Gratitude Inc banner
Gratitude Inc logo

(ACTIVE) PHRN - Grievance & Case Appeals | Hybrid after Training in Taguig

Gratitude Inc
27 Views
1 day ago

(ACTIVE) PHRN - Grievance & Case Appeals | Hybrid after Training in Taguig

1-5 Year(s)
Manila (Taguig)
Manila (Taguig)

Job Description

Key Skills

Case Management PH - Registered Nurse Utilization Management Healthcare Operation Medical Claims processing Healthcare Experience Clinical documents Case Appeals experience

9 candidate(s) have already applied for this Job. Apply now

PHRN (Professional Health Registered Nurse)

Location: Philippines
Target Start Date: October 13, 2026
Work Setup: Full onsite during training; once in production, onsite 2 days per week
Shift: Night Shift
Process: Back Office / Non-Voice

Job Summary

We are looking for a PHRN (Professional Health Registered Nurse) with an active nursing license and relevant experience in grievance and case appeals. The role will support back-office, non-voice healthcare operations and requires candidates who are comfortable working night shifts and following the required onsite work arrangement.

Key Responsibilities

  • Handle and review healthcare-related grievances and case appeals.

  • Perform back-office/non-voice case processing and documentation.

  • Review case details and supporting information accurately.

  • Ensure cases are processed according to established procedures and guidelines.

  • Maintain accurate documentation and meet quality and productivity requirements.

  • Coordinate with relevant teams for case resolution when required.

Qualifications

  • PHRN with an active license.

  • Active Registered Nurse status.

  • Minimum 1 year of experience in grievance and case appeals.

  • Experience in a back-office/non-voice environment.

  • Willing to work on a night shift.

  • Willing to attend full onsite training and work onsite 2 days per week after production.

  • Candidates with frequent job changes of less than one year should be carefully screened.

Recruitment Process

  1. Talkpush validation

  2. Talkscore

  3. Account Exam

  4. HR Interview

  5. Operations Interview

  6. Job Offer

Prescreening Information

  • PHRN license validity date

  • Years of experience in grievance and case appeals

  • Educational attainment

  • Salary expectation

  • Last drawn salary

  • Notice period

  • Availability for the required work setup and schedule

  • Current location

Role

Nurse

Timings

Night Shift (Permanent)

Industry

Medical / Healthcare / Hospital

Work Mode

Hybrid

Process

Non-Voice

Functional Area

Medical Professional / Healthcare Practitioner / Technician

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.

Recruiter profile

Toukeerahmed Attar

Recruiter - Gratitude Inc

NA, india

0+ Followers

500+ Posts

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)

USRN PHRN Healthcare professionals

Confidential

Manila, Philippines

1 - 3 Year(s)

PHRN or USRN active PHRN and USRN license

Confidential

Manila, Philippines

0 - 3 Year(s)

BPO Recruiter Experience in Healthcare BPO industry and knowledge of healthcare vertical Proficiency in English; Good communication skills both written and spoken

Confidential

Manila, Philippines

2 - 5 Year(s)

clinical nurse Clinical documents

₱ 60 - ₱ 85K p.m

Manila, Philippines

2 - 12 Year(s)

USRN HIPAA USRN Trainer

Confidential

Manila, Philippines

1 - 2 Year(s)

Training Utilization Management BPO/CPO experience

₱ 60 - ₱ 80K p.m

Manila, Philippines

2 - 3 Year(s)

USRN Trainer Active USRN Mainland license US Healthcare account

Confidential

Manila, Philippines

1 - 2 Year(s)

Safety Case Processing

Confidential

Manila, Philippines

1 - 2 Year(s)

Equipment Operation Stakeholder Management stakeholders

Confidential

Manila, Philippines

1 - 2 Year(s)

CRM (Customer relationship Management) Healthcare Payer Revenue accounting manager

₱ 25 - ₱ 35K p.m

Manila, Philippines