![UST](https://media.trabajo.org/img/noimg.jpg)
US Registered Nurse | UM | WFH
2 weeks ago
Responsibilities:
Perform prospective, concurrent, and retrospective reviews of inpatient, outpatient, ambulatory and ancillary services Review, research, and prepare documentation related to retrospective review requests and appeals in accordance with local, state, and federal regulatory and designated accreditation (e.g., NCQA) standardsContact appropriate medical and support personnel to identify and recommend an alternative treatment, service levels, length of stays, etc. using approved clinical protocolsFollow out-of-area/out-of-network services and make recommendations on patient transfer to in-network services and/or alternative plans of careMay establish care plans and coordinate care through the health care continuum including member outreach assessments
Qualifications:
Registered Nurse with current, unrestricted US Registered Nurse license At least 1 year experience in US Healthcare in utilization management or case management Experience in MCG or InterQual preferred
Get hired online without leaving home
-
USRN with UM Exp | WFH
2 weeks ago
Metro Manila, Philippines UST Full timeResponsibilities:Perform prospective, concurrent, and retrospective reviews of inpatient, outpatient, ambulatory and ancillary services to ensure medical necessity, appropriate length of stay, the intensity of service, and level of care, including appeal requests initiated by providers, facilities, and membersReview, research, and prepare documentation...
-
US Registered Nurse
2 weeks ago
Manila, National Capital Region, Philippines UST Full timeResponsibilities:Perform prospective, concurrent, and retrospective reviews of inpatient, outpatient, ambulatory and ancillary services Review, research, and prepare documentation related to retrospective review requests and appeals in accordance with local, state, and federal regulatory and designated accreditation (e.g., NCQA) standardsContact appropriate...
-
US Registered Nurse
2 weeks ago
Manila, National Capital Region, Philippines UST Full timeResponsibilities:Perform prospective, concurrent, and retrospective reviews of inpatient, outpatient, ambulatory and ancillary services Review, research, and prepare documentation related to retrospective review requests and appeals in accordance with local, state, and federal regulatory and designated accreditation (e.g., NCQA) standardsContact appropriate...
-
Registered Nurse
2 weeks ago
Metro Manila, Philippines Mercy Health Full timeEmployment Type: Permanent Full Time and Part TimeSalary Range: $1,412.98PHP - $2,287.98PHP per hourUpload with Application: Please upload resume, cover letter, relevant qualifications and documentationContact: Jacob Shute at jshute@mercy.com.au Where there’s life, there’s Mercy. Where there’s care, there’s You. Through the battles and the...
-
Registered Nurse
2 weeks ago
Manila, National Capital Region, Philippines Mercy Health Full timeEmployment Type: Permanent Full Time and Part TimeSalary Range: $1,412.98PHP - $2,287.98PHP per hourUpload with Application: Please upload resume, cover letter, relevant qualifications and documentationContact: Jacob Shute at Where there's life, there's Mercy. Where there's care, there's You. Through the battles and the breakthroughs, we're there. Where...
-
Registered Nurse
2 weeks ago
Manila, National Capital Region, Philippines Mercy Health Full timeEmployment Type: Permanent Full Time and Part TimeSalary Range: $1,412.98PHP - $2,287.98PHP per hourUpload with Application: Please upload resume, cover letter, relevant qualifications and documentationContact: Jacob Shute at Where there's life, there's Mercy. Where there's care, there's You. Through the battles and the breakthroughs, we're there. Where...
-
Registered Nurse
2 weeks ago
Manila, National Capital Region, Philippines Recooty Full timeUniversal Medical is seeking passionate and qualified Registered Nurses (RN) who have successfully passed the NCLEX examination. We welcome applications from dedicated healthcare professionals from any part of the world to join our dynamic team.Position: Registered Nurse (RN)Qualifications:Successful completion of the NCLEX examination.Registered Nurse...
-
Urgent: Quality Analyst
21 hours ago
Metro Manila, Philippines Omega Healthcare Management Services Inc. Full timeJob Purpose: Ensure that project related quality processes are followed by associates, client specific metrics and internal metrics are achieved, provide coaching to employees, track and trend data for improvement. Primary Duties and Responsibilities: We are currently looking for a keen individual who is responsible for conducting audits for healthcare...
-
CLINIC OFFICER
2 weeks ago
Metro Manila, Philippines Healthway (HMC, INC.) Full timeDUTIES AND RESPONSIBILITIESAbility to direct the activities of the staffSkills in anticipating and reacting calmly to emergency situations.Skills in writing reports and preparing correspondences.Skills in developing and maintaining quality assurance.Skills in providing guidance and instructions to staffSkills in establishing and maintaining effective working...
