Nurse Utilization and Clinical Advisor Services Analyst II

Our team at Conduent is dedicated to delivering crucial services and solutions for top-tier companies and numerous governments, positively impacting our clients and the individuals they serve. Join us and thrive personally, make a difference, and become part of a culture that genuinely appreciates and values diversity.Job Track Description:Formal education...

Our team at Conduent is dedicated to delivering crucial services and solutions for top-tier companies and numerous governments, positively impacting our clients and the individuals they serve. Join us and thrive personally, make a difference, and become part of a culture that genuinely appreciates and values diversity.Job Track Description:Formal education...

Our team at Conduent is dedicated to delivering crucial services and solutions for top-tier companies and numerous governments, positively impacting our clients and the individuals they serve. Join us and thrive personally, make a difference, and become part of a culture that genuinely appreciates and values diversity.Job Track Description:Formal education...

Job Overview:Requires formal education and relevant expertise in a professional, sales, or technical area.Performs technical-based activities.Contributes to and manages projects.Uses deductive reasoning to solve problems and make recommendations.Interfaces with and influences key stakeholders.Leverages previous knowledge and expertise to achieve...

Job Overview:Requires formal education and relevant expertise in a professional, sales, or technical area.Performs technical-based activities.Contributes to and manages projects.Uses deductive reasoning to solve problems and make recommendations.Interfaces with and influences key stakeholders.Leverages previous knowledge and expertise to achieve...

Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is...

Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is...

Job Track Description:Requires formal education and relevant expertise in a professional, sales, or technical area.Performs technical-based activities.Contributes to and manages projects.Uses deductive reasoning to solve problems and make recommendations.Interfaces with and influences key stakeholders.Leverages previous knowledge and expertise to achieve...

Summary: The Clinical Review Nurse position assesses the medical appropriateness of proposed treatments and medications for our injured employees, and partners with the Client Claims Adjuster team to expedite medically necessary treatment for each claim. Maintains a solid understanding of Client’s mission, vision, and values. Upholds the standards of the...

Summary: The Clinical Review Nurse position assesses the medical appropriateness of proposed treatments and medications for our injured employees, and partners with the Client Claims Adjuster team to expedite medically necessary treatment for each claim. Maintains a solid understanding of Client’s mission, vision, and values. Upholds the standards of the...

Press Tab to Move to Skip to Content Link Select how often (in days) to receive an alert: Occupational Health Nurse I or Occupational Health Nurse IIDate: May 7, 2024Company: Dover Corporation SUMMARY: Cost reduction move from contract service provide under HMO rider to organic company nurses Addresses business risk from legal compliance on Labor Only...

Summary: The Clinical Review Nurse position assesses the medical appropriateness of proposed treatments and medications for our injured employees, and partners with the Client Claims Adjuster team to expedite medically necessary treatment for each claim. Maintains a solid understanding of Client’s mission, vision, and values. Upholds the standards of the...

Summary: The Clinical Review Nurse position assesses the medical appropriateness of proposed treatments and medications for our injured employees, and partners with the Client Claims Adjuster team to expedite medically necessary treatment for each claim. Maintains a solid understanding of Client’s mission, vision, and values. Upholds the standards of the...

Job Qualifications:Registered/License NurseExperience in the PEME clinic is an advantage but not requiredNewly board passers are encouraged to applyHas a good patient rapportGood oral and written communication skillsCan start immediatelyWilling to work in Gil, Puyat, MakatiOther Details:Open for OTWith complete benefits (SSS, Pag-ibig, Philhealth)

QUALIFICATIONS:- Candidate must be a 4-year college graduate of BS Nursing.- Must have a valid PRC Nursing license.- No clinical or nursing experience is necessary, but preferred.

Position: Utilization Management ConsultantLocation: Manila, PhilippinesOverview:We are seeking a highly experienced Utilization Management Consultant to establish and optimize our Utilization Management (UM) process in Manila, Philippines. The consultant will design and implement comprehensive UM procedures, segregate roles and responsibilities, and build...

Manage day-to-day clinic operations and ensure all on-site clinics are adhering to Occupational and Safety Standards at all times.Duties and Responsibilities: Monitors compliance of staff with standards defined by ActiveOne specifically with regard to customer service and other staff behavior policies. Monitors and maintain records of staff performance...

We are seeking a detail-oriented and analytical Clinical Coding Analyst to join our team and take on the responsibility of reviewing claims denied for coding-related issues. As a Clinical Coding Analyst, you will play a critical role in identifying and resolving coding discrepancies, ensuring accurate and compliant coding practices, and optimizing revenue...

We are seeking a detail-oriented and analytical Clinical Coding Analyst to join our team and take on the responsibility of reviewing claims denied for coding-related issues. As a Clinical Coding Analyst, you will play a critical role in identifying and resolving coding discrepancies, ensuring accurate and compliant coding practices, and optimizing revenue...

JOB DESCRIPTION Works with a client physician and their care team to compete documentation of clinic visits/encounters. QDS support healthcare providers and their patients by using an artificial intelligence (AI) technology platform to complete confidential medical summaries of patient encounters/visits. The AI technology platform combined with QDS save...