Urgent Hiring for PHRN & USRN! Start ASAP! Virtual Process Only! Get your JO Now!
Work Onsite: BGC, Taguig City
Position: PHRN - Telephonic Case Manager
Job Description:
Evaluate treatment authorization requests based on state guidelines and medical necessity, making a decision to approve or deny. If denied, refer the request to an independent panel for review to support the decision. Nurses will collaborate with claims adjusters on denial decisions, considering risk tolerance to ensure the denial does not negatively impact the claim outcome. […]
Up to 65,000 Salary Package
Night Differential
HMO...