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...

- 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,...

Job DescriptionKey Responsibilities:Manage workers' compensation cases, ensuring timely care and resolution.Monitor recovery progress and compliance with treatment plans.Serve as the main contact for injured employees, addressing concerns and providing guidance.Communicate with insurance adjusters, healthcare providers, employers, and other...

- 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...

Job OverviewWe are seeking a skilled Clinical Case Manager to join our team at Gratitude Philippines. As a key member of our healthcare team, you will play a critical role in ensuring the optimal care and recovery of injured employees.About the RoleConduct thorough assessments of clients' medical situations to identify areas for improvement.Develop and...

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...

Job DescriptionThis position plays a critical role in ensuring the medical necessity and appropriateness of healthcare services provided to patients. As a Clinical Case Manager Lead, you will be responsible for conducting thorough reviews of inpatient, outpatient, and ambulatory services to identify areas for improvement and optimize care delivery.Key...

Job SummaryWe are seeking a Healthcare Utilization Analyst to join our team at Gratitude Philippines. In this role, you will analyze data to identify trends and opportunities for process improvement, and develop strategies to optimize healthcare utilization.About the RoleData Analysis: Analyze data to identify trends and opportunities for process...

Job Summary:The Medical Care Specialist will provide high-quality medical care and support to employees, ensuring a safe and healthy work environment. This role involves assessing and treating workplace injuries, managing health records, and promoting health and wellness initiatives.Main Responsibilities:Medical Emergency Response: Provide immediate 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...

RCX Philippines is seeking a Senior ITIL Case Manager to join our team. As a key member of our IT department, you will be responsible for resolving technical and non-technical issues related to services.Key Responsibilities:Liaise with customers and local providers to resolve issuesIdentify and establish new processes to optimize existing onesWork together...

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...