Phrn (Wfh)

Work Setup: WFH

Start Date: January 11, 2027

Qualifications:

• Active PRC
• Valid passport (at least 6 months)
• At least 2 years of bedside experience.
• Own equipment during review (laptop, desktop, or tablet)

Responsibilities:

• Responsible for the review and evaluation of clinical information and documentation, fax triage and conversion, and provider calls.
• Reviews documentation and interprets data obtained from clinical records or systems to apply appropriate clinical criteria and policies in line with regulatory and accreditation requirements
• Protects the confidentiality of member information and adheres to company policies regarding confidentiality
• Data gathering requires navigation through multiple system applications.