Clinical Nurse Case Manager – USRN
4 weeks ago
Overview
Nezda Technologies Inc. is currently hiring for Clinical Nurse Case Manager - USRN.
Salary: P 50,000 - P 68,000 (with Perks and benefits).
Work Set up: Work From Home
This position is offered through partnerships with multiple companies; you have an option to choose the company that fits you best. This is a direct employment opportunity with no bond.
Qualifications- Active and Non-Active USRN License.
- With at least 1 Year Clinical or Hospital Experience.
- USRN with RN License.
- Conduct UM pre-service, concurrent, retrospective, out of network, and appropriateness of treatment setting.
- Review service requests to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits and contracts.
- Utilize client specific criteria sets (e.g., Milliman or InterQual), applicable client specific medical policy and client clinical guidelines for decision making to either approve or summarize and route to Client's nursing reviewer and/or Client's medical staff for review.
- Responsible for conducting medical management review activities that require the review of clinical information against client-specific criteria as noted above but excludes denial determinations.
- Ensure member access to medically necessary, quality healthcare in a cost-effective setting according to the contract.
- Consult with clinical reviewers and/or U.S. licensed medical directors to ensure medically appropriate, high-quality, cost-effective care throughout the medical management process.
-
USRN Nurse Triage
1 week ago
Rizal, Philippines Myglit Full timeWork shift: US Time Zone; Must be open to Night Shift Salary: 2-4 yrs Clinical Experience: 40K-50K Package 5-6 yrs Clinical Experience: 60K- 65Kpackage Start date: Immediately/ ASAP Joiners only Headcounts: 2-4 yrs experience is 5 HC, 5-6 yrs experience is 5 HC Position Summary: The Nurse Triage USRN will serve as the point of clinical contact for patients...
-
Clinical Pharmacist
4 weeks ago
Rizal, Philippines Fatima University Medical Center - Antipolo Full timeOverview Fatima University Medical Center (FUMC) is a premier healthcare institution dedicated to providing exceptional patient care and fostering medical innovation. We are seeking a highly motivated and skilled CLINICAL PHARMACIST to join our dynamic team and contribute to our mission of enhancing health and wellness in our community. Responsibilities...
-
Clinical Pharmacist
2 weeks ago
Rizal, Philippines Fatima University Medical Center - Antipolo Full timeOverview Fatima University Medical Center (FUMC) is a premier healthcare institution dedicated to providing exceptional patient care and fostering medical innovation. We are seeking a highly motivated and skilled Clinical Pharmacist to join our dynamic team and contribute to our mission of enhancing health and wellness in our community. Job Description...
-
Registered Nurse
2 weeks ago
Rizal, Philippines ANIMAL BITE CENTER Full time ₱195,000 - ₱300,000 per yearHIRINGWe are currently seeking a Clinic Vaccinator to join our dedicated team (Animal Bite Center).COMPETITIVE SALARYQualifications:Must be a Registered Nurse (newly licensed individuals are welcome to apply)Experience is an advantage but not requiredMust be willing to work on-siteMust be open to training.Applicant must be located within the city of the...
-
Clinical Manager
4 weeks ago
Rizal, Philippines Valeria Doctors Inc. Full timeResponsibilities Lead and oversee clinical operations and staff Ensure compliance with healthcare regulations and standards Coordinate patient care activities and treatment plans Monitor and evaluate clinical performance and quality Provide training and support to clinical staff Collaborate with interdisciplinary teams for optimal patient outcomes Manage...
-
Staff Nurse
2 weeks ago
Rizal, Philippines Valeria Doctors Inc. Full timeOn-site - Rizal No Exp Required Bachelor Full-time Job Description Government Mandated Benefits Patient Care & Assistance Assist dentists and cosmetic specialists during procedures. Prepare patients for treatments and explain procedures. Take and record vital signs and update patient medical history. Provide post-treatment care instructions and address...
-
Clinic Manager-Physician
1 week ago
Rizal, Philippines Primehealth Network, Inc. Full timeJOB DESCRIPTION: · Deliver primary care services under the PhilHealth Konsulta Package · Conduct medical consultations, health screenings, and risks assessments · Request and interpret basic laboratory and diagnostic tests · Prescribe and dispense Konsulta-medicines · Ensure accurate documentation using electronic medical records · Participation in...
-
Registered Nurse
3 weeks ago
Rizal, Philippines JC Rodriguez Construction Corporation Full timeResponsibilities Provide high-quality nursing care to patients in various healthcare settings. Administer medications and treatments as prescribed by physicians. Monitor patient progress and document all necessary information in medical records. Educate patients and their families on health management and post-treatment care. Collaborate with other...
-
Registered Nurse
2 weeks ago
Rizal, Philippines JC Rodriguez Construction Corporation Full timeResponsibilities Provide high-quality nursing care to patients in various healthcare settings. Administer medications and treatments as prescribed by physicians. Monitor patient progress and document all necessary information in medical records. Educate patients and their families on health management and post-treatment care. Collaborate with other...
-
Occupational Nurse
4 weeks ago
Cainta, Rizal, Philippines AMCA Finefoods, Inc. Full timeAMCA Finefoods is a food manufacturing company created to produce high quality finished goods for their clients. They are the main producers of cakes, gelato, and other food products to Caramia and Amici. The Company Nurse at AMCA Finefoods, Inc. plays a vital role in ensuring employee health, safety, and wellness by providing medical care, conducting health...
