PHRN Clinical Trainer

Gratitude Inc

104 Views

6 days ago

PHRN Clinical Trainer

2-10 Year(s)

50 - 65 Thousand p.m

Manila (Bridgetown quezon City)

Job Description

Key Skills

PHRN Utilization Management Trainer PHRN Clinical Denials and appeals Management Review and Clinical Appeals

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Job Title: PHRN CLINICAL TRAINER

Shift: Night shift

Work Set-up: On-site in Bridgetowne, Quezon City

Salary range: 50K to 65K, depending on the candidate's credentials

HC: 1

Start date: Dec 31, 2025/ ASAP

Recruitment Process: 2 Virtual interview processes

QUALIFICATIONS:

• Bachelor's Degree in Nursing with an active and valid license in PHRN

• Must have at least 2 years experience in utilization management and medical necessity approvals and denials

• Clinical instructors with BPO/CPO experience are welcome to apply

• Minimum of 1 to 2 years of experience in a trainer role

• Experience in a hospital setting or other clinical environment/ contact center setting

• Familiarity with Medicare rules and regulations and guidelines including coverage criteria and coding principles

• Experience in handling appeals, utilization review, or related healthcare management functions.

• Excellent verbal and written communication skills are essential for preparing appeal arguments

• Ability to analyze complex medical information and identify relevant clinical issues

• Willingness to work on-site with flexible schedules, including US hours and holidays

PRE-SCREENING QUESTIONS:

1. Do you have an active PHRN license?

2. How many years of experience do you have in utilization management, medical necessity approvals, and denials for a healthcare or BPO/CPO setting?

3. How many years of trainer experience do you have?

4. Please provide your years of experience in handling utilization management & clinical appeals, and share a brief experience on the process.

5. Are you familiar with Medicare rules and regulations and guidelines including coverage criteria and coding principles?

6. Please rate your ability to analyze complex medical information and identify relevant clinical issues, from 1 to 10, 10 being the highest.

6. How much is your last drawn salary?

7. How much is your salary expectation?

8. Are you amenable to working onsite in Bridgetowne, Quezon City, with a night shift and fixed weekends off schedule?

9. When can you start once hired?

Role

Nursing - Educators & Facilitators

Timings

Night Shift (Permanent)

Industry

BPO

Work Mode

Work from office

Functional Area

Medical Professional / Healthcare Practitioner / Technician

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