USRN Care Coordinator

Responsibilities Perform screening/identification and assessment of patients in need of case management services. Expected to integrate key elements and development and coordinate a successful transition to care plan Provide the following services: education, care coordination, compliance, transition management, utilization management.Qualifications...

Nezda is currently looking for Utilization Review Nurse (USRN) - WFH candidates.Qualifications: Active USRN and PHRN License With at least 1 Year Clinical or Hospital ExperienceJob Description: Reviews service requests to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits and contracts. Responsible for conducting...

Let your Passion Lead You at the Home of Clinicians with over 4000+ employees who have trusted us with their careers!Our Clinicians and Associate advocates for better patient care while enjoying these benefits:HMO on Day 1 with 2 dependents upon regularizationGroup Life InsuranceHighly Competitive SalaryComplexity AllowanceOnsite AllowanceAnnual Salary...

Job Purpose:      The Cleft Program Coordinator will be a one stop source of data, information and support for all programs of all major NCFPI partners.   Main/Overall Function:1.      Provide patient care support, administrative, database and general assistance to NCFPI staff and volunteers.2.      Provides support to volunteers in...

Skillset RequiredAudit/Quality AnalystLicense/Certification RequirementUSRNShift ScheduleAMWork ArrangementTemp WFH, hybrid or onsiteExperience Clinical Appeals QA: 1 year (Required) Knowledgeable in medical terminology, anatomy, and physiology With experience in reviewing pre/post service denials, medical necessity review, and completing appeals and/or...

About This PositionWe want to build a core team that will drive key transformation in US Healthcare management services.For this position, we are looking for an experienced Nurse or a Certified Case Manager with at least 5 years of clinical experience with direct patient care. An active License is NOT required. The RPM/ CCM Care Program – Rev+ at Neolytix-...

Duties And ResponsibilitiesResponsible in gathering volume sales from Plants and Sales Centers and prepares summary for main office reporting, as well as monitoring list and purchases of dealers and outlets. Gathers daily volume sales data, collections and inventories from sales centers/ plants and prepares summaries for main office reporting. Act as...

Job DescriptionFluor Gliwice is part of the Fluor Corporation based in the USA, a provider of professional and technical solutions in the field of technical consulting, design and investment project management.Fluor in Gliwice operates under the Urban Solutions and Energy Solutions business lines. We have extensive experience, in particular in the...

Job DescriptionPrepares the weekly/daily itineraries and work plans with defined commitments following the TPTP Sawmill and Plantation Head's monthly/weekly planEnsures alignment of all work output specifications with requested work instructions/ordersEnsures alignment of quality standards for all material deliveriesAligns with logistics for scheduling for...

The Document Coordinator I, Document Services will handle job requests such as intermediate to complex word processing, voice file transcription, and other requests. They may also be assigned to special/strategic projects, including pilot programs for new services.Regularly, the role holder is expected to uphold the department's quality and efficiency...

Job DescriptionOur clientpartner is Genie Solutions. A company that has been providing practicemanagement solutions to the Australian medical industry for over 20 years. Theydevelop software to help medical professionals run their practices.TheImplementation Coordinator - Data Specialist is responsible for performing datamigrations for customers migrating...

The Patient Care Specialist primarily attends to patients and customers in the clinic and performs a variety of tasks to ensure that services are provided in an effective and efficient manner.Job Duties And ResponsibilitiesHandling Patient or Customer Inquiries or ConcernsGreet all patients and customers upon entry in the clinic in a friendly, courteous and...

We are seeking a highly skilled and experienced Data Protection Officer (DPO) to join our team. As the DPO, you will be responsible for overseeing and ensuring compliance with data protection regulations and policies within our organization. This role requires a deep understanding of data privacy laws and best practices, as well as the ability to effectively...

We are seeking a highly skilled and experienced Data Protection Officer (DPO) to join our team. As the DPO, you will be responsible for overseeing and ensuring compliance with data protection regulations and policies within our organization. This role requires a deep understanding of data privacy laws and best practices, as well as the ability to effectively...

The HR Operations Manager is responsible for leading Human Resources processes and programs such as performance management, compensation, recruitment, workforce planning, and employee development. Assists managers in planning, implementing, and evaluating Human Resources initiatives.TasksManage the tactical execution of short and long-term objectives through...

The Tax and Regulatory Officer is in charge of ensuring correct and prompt compliance with tax regulations. Establishing and maintaining contact with outside parties to ensure proper and timely settlements of tax concerns.He/She will be identifying and assessing various aspects of the company's activity and applicable tax criteria. advises on the operations,...

Description: Responsible for collaborating with healthcare providers and members to promote quality member outcomes, to optimize member benefits, and to promote effective use of resources. Ensures medically appropriate, high quality, cost effective care through assessing the medical necessity of inpatient admissions, outpatient services, focused surgical and...

LOCATION: ORTIGAS, PASIG CITYJob Summary:Preparing the necessary inputs in bill generationHandling the generation and validation of MPower and Vantage Energy Electric billsProviding analysis and resolution to any problems encountered during the whole process of bill generationCoordinating with Power Billing Head and system developer for issues in bill...

Maintain positive relationships with customers by being responsive, timely, and communicativeStore visitIdentify and resolve account issuesStay informed about new products and offeringsAcknowledging and resolving customer complaints.Communicating and coordinating with colleagues as necessaryAbility to stay calm when customers are stressed or upset.Manage...

???????? Hi! We're Hive HealthAbout UsAbout the RoleAs a Partnerships & Operations Associate, you will be part of an innovative cross-functional team working to transform the delivery of patient care services in a fast-paced, entrepreneurial environment. This is a dynamic role involving both direct provider interactions as well as driving operational...