Location
taguig
Job Type
Full-time
Posted
June 05, 2026
Job Description
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