PHRN/USRN Training Quality Manager
Gratitude IncPHRN/USRN Training Quality Manager
Job Description
Key Skills
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Job Title: Training Quality Manager (PHRN/USRN)
Shift: Night shift
Work Set-up: On-site in Bridgetowne, Quezon City
Salary range: 120K to 150K
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
PRE-SCREENING QUESTIONS:
1. Do you have an active PHRN or USRN license?
2. How many years of experience do you have in training and quality for a healthcare or BPO/CPO setting?
3. How many years of managerial experience do you have?
4. Please provide your years of experience in handling appeals, utilization review, or related healthcare management functions and share a brief experience on the process.
5. Do you have familiarity with Medicare rules & regulations and guidelines, including coverage criteria and coding principles?
6. Please rate your knowledge and experience in InterQual, NCQA and CMS, from 1 to 10, 10 being the highest.
7. How much is your last drawn salary?
8. How much is your salary expectation?
9. Are you amenable to working onsite in Bridgetowne, Quezon City, with a night shift and fixed weekends off schedule?
10. When can you start once hired?
Role
Others
Timings
Night Shift (Permanent)
Industry
BPO
Work Mode
Work from office
Functional Area
Top Management
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?
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