Nurse (Land-Based | Clinical Case Management)

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...

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...

Nezda Technologies Inc. is currently hiring for Clinical Nurse Case Manager - USRN.Salary: P 50,000 - P 68,000 (with Perks and benefits).Work Set up: Work From HomeQualifications:Active and Non-Active USRN License.With at least 1 Year Clinical or Hospital Experience.USRN with RN License.Job Description:We are in partnership with multiple companies for this...

About the Role:We are seeking a skilled Nurse Case Manager - Medical Necessity to join our team at Omega Healthcare Management Services Inc. The successful candidate will have experience in reviewing denied claims and determining the validity of denials.The ideal candidate will have a strong understanding of medical necessity and billing procedures, as well...

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...

As a Clinical Coordinator, you will play a vital role in ensuring that patients receive top-notch care and support every step of the way. You will work closely with our US-based healthcare client to provide comprehensive case management services.The Key Requirements:A valid USRN - NY nursing licenseA graduate degree in BS Nursing or similar fieldMinimum 2...

Beneath the umbrella of Allianz PNB Life Insurance, Inc. (formerly PNB Life Insurance Inc.), we are seeking a skilled Pre-Authorization Nurse to join our team.Key Responsibilities:We require a highly skilled nurse who will be responsible for the pre-authorization of in-patient treatments and ensuring cost containment through efficient adjudication and...

Job Summary:At Omega Healthcare Management Services Inc., we are seeking a highly skilled Clinical Appeals Specialist to join our team. As a key member of our appeals team, you will be responsible for reviewing denied insurance claims and determining the validity of denials.The successful candidate will have experience in clinical nursing or case management,...

At Limitlessli we specialize in recruiting, hiring, and managing high-caliber remote staff for dynamic and growing healthcare facilities. Leveraging our extensive global network, we connect clients with highly qualified professionals, offering tailored services to meet our clients' unique business needs.The Opportunity:Are you a healthcare professional with...

About the Role:This is an exciting opportunity for a Registered Nurse to join our team at Access Healthcare Services and contribute to the efficient management of patient care.The successful candidate will be responsible for performing advanced level work related to clinical denial and utilization management, including managing medical denials, handling...

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...

Access Healthcare is looking for REGISTERED NURSE to join our growing team.You'll be ensuring the completion of assigned patient cases by doing roll calls, processing concurrent and retro clinical reviews, work processing surgery authorizations, as needed.Responsibilities:Perform advanced level work related to clinical denial and utilization...

Access Healthcare is looking for a Utilization and Clinical Denials Nurse to join our growing clinical account. The ideal candidate is a Licensed Philippines Nurse with at least one (1) year of hospital bedside experience and a strong understanding of utilization review, clinical documentation, and denial management in a BPO set-up. This role involves...

We are looking for a dedicated Clinical Quality Improvement Nurse to join our team at the Dr. Jesus C. Delgado Memorial Hospital. As a Clinical Quality Improvement Nurse, you will play a critical role in improving the quality of care provided to patients.Responsibilities:Quality Improvement: Assist in identifying areas of improvement to reduce infection...

Please apply through this link: https://bit.ly/3o3pxtuJOB RESPONSIBILITIES:Provide on-site expertise on direct care for both occupational and non-occupational cases.Provide guidance on health screening results and recommend appropriate intervention.Assist Company Doctor during check-ups and consultation.Maintain an effective and accurate medical record...

Cathay Land, Inc. Job DescriptionJob Title: Cathay Land SpecialistReports to: Department HeadJob Type: Full-timeLocation: Cathay Land, Inc.About the Role:The Cathay Land Specialist will be responsible for managing the sales payroll and benefits function, ensuring timely preparation of payroll and crediting with the bank. The successful candidate will also...

Clinical Appeals Specialist (Registered Nurse)Our partner in the BPO industry is looking for Clinical Appeals Writers to help navigate the complexities of medical claim denials and ensure fair resolutions for patients and providers.100% Remote – Work from anywhereDay Shift Hours – Enjoy a consistent scheduleWhat You'll Do:Prepare and Submit Clinical...

A Corporate/Clinic Nurse provides optimum healthcare services to employees in accordance with the company's policy.ResponsibilitiesProvides first-aid, checking of vital signs, health interview, dispensing of medicines.Assess and determine the health status of the employee; issuance of nursing recommendations like fit to work, etc.Conduct periodic workplace...

Overview:Omega Healthcare Management Services Inc. is seeking a highly skilled Appeals Nurse Specialist - Interqual Expert to join our team. The successful candidate will have experience in reviewing denied claims and determining the validity of denials.The ideal candidate will have a strong understanding of medical necessity and billing procedures, as well...

Job Title: Nurse (Reliever)Company: Next Health DiagnosticsLocation: BGC, Taguig City (Ground Floor, The Spa, B8, 9th Ave, Taguig, Metro Manila)About Us:At Next Health Diagnostics, we believe in the power of proactive healthcare – a paradigm shift from reactive medicine to a future where individuals are empowered with knowledge and tools to take charge of...