Registered Nurse for Healthcare BPO| Utilization Review

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...

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...

Universal 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...

Employment 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...

Employment 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...

Join our dedicated team at HBiz where we strive to provide outstanding care and service excellence. We are currently seeking a highly skilled Clinical Appeals Nurse to play a crucial role in managing medical denials by providing clinical expertise in the appeals process. This position is ideal for those who excel in analytical thinking and have a strong...

Let 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...

Let 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...

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,...

Let 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...

Accesshealthcare is looking for REGISTERED NURSE to join our growing team.You'll be ensuring the completion of assigned patient cases by doing roll calls, processing concurrent and retro clinical reviews, work processing surgery authorizations, as needed.Qualifications :Must be Registered Nurse with Active licenseHospital Bedside experience (OR /ER / ICU/...

The Hedis Abstractor PH Registered Nurse organizes specific data in the Patients Medical record based on Specific guidelines and requirements. Responsibilities include reviewing patient's chart, documenting diagnoses and treatments, abstract required/needed data, and assign codes to the data they found into the Clients System.SUMMARY:The AR Executive /HEDIS...

JOB PURPOSE:This position is responsible for coaching and supporting Team Leads and ensures that each team lead meets or exceeds their team performance. This position is also responsible for ensuring client quality and service levels are met on a consistent basis. PRIMARY DUTIES & RESPONSIBILITIES:Meet all Client Service Level Agreements (deliverables)Ensure...

JOB PURPOSE:This position is responsible for coaching and supporting Team Leads and ensures that each team lead meets or exceeds their team performance. This position is also responsible for ensuring client quality and service levels are met on a consistent basis. PRIMARY DUTIES & RESPONSIBILITIES:Meet all Client Service Level Agreements (deliverables)Ensure...

The job of a Process Trainer is to essentially educate, guide, and coach new employees on how to effectively perform their jobs by developing the capabilities that are required for optimal job performance. The job also involves a number of complimentary activities such Training needs analysis, Training Needs Identification, Research & Development of Content,...

JOB PURPOSE:This position is responsible for coaching and supporting Team Leads and ensures that each team lead meets or exceeds their team performance. This position is also responsible for ensuring client quality and service levels are met on a consistent basis.PRIMARY DUTIES & RESPONSIBILITIES:Meet all Client Service Level Agreements (deliverables)Ensure...

Medical Administration (Healthcare & Medical) Coordinate with the different departments for the collation of medical resultsEnsure that all medical results are available prior to completion of Medical ExaminerProvide principals with status of their seafarers undergoing medical examinationsSort out patient charts into FIT, UNFIT and PENDING for typingTo...

Requirements:Must have a Bachelor's Degree in NursingPreferably a Registered Nurse, but not mandatoryResponsibilities:Focus on healthcare and monitoring employee healthPerform clerical and administrative tasksLocation:Available positions in West Avenue, Quezon City and Bagbaguin Valenzuela

Are you thrilled about delivering outstanding customer service? We're looking for a vibrant PHRN to join our team in Manila-Assist patients and healthcare providers by delivering exceptional voice support.Provide accurate information and resolve inquiries.Maintain detailed and confidential patient records.Needed Qualifications:Good communication...

Job 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...