PHRN Clinical Trainer

Gratitude Inc

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2 weeks ago

PHRN Clinical Trainer

1-2 Year(s)

Manila

Job Description

Key Skills

Utilization Management Healthcare Operation clinical nurse

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Shift: Night shift Work Setup: On-site in Bridgetowne, Quezon City Openings: 1 Start Date: December 31, 2025, or ASAP Recruitment Process: 2 virtual interview processes

Qualifications:

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

At least 2 years of experience in utilization management, medical necessity approvals, and denials

Clinical instructors 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, 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 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

7 Key Screening Questions:

Do you have an active and valid PHRN license?

How many years of experience do you have in utilization management, medical necessity approvals, and denials?

How many years of experience do you have in a trainer role?

Do you have at least 1 year of experience in a hospital setting, clinical environment, or contact center setting?

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

Do you have experience in handling appeals, utilization review, or related healthcare management functions?

Are you amenable to working on-site in Bridgetowne, Quezon City, with night shifts, US hours, and holidays?

Role

Any Other

Timings

Night Shift (Permanent)

Industry

BPO

Work Mode

Work from office

Functional Area

Any Other

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