Disability Case Manager
5 days ago
What will you do?o Adjudicate disability for eligibility of short and long-term benefits. This includes reviewing and analyzing contractual, medical, functional and occupational informationo Coordinate appropriate interventions including, but not limited to: Independent Medical Evaluations, Functional Capacity Evaluations, Ergonomic assessments, Medical Consultant Opinions, Rehabilitation Consultant resources, and Consulting Mental Health Expertso Work collaboratively with insured employees, clients, lawyers, health care practitioners and other stakeholders to obtain information, provide claim status, create action plans and communicate verbal and written decisions while maintaining confidentiality and privacyo Conduct telephone interviews to obtain information to develop and maintain outcome-focused case management plans to support employees in their recovery and return to worko Identify and assess medical and non-medical influencing factors, functional capability, restrictions and limitationso Build strong relationships with our clients: employers and their employees o Participate in face to face (virtual) client meetingso Engage in continuous learning about disability practices and toolsRequired Qualifications:o Degree in Nursing or any allied medical courseso At least 2 years related experience in disability case managemento Strong BPO Healthcare experienceo Proficiency with computer and Windows PC applications, which includes the ability to navigate and learnnew and complex computer system applicationso Ability to multi-task including the ability to understand multiple products and multiple levels of benefits within each productCompetencies:o Critical thinking and analytical skills with a passion for solving challenging situationso Customer service focus; demonstrating empathy, with outstanding communication and listening skillso Ability to prioritize work items in order to meet client service standards and Sun Life best practice guidelineso Thrives in a dynamic, fast paced environment while maintaining attention to detail with complex claims and contractso Adaptability, flexibility, and excellent organization skillso Ability to make sound decisions, supported by strong rationaleo Resiliency and ability to manage challenging situationso Identifying opportunities to improve processeso Excellent written and verbal communication skills (English language)o Collaborative Team Player who can effectively work independently and with others
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Disability Case Manager
7 months ago
Taguig, Philippines Recruiter PH Full time- Adjudicate disability for eligibility of short and long-term benefits. This includes reviewing and analyzing contractual, medical, functional and occupational information- Coordinate appropriate interventions including, but not limited to: Independent Medical Evaluations, Functional Capacity Evaluations, Ergonomic assessments, Medical Consultant Opinions,...
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Disability Case Manager
7 months ago
Taguig City, Philippines Recruiter PH Full time- Adjudicate disability for eligibility of short and long-term benefits. This includes reviewing and analyzing contractual, medical, functional and occupational information - Coordinate appropriate interventions including, but not limited to: Independent Medical Evaluations, Functional Capacity Evaluations, Ergonomic assessments, Medical Consultant Opinions,...
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Disability Case Manager
7 months ago
Taguig City, Philippines Recruiter PH Full time- Adjudicate disability for eligibility of short and long-term benefits. This includes reviewing and analyzing contractual, medical, functional and occupational information - Coordinate appropriate interventions including, but not limited to: Independent Medical Evaluations, Functional Capacity Evaluations, Ergonomic assessments, Medical Consultant Opinions,...
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Disability Case Manager
7 months ago
Taguig City, Philippines RecruiterPH Full timeWhat will you do? o Adjudicate disability for eligibility of short and long-term benefits. This includes reviewing and analyzing contractual, medical, functional and occupational information o Coordinate appropriate interventions including, but not limited to: Independent Medical Evaluations, Functional Capacity Evaluations, Ergonomic assessments, Medical...
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Disability Case Manager
7 months ago
Taguig City, Philippines RecruiterPH Full timeWhat will you do? o Adjudicate disability for eligibility of short and long-term benefits. This includes reviewing and analyzing contractual, medical, functional and occupational information o Coordinate appropriate interventions including, but not limited to: Independent Medical Evaluations, Functional Capacity Evaluations, Ergonomic assessments, Medical...
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Disability Management Professional
1 month ago
Taguig, National Capital Region, Philippines RecruiterPH Full timeRole OverviewWe are seeking a skilled Disability Management Professional to join our team at RecruiterPH. As a key member of our team, you will be responsible for managing disability cases and providing exceptional customer service to our clients.Key ResponsibilitiesConduct thorough assessments of employees' medical conditions to determine their eligibility...
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Medical Case Manager
7 months ago
Taguig, Philippines Gratitude Philippines Full timeRoles and Responsibilities: • PH Registered nurses to review workers compensation claims with serious injury and that need surgery/lengthy treatments, create a return-to-work plan, work with various stakeholders (medical providers, injured worker, employer, attorney) to track the treatment plan and help bring the injured worker back to work. • Nurses...
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Medical Case Manager
5 days ago
Taguig, Philippines Gratitude Philippines Full timeRoles and Responsibilities:• PH Registered nurses to review workers compensation claims with serious injury and that need surgery/lengthy treatments, create a return-to-work plan, work with various stakeholders (medical providers, injured worker, employer, attorney) to track the treatment plan and help bring the injured worker back to work.• Nurses have...
