Occupational Health Nurse

Occupational Health Nurse

Pasay, Pasay

Posted 1 day ago

Job Description:

• To improve safety and address health concerns of SCMC employees and customers
• Provides medical aid, assessment, and recommendation on the health status of each employees based on medical records, conducted physical examination and laboratory results

Requirements:

• Candidate must possess a Bachelor's degree in Nursing
• Must be a Registered Nurse/ Professional License Holder
• With active Basic Occupational Safety and Health (BOSH) certification from ONHAP and Basic Life Support (BLS)
• With at least 2-3 years of experience as company nurse is a plus
• Ok with shifting schedule and mall working hours

Note: This advertiser has chosen not to accept applicants from your region.

Registered Nurse (Clinic/Nurse)

Posted 1 day ago

Job Description:

As a vital member of our Primary Care team, as a Clinic Nurse, you'll play a key role in ensuring smooth, compassionate, and quality healthcare delivery. From triaging patients and assisting with procedures to educating them on treatments and preventive care, your work directly enhances their experience and well-being.

What You'll Do

Your daily responsibilities include:

• Triage patients and check vital signs
• Assist in ECG, ABP, stress tests, and other diagnostics procedures
• Coordinate with doctors and endorse to care teams
• Educate patients on treatment and medication
• Manage patient records, reports, and daily census
• Support vaccination and clinic inventory tasks
• Provide excellent, empathetic service at every step

Qualifications

Education:

• BS Nursing graduate with valid license

Experience/Knowledge:

• Familiar with clinic operations and health systems
• Excellent communication and customer service skills
• IV insertion and phlebotomy training preferred
• Computer-proficient; able to multitask in fast-paced settings
• Flexible, detail-oriented, and a positive team player
• Compassionate and dependable
• Amenable to rotational shifts (5-day work week, varying rest days)

What We Offer

We offer competitive and meaningful benefits because we value our team:

• Guaranteed up to 15th Month Pay
• Quarterly Rice Subsidy
• HMO Coverage
• Life Insurance
• Convertible Leave Credits
• Health insurance
• Life insurance

Note: This advertiser has chosen not to accept applicants from your region.

Virtual/PH Registered Nurse (Utilization Review)

Pasay, Camarines Sur ₱ - ₱ Y Access Healthcare

Posted 1 day ago

Job Description:

We are seeking a detail oriented and experienced Registered Nurse (RN) to join our PIONEER TEAM as a Virtual Utilization Review Nurse. You'll be responsible for reviewing medical records and clinical documentation to determine the medical necessity, appropriateness, and efficiency of healthcare services provided. You'll work closely with physicians, case managers, and insurance providers to ensure optimal patient care while supporting cost containment efforts.

Qualifications:

• Active PRC License
• At least 1 year experience in acute hospital settings
• At least 1 year of experience in utilization review, case management, or medical management in BPO set up
• Strong knowledge of medical terminology and utilization management guidelines (InterQual, MCG).
• Strong knowledgeable in EPIC/CERNER
• Excellent communication and documentation skills.
• Proficient in electronic medical records (EMR) and UR platforms.

Key Responsibilities:

• Conduct utilization reviews using evidence-based clinical criteria (e.g., MCG, InterQual).
• Evaluate the appropriateness of healthcare services and ensure alignment with payer policies and regulatory guidelines.
• Collaborate with healthcare providers and internal teams to gather clinical information.
• Prepare and document review findings, including approvals, denials, and referrals for peer review or further evaluation.
• Maintain up-to-date knowledge of industry guidelines, insurance regulations, and healthcare standards.
• Meet established productivity, quality, and turnaround time benchmarks.
• Support appeals processes as needed with clinical justifications.

Job Type: Full-time

• Additional leave
• Health insurance
• Life insurance
• Opportunities for promotion
• Paid training
• Promotion to permanent employee

Note: This advertiser has chosen not to accept applicants from your region.

PH Registered Nurse – Quality Analyst

Pasay, Camarines Sur ₱ - ₱ Y access healthcare

Posted 1 day ago

Job Description:

We are currently looking for Registered Nurse Quality Analyst to be part of our Clinical team. The Quality Analyst will be responsible for monitoring and evaluating the quality of customer service interactions, identifying areas for improvement, and ensuring compliance with policies and procedures. The successful candidate must be a Registered Nurse with experience in BPO operations and quality assurance.

Key Responsibilities:

• Monitor and evaluate customer service interactions to ensure compliance with policies and procedures.
• Provide regular feedback to agents to improve performance and ensure high-quality service.
• Conduct root cause analysis to identify areas for improvement and develop action plans.
• Analyze data to identify trends and provide insights for process improvements.
• Collaborate with the training team to design and deliver training programs.
• Participate in calibration sessions to ensure consistency of evaluations.
• Develop and maintain quality scorecards to track metrics.
• Ensure compliance with all relevant laws and regulations.

Qualifications:

• At least 1 year of clinical experience in hospital or acute care setting
• At least 1 year in UMR, Clinical Denials or Prior Authorization
• At least 1 year as Quality Analyst in a BPO setup
• Proficient in using EMR and UR platforms
• Strong communication, problem-solving, and decision-making skills
• Willing and able to work night shifts to support U.S. operations

Note: This advertiser has chosen not to accept applicants from your region.

Healthcare BPO – Registered Nurse (General)

Pasay, Camarines Sur ₱40000 - ₱45000 Y Access Healthcare

Posted 1 day ago

Job Description:

Access Healthcare is looking for Registered Nurse to join our growing team. Responsibilities include roll calls, processing concurrent and retro clinical reviews, and work processing surgery authorizations as needed.

Responsibilities :

• Perform advanced level work related to clinical denial and utilization management
• Manage medical denials by conducting a comprehensive review of clinical documentation
• Handle audit/compliance responsibilities and other administrative duties
• Write arguments based on clinical documentation and payer policies, submit appeals timely
• Resolve charge problems to ensure accurate billing and proper practices
• Review and rectify errors in third party payer reimbursement denials
• Manage denial/appeal activity and report trends to Revenue Cycle management

Qualifications :

• Must be Registered Nurse with Active license
• Hospital bedside experience (OR/ER/ICU/etc)
• Experience in BPO healthcare is a plus
• Amenable to work onsite at Double Dragon, Pasay
• Start ASAP

Note: This advertiser has chosen not to accept applicants from your region.

#J-18808-Ljbffr

---