Clinical Nurse Consultant

Job Title: Clinical Denials and Appeals Nurse Location: McKinley, Taguig Shift: Night Shift (M-F) Work Set-up: Onsite Core Competencies: Strong interpersonal and communication skills. Ability to clearly articulate requests verbally and in writing. Professional, concise, and detail-oriented communication. Ability to work independently and meet...

ClearSource in the Philippines is seeking a Nurse Coordinator to support clinical research patient participation. You will handle calls with patients and caregivers, document information across systems, and ensure compliance with study protocols in a remote-friendly environment. Ideal candidates have 3–5 years of nursing experience, hold an LPN...

Private Advertiser is seeking a qualified BSN‑level nurse for a clinical data integrity role in Cebu City. You will contact physicians to resolve missing or unclear information and perform concurrent and retrospective chart reviews to identify documentation gaps.You will collaborate with coders, auditors, and quality teams to resolve discrepancies and...

Sutherland is seeking a licensed US Registered Nurse to serve as the clinical and operational SME for the Clinical Claims Program. This dual-role emphasizes managing a personal clinical claims workload while coaching the team, handling floor support, training, and process improvements.The ideal candidate will collaborate with operations, quality, training,...

Sagility is seeking a PHRN Team Lead to oversee internal customer relations, process improvement, staff development and performance management within our Philippines delivery center. You will coordinate with Shift Manager and Workforce, coach CSRs, monitor KPIs, and ensure quality and security compliance while supporting Work At Home operations. The role...

A leading manpower agency in Metro Manila seeks a clinical operations manager to lead patient care initiatives and develop operational policies. The ideal candidate should have a Bachelor’s degree in nursing, with 2–5 years of clinical experience and strong communication skills. You will manage training and coordinate with medical professionals to ensure...

Accenture in Taguig seeks an experienced USRN Utilization Management Nurse to review medical records and support timely, evidence-based decisions. This non-bedside role focuses on medical-necessity review, clinical documentation, and healthcare operations, with a signing bonus for eligible hires. Applicants must have a nursing degree and a valid US RN...

A healthcare consulting firm in Taguig is looking for a PHRN – Clinical Authorization specialist. This role involves verifying insurance eligibility, managing authorizations for medical services, and documentation of medical necessity. Candidates should have a BS Nursing degree and at least 6 months of relevant experience. This opportunity is onsite with a...

Private Advertiser is seeking a detail-oriented healthcare professional to support medical coding, claims review, and payment integrity activities. The role involves reviewing medical claims and clinical documentation to ensure coding accuracy, compliance with industry standards, and alignment with reimbursement guidelines.The ideal candidate will have PHP...