Training Quality Manager (PHRN/USRN)

Gratitude Inc

59 Views

5 days ago

Training Quality Manager (PHRN/USRN)

5-7 Year(s)

120 - 150 Thousand p.m

Manila (Bridgetown quezon City)

Job Description

Key Skills

Training and Quality Managerial experience in Healthcare

0 candidate(s) have already applied for this Job. Apply now

Shift: Night shift

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

Salary range: 120K to 150K

HC: 1

Recruitment Process: Initial Interview, assessment (demo/presentation and technical assessment)

Further instructions will be provided by the client

QUALIFICATIONS:

• Bachelor's Degree in Nursing with an active and valid license (PHRN/USRN)

• At least 2 years of experience in Utilization Management and medical necessity approval and denials

• Must have at least 1 or 2 years in a managerial position handling leaders/ TLs/ Supervisors

• With experience in training and quality management, preferably 5 years (Minimum 2 years required)

• Experience in a hospital setting or other clinical environment, such as BPO/CPO

• 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 are essential for preparing appeal arguments and communicating with different stakeholders

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

• Have knowledge and experience in InterQual, NCQA and CMS.

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

• Must not be a current or former employee of Concentrix

PRE-SCREENING QUESTIONS:

1. Do you have an active PHRN or USRN license?

2. How many years of experience do you have in training and quality for a healthcare or BPO/CPO setting?

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

4. Please provide your years of experience in handling appeals, utilization review, or related healthcare management functions and share a brief experience on the process.

5. Do you have familiarity with Medicare rules & regulations and guidelines, including coverage criteria and coding principles?

6. Please rate your knowledge and experience in InterQual, NCQA and CMS, from 1 to 10, 10 being the highest.

7. How much is your last drawn salary?

8. How much is your salary expectation?

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

10. When can you start once hired?

Role

Any Other

Timings

Night Shift (Permanent)

Industry

BPO

Work Mode

Work from office

Functional Area

Any Other

Note: Myglit doesn't charge any money from candidates. If you have been asked to pay money to get this job then report to us immediately at support@myglit.com.

Ruth Amos

Recruiter - Gratitude Inc

NA, nigeria

0+ Followers

500+ Posts

View Profile

Interview Tips

Giving the VNA round?
What are the most important skills you acquired as a Soft Skills/VNA trainer?
How would you handle an irate customer?

Get the Best Jobs
on your Fingertips

35 - 40 Thousand p.m

Manila, Philippines

Details