About the job Prior Authorization Nurse - PHRN (QA)

Position: Clinical/Prior Authorization - Quality Auditor

Qualifications:

• Must hold an active PHRN license (not a USRN license holder)
• Must have at least solid 4 to 7 years experience in Clinical/Prior Authorization or Utilization Review
• Relevant experience as a Quality Auditor in Clinical Services within a healthcare BPO environment (preferred only, not required)
• Strong familiarity with EPIC , MCG , or InterQual guidelines required
• Amenable to working onsite in McKinley, Taguig