KEY RESPONSIBILITIES

• Responsible for the review and evaluation of clinical information and documentation, fax triage and conversion, and provider calls.

• Reviews documentation and interprets data obtained from clinical records or systems to apply appropriate clinical criteria and policies in line with regulatory and accreditation requirements

• Protects the confidentiality of member information and adheres to company policies regarding confidentiality

• Protects the confidentiality of member information and adheres to company policies regarding confidentiality

• Data gathering requires navigation through multiple system applications

If you are interested to apply, kindly send your Full name /Contact Number /Home Address /PHRN/ Years of Clinical exp/Preferred Site /JOBSTREET to +639061913758 for scheduled over-the-phone interview from Monday to Friday, 10AM to 9PM.

WHAT WE OFFER?

• Competitive Compensation Package with Retention Program incentives, Performance Incentives

• HMO can cover up to three dependents up to 80 years old Dental coverage for employees

• Skills enhancement through Trainings and Personal Development Programs

• Great Culture and Work Environment

QUALIFICATIONS

- BS Nursing Graduate

- Must have an Active PRC - RN License

- With 1 year of clinical nursing experience

Please refer to job description.