Medical Case Manager

Roles 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...

Roles 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...

Job OverviewThe Clinical Review Nurse position is a crucial role in assessing the medical appropriateness of proposed treatments and medications for injured employees. As a key partner with the Client Claims Adjuster team, you will expedite medically necessary treatment for each claim while maintaining a solid understanding of the Client's mission, vision,...

Job SummaryWe are seeking a highly skilled Medical Case Manager to join our team at Gratitude Philippines. As a Medical Case Manager, you will play a critical role in ensuring that injured employees receive appropriate medical care and return to work.Key Responsibilities:Collaborate with healthcare providers, employers, and adjusters to develop and implement...

Job Summary:Gratitude Philippines is seeking a skilled Clinical Case Manager to join our team. As a Clinical Case Manager, you will play a crucial role in ensuring that injured employees receive the appropriate level and intensity of care. Your primary responsibility will be to assess client situations, identify barriers to treatment, and develop medical...

- 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,...

- 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,...

- 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,...

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...

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 information o Coordinate appropriate interventions including, but not limited to: Independent Medical Evaluations, Functional Capacity Evaluations, Ergonomic assessments, Medical...

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 information o Coordinate appropriate interventions including, but not limited to: Independent Medical Evaluations, Functional Capacity Evaluations, Ergonomic assessments, Medical...

Responsibilities:Carry out quality assurance oversight activities defined in the Client Managed Care National Best Practices and Quality Assurance StandardsConduct regular and systematic review of Managed Care internal and external claim files with focus towards validation of consistent evaluation of evidence-based medicine, comprehensive assessments,...

Responsibilities:Research, plan, develop, implement and evaluate training strategies, initiatives, and materials including comprehensive education programs to meet orientation and ongoing competency needs and professional development needsAssess data and information related to claim medical outcome and other pertinent situations including identification of...

Responsibilities: Carry out quality assurance oversight activities defined in the Client Managed Care National Best Practices and Quality Assurance Standards Conduct regular and systematic review of Managed Care internal and external claim files with focus towards validation of consistent evaluation of evidence-based medicine, comprehensive assessments,...

Responsibilities: Research, plan, develop, implement and evaluate training strategies, initiatives, and materials including comprehensive education programs to meet orientation and ongoing competency needs and professional development needs Assess data and information related to claim medical outcome and other pertinent situations including identification of...

Responsibilities: Carry out quality assurance oversight activities defined in the Client Managed Care National Best Practices and Quality Assurance Standards Conduct regular and systematic review of Managed Care internal and external claim files with focus towards validation of consistent evaluation of evidence-based medicine, comprehensive assessments,...

Job OverviewAt RecruiterPH, we are seeking a highly skilled Medical Coding Professional to join our team. This is an exceptional opportunity for experienced coders to work from the comfort of their own homes while contributing to the success of our organization.Key ResponsibilitiesThe successful candidate will be responsible for performing medical record...

Responsibilities: Research, plan, develop, implement and evaluate training strategies, initiatives, and materials including comprehensive education programs to meet orientation and ongoing competency needs and professional development needs Assess data and information related to claim medical outcome and other pertinent situations including identification of...

COMPANY PROFILE: This company have been the world leader for nearly 34 years. They specialize in technology software, research and development. This company is part of a global network known for innovation and expertise, delivering services that empower clients to excel as high-performance entities. Position: Medical Consulting Manager Company Industry:...

COMPANY PROFILE: This company have been the world leader for nearly 34 years. They specialize in technology software, research and development. This company is part of a global network known for innovation and expertise, delivering services that empower clients to excel as high-performance entities. Position: Medical Consulting Manager Company Industry:...