Case Manager

At BrightCare Assist Philippines Inc, we are seeking a highly skilled Clinical Case Manager to join our team. As a key member of our healthcare coordination unit, you will be responsible for managing patient cases and ensuring smooth claims processing.What You Will Do:Coordinate with healthcare providers and insurance companies to facilitate patient care and...

Key ResponsibilitiesThe Clinical Case Manager will be responsible for:Performing initial and concurrent review of inpatient cases applying MCG criteria or InterQual Criteria for approval and sending to Medical Directors if review is necessary for determining an adverse determination.Discussing cases with facility healthcare professionals to obtain...

Assistant Case Manager for U.S. Law Firm (Remote from the Philippines)Setup: Fully Remote (Candidates must be based in the Philippines)Work Hours: Full-Time, Tuesday to Saturday, 12:00 AM to 9:00 AM (Philippine Time)Candidates must have prior legal experience working with U.S. law firms and/or within domestic legal settings.About CoreBridge...

The client for this role is a law firm based out of Sydney seeking an experienced paralegal or solicitor, with Australian migration law experience to grow their team.They are a young, but established business with big goals, and are looking for the right person to help get them there.You will be ambitious, have ideas, and not just want to do the minimum....

Discover your 100% YOU with MicroSourcingPosition: Nurse Case ManagerLocation: Cyberscape Beta, OrtigasWork setup & shift: Hybrid | Night shiftWhy join MicroSourcing?Competitive Rewards: Enjoy above-market compensation, healthcare coverage on day one, plus one or more dependents, paid time-off with cash conversion, group life insurance, and performance...

Job Overview: The Investigations Case Manager will be responsible for conducting thorough investigations into allegations of fraud, violations of distributor contracts, Market Conduct Guidelines, and company policies. This role requires strong analytical skills, attention to detail, and excellent communication skills.Responsibilities:Conduct thorough...

Coordinate with healthcare providers and insurance companies.Manage patient cases and ensure smooth claims processing.Act as a liaison between members and healthcare facilities through calls and emails.Enhance your skills and experience in case handling and patient care coordination.What We're Looking For: Bachelor's Degree in Nursing (BSN) or other...

The Case Manager Nurse will regularly liaise with multiple clinical specialties and doctors. This role also involves consistent interactions with insurance providers, patients and their families, legal delegates, and representatives from other medical care institutions. Additionally, they will often communicate with nursing staff, billing teams, medical...

Key Responsibilities:Manage client files efficientlyControl cases with administrative supportBe the primary point of contact for clientsInterpret and understand Australian migration lawUse software experience (desired) to manage migration cases effectivelyFamiliarity with LEGENDcom system

For over 30 years, APRIL International Care has been specializing in international health insurance solutions. We design, distribute, and manage insurance plans and assistance services for individuals and businesses. With teams across Asia, Europe, and the Americas, we look after our members wherever they are to ensure they have access to the best care.We...

About the RoleWe are seeking a highly organized and detail-oriented individual to fill the position of Assistant Case Manager. As a key member of our operations team, you will be responsible for managing complex legal cases and ensuring seamless communication with clients and internal stakeholders. Key responsibilities include:Managing legal documents and...

JOB PURPOSE:Play a crucial role in ensuring confidence in EWB and KOMO digital services by handling within defined SLA reported fraud and unauthorized transaction complaints against EWB and EWRB accounts to EWB Enterprise Fraud.Conducts surveillance monitoring on social media and other online channels for suspicious posts involving illegal, unlawful or...

Are you passionate about delivering exceptional patient care? Do you have excellent communication and problem-solving skills? If so, we invite you to apply for the Healthcare Case Manager Assistant position at BrightCare Assist Philippines Inc.As a key member of our team, you will be responsible for coordinating with healthcare providers and insurance...

Work Schedule: 40 hours per weekWork Setup: Onboarding onsite, with a transition to work-from-home after the onboarding process.Position Overview:We are seeking a resourceful and empathetic Eviction Advisor to join our team. The ideal candidate will possess exceptional communication, problem-solving, and critical-thinking skills, along with the ability to...

ResponsibilitiesSupervise and maintain quality of work and promote efficiency within the team.Conduct recruitment processes, evaluate new hire's skills development, and monitor team member's progress.Provide regular feedback, identify opportunities for team members' growth, and facilitate process documentation and updating.Conduct process review, capacity...

Key Responsibilities:As a Medical Case Manager, you will be responsible for conducting thorough reviews of Pre-Employment Medical Examinations (PEME) to ensure compliance with company standards.You will identify areas where information is lacking or incongruent with company guidance and escalate where necessary.Respond to MSC approved medical examiners,...

About the RoleWe are seeking a highly skilled Disability Case Specialist to join our team at Sun Life Global Solutions – Philippines.The ideal candidate will have experience in disability case management, with a strong understanding of contractual, medical, functional and occupational information.This role involves adjudicating disability claims,...

Join our partner company's mission to connect businesses with independent talent from around the world.Job ResponsibilitiesThe queue manager will be responsible for managing the M365 technical case queue, ensuring all cases are responded to within agreed-upon timelines.Key tasks include supporting team leads, identifying suitable cases for ambassadors, and...

Job DescriptionThe Medical Oncology Case Manager position at Vee Technologies Philippines requires a skilled professional to coordinate patient care and manage clinical workflows. The successful candidate will liaise with multiple clinical specialties, doctors, insurance providers, patients, families, legal delegates, and representatives from other medical...

Managing Expertise for Legal WinsWork alongsideglobal legal professionals, enhance your administrative prowess, and contribute to cases that matter. This is your chance to gain international exposure, support groundbreaking legal work, and grow your career without leaving home.Job DescriptionAs a Paralegal Case Manager, you will provide administrative...