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Pre-Authorization Clinician

Job Category:

Healthcare / Science

Job Level:

Professional

Open Date:

14-Feb-2020

Location:

TAGUIG CITY

Close date:

30-Sep-2020

Client Industry:

SHARED SERVICES

Job Description and Qualification:

Core Competencies
  • Ability to work independently and self-regulate in compliance with deadlines
  • Proficiency in the application of applicable nationally  and payer authorization criteria
  • Possesses excellent customer service skills that include written and verbal communication.
  • Minimum Intermediate Microsoft Office (Excel and Word) skill
  • Ability to critically think, problem solve and make independent decisions
  • Ability to interact intelligently and professionally with other clinical and non-clinical partners
  • Ability to prioritize and manage multiple tasks with efficiency
  • Advanced conflict resolution skills
  • Ability to communicate effectively at all levels
  • Ability to conduct research regarding payer pre-authorization guidelines and applicable regulatory processes related to the pre-authorization process
Qualifications
  • Must possess a valid nursing license (Registered or Practical/Vocational).
  • Registered Nurse (RN), USRN or Licensed Practical Nurse  (LPN)
  • Minimum of 3-5 years as a pre-authorization or utilization review nurse in a payer or acute care setting; preferably medical-surgical or critical care/ED
  • Above average communications skills
  • Willing to work in night shift

Salary:

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