Sorry, the offer is not available,
but you can perform a new search or explore similar offers:

Spa Therapist

We are looking for someone who: Takes pride in being a hotelier Loves interacting with guests Enjoys working as part of a team Has a can-do attitude Is a sel...


From Shangri-La - Ilocos Norte

Published 23 days ago

Nclex Scholarship For Nurses

Stay healthy with HMO +2 Dependents upon hireGet Annual Salary IncreaseBe secured with FREE Life InsuranceEnjoy More Leave DaysGet Visa Sponsorship & Work Ab...


Ilocos Norte

Published 23 days ago

Medical Representative

INTERNATIONAL PHARMACEUTICALS, INC. (IPI)&nbspIs currently looking for: &nbspMEDICAL REPRESENTATIVE (3)&nbspJob Description: Responsible for the market of bi...


Ilocos Norte

Published 23 days ago

Branch Officer-In-Charge/Branch Supervisor

Branch Officer-in-charge (Facial Clinic)**Career Summary**To manage assigned branch by ensuring collaborative working relationships, and customer satisfactio...


From Skin Perfect Facial Skin Care - Ilocos Norte

Published 23 days ago

Ph Registered Nurses - Taguig City, Ncr

Ph Registered Nurses - Taguig City, Ncr
Company:

Optum, A Unitedhealth Group Company


Details of the offer

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)Specialty Medical Guidance Program provides prior authorization for utilization management and reporting service to help reduce medical expenses and simplify the provider experience. Caller (either Physician or staff from Physician office) calls the helpline to secure prior authorization for oncology and non-oncology specialty drugs including chemotherapy regimens.Primary Responsibilities:Take Calls from providers regarding chemotherapy eligibilityTake Calls from Providers, or staff from Providers’ Clinic that are requesting Prior Authorization for Specialty Drugs including Chemo DrugsTake Calls from Providers, or staff from Providers’ Clinic that are requesting for status of existing requestOutbound Calls during MBMNow outageMake outbound provider calls to complete the down time formEnter the request into the system for the prior authorization after verifying HIPAAUpdate Basic Information in MBMNow: the system will give the final result either PA approved system approved or need to go through manual reviewEnter accurate documentation in ICUE/MBMNowFax via RightFax confirmation page to requesting provider offices Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so. Required Qualifications:PHRN with active licenseMinimum 2 years of bedside clinical experienceExcellent Communication skillsWith intermediate skills in Microsoft excelTeam player, very good customer service and interpersonal skillsSolid clinical acumenComputer literateCareers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)Diversity creates a healthier atmosphere: Optum is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.Optum is a drug-free workplace. © 2020 Optum Global Solutions (Philippines) Inc. All rights reserved.Job Keywords: Philippine Registered Nurse, Nurse, PHRN, PH RN, PH Registered Nurse, Registered Nurse, RN, Taguig City, NCR, National Capital Region


Source: Bossjob

Job Function:

Requirements


Knowledges:
Ph Registered Nurses - Taguig City, Ncr
Company:

Optum, A Unitedhealth Group Company


Built at: 2024-03-28T14:15:47.709Z