Job Description

About the job PHRN - Prior Authorization

Quality Auditor hiring Clinical Authorization Process.

Onsite, Night Shift, Mon-Friday

Qualifications

  • Must hold an active PHRN license (not a USRN license holder)
  • Relevant experience as a Quality Auditor in Clinical Services within a healthcare BPO environment; alternatively, 4 to 7 years of specialized experience in Clinical Authorization or Utilization Review is preferred
  • Strong familiarity with EPIC , MCG , or InterQual guidelines required
  • Demonstrated job stability , with a consistent employment history and minimal transitions

Job Description

I. Audit

  • Completing QA audits for their processes by ...

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