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Senior Leader for Clinical Services Operations Add expected salary to your profile for insights At least five years of supervisory/managerial experience working in Clinical services, such as Clinical Authorization, Utilization Management/Review, and Clinical Denials & Appeals. Prior experience Management experience with Clinical Documentation Integrity (CDI)...

Quality Assurance & Control (Manufacturing, Transport & Logistics) Position: Quality Assurance Specialist (Medical Field)Location: BGC, TaguigWork setup: On-siteWork Schedule: Shifting.Job Descriptions:The Quality Assurance (QA) Specialist is responsible in ensuring accuracy of information and quality of delivery by monitoring, auditing, reviewing,...

Position: Training Specialist (Medical Field)Location: BGC, TaguigWork setup: On-siteWork Schedule: ShiftingJob Descriptions:The Training Specialist is responsible for developing, implementing and evaluating Shearwater Health training activities. Plans, assesses, organizes, coordinates, conducts and evaluates all SWH training programs and activities. These...

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...

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...

Supervisors/Team Leaders (Call Centre & Customer Service) Full time Add expected salary to your profile for insights Let your Passion Lead You at the Home of Clinicians with over 4000+ employees who have trusted us with their careersOur Clinicians & Associate advocates for better patient care while enjoying these benefits:HMO on Day 1 with 2 Dependents...

US Registered Nurse | Team Lead Level | WFH Nursing - General Medical & Surgical (Healthcare & Medical) The UM Team Lead will be responsible for the management of the Utilization Management program with the aim of meeting objectives set by the Manager, Operations Director and/or VP for Client Services.Duties and ResponsibilitiesManage program with the...

Responsibilities: • Coordinates work activities with other supervisors • Develops plans to meet short-term objectives • Identifies and resolves operational problems using defined processes, expertise and judgment • Decisions are guided by policies, procedures and business plan. • Identifies and resolves operational problems using defined processes,...

Responsibilities: • Coordinates work activities with other supervisors • Develops plans to meet short-term objectives • Identifies and resolves operational problems using defined processes, expertise and judgment • Decisions are guided by policies, procedures and business plan. • Identifies and resolves operational problems using defined processes,...

Responsibilities: • Sets team direction, resolves problems and provides guidance to members of own team. • Reviews service requests to ensure compliance with applicable criteria. • Responsible for conducting medical management review activities. • Ensure member access to medically necessary, quality healthcare in a cost-effective setting according to...

Responsibilities: • Sets team direction, resolves problems and provides guidance to members of own team. • Reviews service requests to ensure compliance with applicable criteria. • Responsible for conducting medical management review activities. • Ensure member access to medically necessary, quality healthcare in a cost-effective setting according to...

Responsibilities: • Coordinates work activities with other supervisors • Develops plans to meet short-term objectives • Identifies and resolves operational problems using defined processes, expertise and judgment • Decisions are guided by policies, procedures and business plan. • Identifies and resolves operational problems using defined processes,...

Responsibilities: • Coordinates work activities with other supervisors • Develops plans to meet short-term objectives • Identifies and resolves operational problems using defined processes, expertise and judgment • Decisions are guided by policies, procedures and business plan. • Identifies and resolves operational problems using defined processes,...

Responsibilities: • Sets team direction, resolves problems and provides guidance to members of own team. • Reviews service requests to ensure compliance with applicable criteria. • Responsible for conducting medical management review activities. • Ensure member access to medically necessary, quality healthcare in a cost-effective setting according to...

Responsibilities: • Sets team direction, resolves problems and provides guidance to members of own team. • Reviews service requests to ensure compliance with applicable criteria. • Responsible for conducting medical management review activities. • Ensure member access to medically necessary, quality healthcare in a cost-effective setting according to...

Job Description Responsibilities: Design, create, and implement comprehensive training programs for registered nurses. Conduct engaging and interactive training sessions for groups of registered nurses. Evaluate the learning needs and skill gaps of registered nurses through surveys, assessments, and direct observation. Monitor and assess the effectiveness...

Job Description Responsibilities: Design, create, and implement comprehensive training programs for registered nurses. Conduct engaging and interactive training sessions for groups of registered nurses. Evaluate the learning needs and skill gaps of registered nurses through surveys, assessments, and direct observation. Monitor and assess the effectiveness...

Responsibilities: Coordinates work activities with other supervisors Develops plans to meet short-term objectives Identifies and resolves operational problems using defined processes, expertise and judgment Decisions are guided by policies, procedures and business plan. Identifies and resolves operational problems using defined processes, expertise and...

Responsibilities: Sets team direction, resolves problems and provides guidance to members of own team. Reviews service requests to ensure compliance with applicable criteria. Responsible for conducting medical management review activities. Ensure member access to medically necessary, quality healthcare in a cost-effective setting according to contract....

Job Description Responsibilities: Design, create, and implement comprehensive training programs for registered nurses. Conduct engaging and interactive training sessions for groups of registered nurses. Evaluate the learning needs and skill gaps of registered nurses through surveys, assessments, and direct observation. Monitor and assess the effectiveness...

Job Description Responsibilities: Design, create, and implement comprehensive training programs for registered nurses. Conduct engaging and interactive training sessions for groups of registered nurses. Evaluate the learning needs and skill gaps of registered nurses through surveys, assessments, and direct observation. Monitor and assess the effectiveness...

Job Description Responsibilities: Develops innovative approaches. Serves as a leader/ mentor. Comply with the terms and conditions of the employment contract, company policies and procedures. Sought out as expert. Reviews the work of others. Required Skills: BS Nursing – USRN Active Mainland License. Hospital Experience in Critical Areas (ER, Med...

Job Description Responsibilities: Develops innovative approaches. Serves as a leader/ mentor. Comply with the terms and conditions of the employment contract, company policies and procedures. Sought out as expert. Reviews the work of others. Required Skills: BS Nursing – USRN Active Mainland License. Hospital Experience in Critical Areas (ER, Med...

Job Description Responsibilities: Develops innovative approaches. Serves as a leader/ mentor. Comply with the terms and conditions of the employment contract, company policies and procedures. Sought out as expert. Reviews the work of others. Required Skills: BS Nursing – USRN Active Mainland License. Hospital Experience in Critical Areas (ER, Med...

Job Description Responsibilities: Develops innovative approaches. Serves as a leader/ mentor. Comply with the terms and conditions of the employment contract, company policies and procedures. Sought out as expert. Reviews the work of others. Required Skills: BS Nursing – USRN Active Mainland License. Hospital Experience in Critical Areas (ER, Med...

Be the spark that brightens days and ignite your career with TTEC’s award-winning employment experience. As a US Registered Nurse working remotely, you’ll be a part of bringing humanity to business. #experienceTTEC  Our employees have spoken. Our purpose, team, and company culture are amazing and our Great Place to Work® certification in Philippines...

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...