USRN Manager

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: 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: 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...

Job DescriptionResponsibilities: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 Surgical Ward,...

Calling all #PHRN #USRN with the same qualifications below:We are #HiringNow for MDS Coordinator/Account ManagerSalary: php 80, ,000Site assignment: WFH but will report in Makati/Shaw every quarter (1 day of every 3 months)Start Date:ASAP ACTIVE PHRN/USRN LICENSE Strictly with 6 months background in MDS Coordination MDS/ US Nursing Home Experience

Are you thrilled about delivering outstanding customer service? We're hiring a vibrant Lead Assistant Manager in Pasay - Mall of Asia. Your Key Responsibilities: Guide and mentor team members to provide top-notch service. Communicate with clients and stakeholders. Develop and put in place training programs to enhance the team's performance. Needed...

Are you thrilled about delivering outstanding customer service? We're hiring a vibrant Lead Assistant Manager in Pasay - Mall of Asia. Your Key Responsibilities: Guide and mentor team members to provide top-notch service. Communicate with clients and stakeholders. Develop and put in place training programs to enhance the team's performance. Needed...

US RN certification – Mandatory.With five years of experience in utilization management review or 3 years clinical appeals and denials handling for healthcare insurance/ UMRSalary range – 30-50KExperience range - 5+ yearsShifts – flexibleOnsite in Taguig

Senior Quality Manager – Healthcare (Alabang)Driving quality deployment in the Delivery CentreDriving customer Impact ProjectsDriving Six Sigma and Lean DeploymentDriving QNS for the aligned areaDriving SLA adherence / Customer CTQEnsuring all parameters are met and corrective and preventive actions are takenDriving VOC/ CSAT / NPS actionable across the...

Posted 5 days ago and deadline of application is on 5 JulRecruiter was hiring 16 hours agoJob DescriptionHandle inbound and make outbound calls or send emails from/to patients, hospitals and healthcare providersAdhere to regulatory and company policies at all timesReview and assessment of primarily complex illness and injury claimsIdentify restrictions and...

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)...

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: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...

Not ApplicableQualification:Graduate (exclusion:BE/BTech/MCA For Medical Management College/ University degree holder. For NA High School/Equiv, Associates Degree preferred or equiv work experience.Responsibility:'Business / Customer:Data Processes:For NA, Claims, RCM, Provider Services and Member Services: • Focus on enabling quality deliverables and...

NON-VOICE - Transaction Processing Associate, PHRN (CEBU)Candidate must possess at least a Bachelor's/College Degree on Nursing.Fresh Grad / Entry Level specializing in Healthcare - Nurse/Medical Support and Assistant or equivalent.ResponsibilitiesEnroll and successfully complete Health Management USRN Build Program and obtain an active, unrestricted United...

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...