverage clinical expertise to provide high-quality support to patients, healthcare providers, and insurance partners in a professional and efficient manner. This role is ideal for nurses who wish to apply their clinical background in...

"Job title Temporary Trainer (PHRN) Job Description Education/Experience: Active Philippines Registered Nurse (RN) License; and USRN All US Registered Nurses (Mainland US and US Territories), whether working onshore or offshore, must hold an active and unrestricted license for each U.S. states. Must have prior nursing experience preferably: 3 years and...

RSD Human Resource Management Consultancy Negotiable On-site - Quezon City 1-3 Yrs Exp Diploma Full-time Employee Recognition and Rewards Performance Bonus Professional Development Job Training We are seeking a skilled and proactive PHRN Team Lead to oversee a team of Philippine Registered Nurses in a healthcare or BPO environment. This role focuses on...

ROLES AND RESPONSIBILITIES The PHRN Coder Supervisor is responsible for leading and managing a team of Philippine Registered Nurses (PHRNs) and Medical Coders to ensure accurate, compliant, and timely coding of medical records and healthcare documentation. This role oversees daily operations, productivity, quality performance, client deliverables, and...

On-site - Makati 3-5 Yrs Exp Bachelor Full-timeChatApplyShareJob DescriptionEmployee Recognition and RewardsPerformance Bonus, IncentivesGovernment Mandated BenefitsInsurance Health & WellnessHMOWork-Life BalanceRead MoreShift: 9 PM – 6 AM (Graveyard)Start Date: ASAPQualificationsActive PHRN licenseAt least 3 years people management (leadership)...

RSD Human Resource Management ConsultancyOn-site - Quezon City | 1-3 Yrs Exp | Bachelor | Full-timeResponsibilitiesLead and supervise a team of certified PHRNs to ensure high-quality patient care.Coordinate daily operations within the BPO/Call Center environment.Provide training and support to team members to enhance performance and development.Maintain...