PHRN (WFH)

<h2>Work Setup: WFH</h2><h2>Start Date: January 11, 2027</h2><h2>Qualifications:</h2><ul>
<li>Active PRC</li>
<li>Valid passport (at least 6 months)</li>
<li>At least 2 years of bedside experience.</li>
<li>Own equipment during review (laptop, desktop, or tablet)</li>
</ul><h2>Responsibilities:</h2><ul>
<li>Responsible for the review and evaluation of clinical information and documentation, fax triage and conversion, and provider calls.</li>
<li>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</li>
<li>Protects the confidentiality of member information and adheres to company policies regarding confidentiality</li>
<li>Data gathering requires navigation through multiple system applications.</li>
</ul>