Clinical Appeals RN

Executive search firm Monroe Consulting Group is recruiting a Clinical Specialist (Medical Affairs) on behalf of a multinational medical device company based in Quezon City specializing in critical care and surgical portfolios. The role will be responsible in executing customer product training and education to ensure the safe and appropriate use of medical...

Hard Requirements:Either a PH RN or US RNWith nursing home experienceGood English communication skillsWith supervisory experience is an advantageWork details:Managerial positionWill work mostly from home; 2-3 days in a month may be requested to report onsite for leaders meetings, etc. (Makati)Will be managing nurses in our organization who do clinical audits...

Roles:Oversee the day-to-day operations of the center, specifically focusing on the CLINICAL AUDITORS DEPARTMENTEnsure achievement of client-set goals, efficiency targets, and overall center performanceCommunicate with employees and customers to provide timely and courteous assistance regarding products and servicesEnsure understanding of compliance...

Roles:Overall in charge of the day-to-day operations of the center - focusing on the CLINICAL AUDITORS DEPARTMENTResponsible for the attainment of client-set goals, efficiency targets, and overall center performance.Communicate with employees and customers to ensure prompt and courteous attention to all questions regarding products and services.Responsible...

Qualifications:Bachelor's degree in Nursing (BSN) required.Active Registered Nurse (RN) license. years of clinical experience in surgical nursing, [Y] years in a supervisory role.Strong leadership, communication, and clinical skills.Knowledge of regulatory requirements and best practices in surgical care.Certification in perioperative nursing (CNOR)...

Roles:Overall in charge of the day-to-day operations of the center - focusing on the CLINICAL AUDITORS DEPARTMENTResponsible for the attainment of client-set goals, efficiency targets, and overall center performance.Communicate with employees and customers to ensure prompt and courteous attention to all questions regarding products and services.Responsible...

Roles:Overall in charge of the day-to-day operations of the center - focusing on the CLINICAL AUDITORS DEPARTMENTResponsible for the attainment of client-set goals, efficiency targets, and overall center performance.Communicate with employees and customers to ensure prompt and courteous attention to all questions regarding products and services.Responsible...

Job SummaryRegistered Nurses (RNs) care for people who are sick, injured, convalescent, or disabled. Under general supervision, they deliver care to patients utilizing the nursing process of assessment, planning, intervention, implementation, and evaluation, in accordance with established philosophy. RNs collaborate with other professional disciplines to...

Job SummaryRegistered Nurses (RNs) care for people who are sick, injured, convalescent, or disabled. Under general supervision, they deliver care to patients utilizing the nursing process of assessment, planning, intervention, implementation, and evaluation, in accordance with established philosophy. RNs collaborate with other professional disciplines to...

Requirements:Education: Nursing degree (Associate's or Bachelor's).Licensure: Registered Nurse (RN) license.Certification: Certified Nephrology Nurse (CNN) or Certified Dialysis Nurse (CDN).Skills: Clinical expertise, communication, empathy.Physical Stamina: Ability to handle equipment and assist patients.Teamwork: Collaboration with healthcare...

Duties & Responsibilities:Perform consultations with patients to assess their aesthetic goals and recommend suitable treatments.Administer injectable treatments such as Botox, dermal fillers, and sclerotherapy following established protocols and safety guidelines.Conduct pre-procedure assessments, educate patients on treatment options, and provide...

Company DescriptionMakati Life Medical Center is a state-of-the-art healthcare facility in Metro Manila, where patients are the top priority. The hospital is equipped with the finest medical technology, facilities, and doctors to assist everyone's healthcare needs effectively.BASIC FUNCTION AS STAFF NURSEA Registered Nurse (RN) that can be assigned to...

MetHealth is actively hiring for PH Registered NursesJoin our team and enjoy the benefits of working from the comfort of your home. If you're a PHRN, we want to hear from you Don't miss out on this exciting opportunity. Are you thrilled about delivering outstanding customer service? We're seeking a dedicated PHRN Nurse. They will join our Non Voice team in...

MetHealth is actively hiring for PH Registered NursesJoin our team and enjoy the benefits of working from the comfort of your home. If you're a PHRN, we want to hear from you Don't miss out on this exciting opportunity. Are you thrilled about delivering outstanding customer service? We're seeking a dedicated PHRN Nurse. They will join our Non Voice team in...

Duties and Responsibilities:In the absence of the physician, she organizes and administers a health service program integrating occupational safety in accordance with the physician's established health programs.Provides nursing care and first aid to injured or ill employees.Participates in accident/incident investigation.Participates in health maintenance...

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...

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims...

Job Description - Process Associate (HEA Process Associate - HEA011365 Genpact (NYSE: G) is a global professional services and solutions firm delivering outcomes that shape the future. Our 125,000+ people across 30+ countries are driven by our innate curiosity, entrepreneurial agility, and desire to create lasting value for clients. Powered by our purpose...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion,...

I. Work Objectives:1. Ensures efficient operation of Medical Ancillary & Support Services Division management fromeworks (claims processing, reimbursement processing and underwriter.2. Manages initiatives in enabling MASSD team to define governance for the strategic processing of the accurate and timely payment of claims.3. Keeps abreast of any changes in...