-
USRN with UM Exp
2 weeks ago
Manila, National Capital Region, Philippines UST Full timeResponsibilities:Perform prospective, concurrent, and retrospective reviews of inpatient, outpatient, ambulatory and ancillary services to ensure medical necessity, appropriate length of stay, the intensity of service, and level of care, including appeal requests initiated by providers, facilities, and membersReview, research, and prepare documentation...
-
USRN with UM Exp
2 weeks ago
Manila, National Capital Region, Philippines UST Full timeResponsibilities:Perform prospective, concurrent, and retrospective reviews of inpatient, outpatient, ambulatory and ancillary services to ensure medical necessity, appropriate length of stay, the intensity of service, and level of care, including appeal requests initiated by providers, facilities, and membersReview, research, and prepare documentation...
-
Registered Nurse
2 months ago
Manila, Philippines HR Network Incorporated Full timeJob Qualifications:● Registered/License Nurse● Experience in the PEME clinic is an advantage but not required● Newly board passers are encouraged to apply● Has a good patient rapport● Good oral and written communication skills● Can start immediatelyWilling to work in Gil, Puyat, MakatiOther Details:Open for OTWith complete benefits (SSS,...
-
PH Registered Nurse
21 hours ago
Metro Manila, Philippines Shearwater Health Full timeLet your Passion Lead You at the Home of Clinicians with over 4000+ employees who have trusted us with their careers!Available Sites: Taguig and CebuOur Clinicians & Associates advocates for better patient care while enjoying these benefits:HMO on Day 1 with 2 Dependents upon regularization.Group Life InsuranceHighly Competitive SalaryComplexity AllowancePhp...
-
PH Registered Nurses
2 weeks ago
Manila, National Capital Region, Philippines Shearwater Health Full timeLet your Passion Lead You at the Home of Clinicians with over 4000+ employees who have trusted us with their careersPhysical Sites: Taguig, Pampanga, and CebuOur Clinicians & Associates advocates for better patient care while enjoying these benefits:PHP30,000 Sign-On BonusHMO on Day 1 with 2 Dependents upon regularization.Group Life InsuranceHighly...
-
PH Registered Nurses
2 weeks ago
Manila, National Capital Region, Philippines Shearwater Health Full timeLet your Passion Lead You at the Home of Clinicians with over 4000+ employees who have trusted us with their careersPhysical Sites: Taguig, Pampanga, and CebuOur Clinicians & Associates advocates for better patient care while enjoying these benefits:PHP30,000 Sign-On BonusHMO on Day 1 with 2 Dependents upon regularization.Group Life InsuranceHighly...
-
Company Nurse
1 month ago
Metro Manila, Philippines Manly Plastics, Inc. Full timeMust be a graduate of Bachelor's Degree in Nursing Preferably Registered Nurse but not required. Will be focused on health care and the health monitoring of employees Must be willing to do clerical and administrative works Willing to be assigned to West Avenue, Quezon City or Bagbaguin Valenzuela.
-
Company Nurse
1 month ago
Metro Manila, Philippines Manly Plastics, Inc. Full timeMust be a graduate of Bachelor's Degree in Nursing Preferably Registered Nurse but not required. Will be focused on health care and the health monitoring of employees Must be willing to do clerical and administrative works Willing to be assigned to West Avenue, Quezon City or Bagbaguin Valenzuela.
-
PH Registered Nurse
1 day ago
Manila, National Capital Region, Philippines Shearwater Health Full timeLet your Passion Lead You at the Home of Clinicians with over 4000+ employees who have trusted us with their careersAvailable Sites: Taguig and CebuOur Clinicians & Associates advocates for better patient care while enjoying these benefits:HMO on Day 1 with 2 Dependents upon regularization.Group Life InsuranceHighly Competitive SalaryComplexity AllowancePhp...
-
Registered Nurse for our Doctors Clinic
20 hours ago
Manila, Philippines ACTFA Medical & Laboratory Diagnostics Full timeWe are looking for a Registered Nurse to assist at our Doctors' Clinics during patient consultationThe ideal candidate will be a responsible and well-trained professional able to give the best nursing care with little supervision. You will be compassionate and cool-tempered. You will also be able to follow health and safety guidelines faithfully and...
-
Registered Nurse for our Doctors Clinic
9 hours ago
Manila, Philippines ACTFA Medical & Laboratory Diagnostics Full timeWe are looking for a Registered Nurse to assist at our Doctors' Clinics during patient consultation The ideal candidate will be a responsible and well-trained professional able to give the best nursing care with little supervision. You will be compassionate and cool-tempered. You will also be able to follow health and safety guidelines faithfully and...