and Tech Services and seize this moment to # JoinConcentrix ! Job Summary : The Clinical Appeals Specialist (PHRN...(s) or Appeals Leadership as Required, Participate in Training, Calibration, and Performance Discussion(s) to Maintain Clinical...
Qualifications : Active Philippine Registered Nurse (PHRN) with License Required 1 Year(s) Minimum of Clinical Nursing... and Background Handling Clinical Role Focusing on Clinical Appeals and Utilization Management and Other Related Function...
: Bachelor's Degree in Nursing with an Active and Valid License (PHRN/USRN) - 2 Year(s) Experience in Utilization Management..., Learning Specialist, and Other Related Role(s) with Similar Function(s) are Considered) Experience in a Hospital Setting...
and Tech Services and seize this moment to # JoinConcentrix ! Job Summary : The Clinical Appeals Specialist (PHRN...(s), Upholding Member Right(s) and Health Plan Obligation(s) Under Commercial and CMS Regulation(s). The Clinical Appeals Specialist...
We are looking for a Clinical Appeals Specialist - PHRN who will review, process, and resolve appeal cases in alignment..., member and provider communication, and overall program quality and compliance. About the Role Appeals Review and Assessment...