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Medical Case Manager
7 months ago
Taguig, Philippines Gratitude Philippines Full timeRoles and Responsibilities: • PH Registered nurses to review workers compensation claims with serious injury and that need surgery/lengthy treatments, create a return-to-work plan, work with various stakeholders (medical providers, injured worker, employer, attorney) to track the treatment plan and help bring the injured worker back to work. • Nurses...
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Medical Necessity Case Manager
1 month ago
Taguig, National Capital Region, Philippines Gratitude Philippines Full timeAbout Gratitude PhilippinesWe are a leading provider of medical management services, dedicated to delivering high-quality solutions that meet the evolving needs of our clients.Job SummaryWe are seeking an experienced Medical Necessity Case Manager to join our team in the Philippines. This is a unique opportunity to work with a dynamic company and contribute...
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Clinical Utilization Specialist
1 month ago
Taguig, National Capital Region, Philippines Manpower Core Group Inc. Full timeManpower Core Group Inc. is seeking a skilled Clinical Utilization Specialist - Medical Case Manager to join our team in BGC. This role plays a vital part in ensuring that employees receive the necessary medical care and support to return to work.About the Role:This position involves conducting thorough reviews of treatment authorization requests based on...
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Clinical Nurse Case Manager
1 month ago
Taguig, National Capital Region, Philippines Gratitude Philippines Full timeAt Gratitude Philippines, we are committed to providing exceptional care to our clients. We are seeking a highly skilled Clinical Nurse Case Manager to join our team.Job SummaryWe are looking for a seasoned nurse with experience in case management to coordinate the individual's treatment program while maximizing quality and cost-effectiveness of care. As a...
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Taguig, National Capital Region, Philippines Gratitude Philippines Full timeGratitude Philippines is seeking a highly skilled Medical Education Specialist to join our team. This role is ideal for an experienced professional looking to take their career to the next level.We are offering a competitive salary of $80,000 - $100,000 per year, depending on experience. If you have a passion for education and case management, we encourage...
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Operations Manager
7 months ago
Taguig, Philippines Gratitude Philippines Full timeEducational Background: B.S Nursing Qualifications: 8+ years of related experience or equivalent combination of education and experience required to include 2+ years of direct clinical care OR 2+ years of case management/utilization management required. Bachelor's degree in nursing (BSN) from accredited college or university or equivalent work...
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Operations Manager
7 months ago
Taguig, Philippines Gratitude Philippines Full timeEducational Background: B.S Nursing Qualifications: 8+ years of related experience or equivalent combination of education and experience required to include 2+ years of direct clinical care OR 2+ years of case management/utilization management required. Bachelor's degree in nursing (BSN) from accredited college or university or equivalent work...
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Operations Manager
7 months ago
Taguig, Philippines Gratitude Philippines Full timeEducational Background: B.S NursingQualifications: 8+ years of related experience or equivalent combination of education and experiencerequired to include 2+ years of direct clinical care OR 2+ years of casemanagement/utilization management required. Bachelor's degree in nursing (BSN) from accredited college or university or equivalentwork experience...
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BPO Operations Manager
5 days ago
Taguig, Philippines Manpower Core Group Inc. Full timeKey skillsmanger operationsHealthcare domainHealthcare OperationPH HealthcareMinimum 2 years leadership role in BPO HealthcareHealthcare accountBPO Healthcare.Functional Title: Operations Manager.Educational Background: B.S NursingQualifications: 8+ years of related experience or equivalent combination of education and experience required to include 2+...
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Japanese ITIL Case Manager
4 days ago
Taguig, Philippines RCX Philippines Full timeSalary: 80,000 - 120,000HYBRID: 4 days Work from Home, 1 day Onsite per weekThe Case Manager is responsible for resolving all technical and non-technical issues related to services, through liaising with our customers and local providers. The suitable candidate will identify and establish new processes and continuously optimize existing ones, to enable...
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BPO Operations Manager
7 months ago
Taguig City, Philippines Manpower Core Group Inc. Full timeKey skills manger operations Healthcare domain Healthcare Operation PH Healthcare Minimum 2 years leadership role in BPO Healthcare Healthcare account BPO Healthcare. Functional Title: Operations Manager. Educational Background: B.S Nursing Qualifications: 8+ years of related experience or equivalent combination of education and experience required...
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Japanese ITIL Case Manager
4 days ago
BGC Taguig, Philippines RCX Philippines Full timeSalary: 80,000 - 120,000 HYBRID: 4 days Work from Home, 1 day Onsite per week The Case Manager is responsible for resolving all technical and non-technical issues related to services, through liaising with our customers and local providers. The suitable candidate will identify and establish new processes and continuously optimize existing ones, to enable...
