Training Quality Manager (PHRN/USRN)
Gratitude IncTraining Quality Manager (PHRN/USRN)
Job Description
Key Skills
1 candidate(s) have already applied for this Job. Apply now
QUALIFICATIONS:
• Bachelor’s Degree in Nursing with an active and valid license (PHRN/USRN)
• At least 2 years of experience in Utilization Management and medical necessity approval and denials
• Must have at least 1 or 2 years in a managerial position handling leaders/ TLs/ Supervisors
• With experience in training and quality management, preferably 5 years (Minimum 2 years required)
• Experience in a hospital setting or other clinical environment, such as BPO/CPO
• Familiarity with Medicare rules & regulations and guidelines, including coverage criteria and coding principles
• Experience in handling appeals, utilization review, or related healthcare management functions
• Excellent verbal and written communication skills are essential for preparing appeal arguments and communicating with different stakeholders
• Ability to analyze complex medical information and identify relevant clinical issues
• Have knowledge and experience in InterQual, NCQA and CMS.
• Willingness to work on-site with flexible schedules, including US hours and holidays
• Must not be a current or former employee of Concentrix
Role
Training Manager
Timings
Night Shift (Permanent)
Industry
BPO
Work Mode
Work from office
Process
Voice
Functional Area
ITES / BPO / Customer Service
Note: Myglit doesn't charge any money from candidates. If you have been asked to pay money to get this job then report to us immediately at support@myglit.com.
Interview Tips
- Giving the VNA round?
- What are the most important skills you acquired as a Soft Skills/VNA trainer?
- How would you handle an irate customer?
Get the Best Jobs
on your Fingertips
Similar Jobs
2 - 3 Year(s)
80 - 95 Thousand p.m
Manila, Philippines
USRN Quality Assurance Specialist
Gratitude Inc1 - 30 Year(s)
60 - 90 Thousand p.m
Manila, Philippines
CSR-Disability Claims Sutherland
Gratitude Inc1 - 15 Year(s)
25 - 35 Thousand p.m
Manila, Philippines
Cloud Security SME - (75k - 150k BASIC SALARY)
Gratitude Inc6 - 10 Year(s)
75 - 150 Thousand p.m
Manila, Philippines
Customer Service Representative
Gratitude Inc0 - 3 Year(s)
Confidential
Manila, Philippines
Customer service Specialist
Gratitude Inc0 - 3 Year(s)
Confidential
Manila, Philippines
Spanish Bilingual CSR -WNS Company
Gratitude Inc2 - 17 Year(s)
95 - 100 Thousand p.m
Manila, Philippines
Customer Service Representative
Gratitude Inc0 - 3 Year(s)
Confidential
Manila, Philippines
Team Leader - Medical Coder
Gratitude Inc1 - 4 Year(s)
65 - 75 Thousand p.m
Manila, Philippines