Utilization Review Nurse

**What we offer: Salary Package: PHP 50,000 +**Sign-On Bonus: PHP 50,000Work Setup: Onsite at Bridgetowne, Quezon CitySchedule: Shifting ScheduleEssential Duties and ResponsibilitiesAccurately interpret member benefits and managed care products, and guide members to appropriate providers, programs, or community resources.Collaborate with medical directors...

Role Overview: We are seeking a skilled Utilization Management/Review Nurse to join our team. This role is essential in ensuring patients receive appropriate, timely, and cost-effective care by reviewing medical records, treatment plans, and healthcare resource utilization. Key Responsibilities: Conduct concurrent and retrospective reviews of patient...

What we offer Salary Package: PHP 50,000 + Sign-On Bonus PHP 50,000 Work Setup: Onsite at Bridgetowne, Quezon CitySchedule: Shifting Schedule Essential Duties and Responsibilities Accurately interpret member benefits and managed care products, and guide members to appropriate providers, programs, or community resources. Collaborate with medical directors to...

Role Overview: We are looking for a detail-oriented Utilization Review Coordinator/Medical Management Resolution Specialist to join our team. The ideal candidate will have experience in medical coding within the US healthcare system, whether certified or non-certified, and a strong background in medical management resolution. Key Responsibilities Collect,...

ECLARO Quezon City, National Capital Region, Philippines Registered Nurse Philippine Registered Nurses (PHRNs) are responsible for collaborating with healthcare providers and members to promote quality outcomes, optimize member benefits, and ensure the effective use of resources. You will play a key role in ensuring that medically appropriate, high-quality,...

Job SummaryPhilippine Registered Nurses (PHRNs) are responsible for collaborating with healthcare providers and members to promote quality outcomes, optimize member benefits, and ensure the effective use of resources. You will play a key role in ensuring that medically appropriate, high-quality, and cost-effective care is provided by assessing the medical...

Description A PHRN Back Office Specialist supports healthcare operations by performing administrative and clinical tasks in a non-voice (back office) setting. This role is ideal for licensed Philippine Registered Nurses (PHRNs) looking to apply their medical knowledge in a corporate or BPO environment. Review and process medical records, charts, and...

Job Summary:The Operations Manager for Utilization Management is responsible for managing and overseeing UM operations, ensuring compliance with industry standards and regulatory requirements. The role involves close collaboration with various stakeholders to drive performance and maintain high-quality standards.Key ResponsibilitiesOversee daily operations...

Join to apply for the Staff Nurse role at Fresenius Medical Care Join to apply for the Staff Nurse role at Fresenius Medical Care Fresenius Medical Care is the world’s leading provider of dialysis products and services. We care for people with chronic kidney failure, of whom around 3.4 million worldwide depend on dialysis treatment. Thanks to our decades...

Role Title:School NurseECLARO: A quick SummaryECLARO is an award-winning professional services firm headquartered in New York City and operating in the U.S., Canada, UK, Ireland, Australia and the Philippines. We are dedicated to a singular purpose: providing the Right People to meet every client's needs and solve business challenges through strategic...