ICU RN Auditor

Job title: ICU RN AuditorWork set-up: Hybrid in TaguigWork shift: Mid-shiftSalary: PHP 70,000 - PHP 80,000Required FTE: 1Job ID: J0225-1307QUALIFICATIONS:BS Nursing GraduateLicenses: PH RN or US RNMinimum 5 years experience in Post Payment Claims Auditing or as an ICU RN Auditor5-10 years experience in ICU/CCU nursingExposed to ICU experience in...

Job OverviewGo-Get Data Consultancy Seeks Experienced ICU RN AuditorWe are seeking a detail-oriented and experienced ICU RN Auditor to review and assess medical records, coding accuracy, and documentation compliance in intensive care unit (ICU) settings. The ideal candidate will have a strong background in critical care nursing, medical auditing, and...

Job DescriptionGo-Get Data Consultancy Seeking ICU RN AuditorWe are seeking a highly skilled and experienced ICU RN Auditor to join our team. As an ICU RN Auditor, you will be responsible for reviewing and assessing medical records, coding accuracy, and documentation compliance in intensive care units.This role requires a strong background in critical care...

Job SummaryGo-Get Data Consultancy seeks an ICU RN AuditorWe require a skilled and detail-oriented ICU RN Auditor to review and assess medical records, coding accuracy, and documentation compliance in intensive care units. A background in critical care nursing, medical auditing, and regulatory compliance is essential for this role.Audit ICU patient records...

About the RoleICU RN Auditor WantedGo-Get Data Consultancy is seeking an experienced ICU RN Auditor to join our team. As an ICU RN Auditor, you will be responsible for reviewing and assessing medical records, coding accuracy, and documentation compliance in intensive care units.This role requires a strong background in critical care nursing, medical...

Required Qualifications:• Bachelor's degree in nursing (BSN)• Active unrestricted RN license that can be validated thru PRC website• 1-2 years of relevant Clinical experience in any medical/surgical department, Orthopedic, Medical/Surgical ICU, Coronary Care Unit (CCU), Rehabilitation, Emergency department• Written and verbal fluency in English•...

Job Overview:Gratitude Philippines is seeking a Nursing Practitioner - Clinical Operations to join our team. As a key member of our organization, you will be responsible for overseeing the clinical operations of our facility.Responsibilities:Oversee the day-to-day clinical operations of the facilityDevelop and implement policies and procedures to ensure...

Job Title: Clinical Experience SpecialistAt Gratitude Philippines, we are seeking a highly skilled Clinical Experience Specialist to join our team. As a key member of our organization, you will be responsible for reviewing patient care and developing strategies to improve the quality of care provided.Responsibilities:Conduct thorough reviews of patient care...

Job Overview:Gratitude Philippines is seeking a highly skilled Clinical Case Manager to join our team. As a Utilization Reviewer, you will play a critical role in ensuring that patients receive necessary care while minimizing unnecessary costs. In this position, you will work closely with healthcare providers, claims adjusters, and other stakeholders to...

About the JobAs a Clinical Case Manager at Gratitude Philippines, you will have the opportunity to utilize your clinical expertise to help injured employees recover and return to work. Our team is dedicated to delivering high-quality care and support to those who need it most.Main Responsibilities:Clinical Assessment:Conduct thorough clinical assessments of...

Work with Gratitude Philippines:We are a leading provider of innovative healthcare solutions, dedicated to improving patient outcomes and reducing healthcare costs. As a Utilization Reviewer, you will join a talented team of professionals who share a common goal: delivering exceptional care while promoting fiscal responsibility.Your Key Responsibilities:•...

About the RoleWe are seeking a skilled Clinical Case Manager to join our team at Gratitude Philippines. As a key member of our team, you will play a critical role in managing medical cases and ensuring that injured employees receive the necessary care and support to return to work.Main Responsibilities:Review workers' compensation claims with serious...

Job Description:We are seeking a Utilization Review and Case Management Professional to join our team at Gratitude Philippines. This role is ideal for a motivated and detail-oriented individual who is passionate about improving patient outcomes.Duties and Responsibilities:Conduct utilization review to ensure that patients receive necessary care and...

About the RoleGratitude Philippines is looking for an experienced Nurse Advisor to join our injury management team. This is an exciting opportunity to make a real difference in the lives of injured employees by providing expert medical guidance and support.Main Responsibilities:Triage and Case Management:Review workers' compensation claims with serious...

Job Description:In this pivotal role, you will serve as a liaison between healthcare providers and insurance companies, ensuring that patients receive medically necessary care while adhering to cost-effective standards. As a Utilization Reviewer, you will utilize your exceptional clinical skills to evaluate treatment plans, make informed decisions about...

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 Nurses to review treatment authorization request based on state guidelines and medical necessity and take decision to approve/deny. In case of denial send this to independent panel review to support the decision. Nurses will work with Claims adjuster on denial decision based on risk tolerance to ensure the denial doesn't...

Summary:The Clinical Review Nurse position assesses the medical appropriateness of proposed treatments and medications for our injured employees, and partners with the Client Claims Adjuster team to expedite medically necessary treatment for each claim. Maintains a solid understanding of Client's mission, vision, and values. Upholds the standards of the...