Clinical Care Professional

14 hours ago

Cebu City, Central Visayas, Philippines beBeeClinicalCare Full time $60,000 - $95,000

Clinical Case Management Nurse Position

This role is designed to support healthcare clients by providing expert clinical guidance and facilitating effective case management.

The successful candidate will play a crucial part in optimizing revenue cycle processes, ensuring the most cost-effective and clinically appropriate care is provided.

Key Responsibilities:

  • Clinical Assessment: Conduct thorough clinical assessments to determine the patient’s medical condition and healthcare needs.
  • Patient Advocacy: Serve as an advocate for patients by ensuring they receive appropriate care and coordinating with healthcare providers.
  • Care Coordination: Collaborate with interdisciplinary healthcare teams to coordinate patient care and treatment plans.
  • Revenue Cycle Management: Utilize clinical expertise to support revenue cycle processes, including accurate coding and documentation improvement.
  • Utilization Review: Evaluate the necessity and appropriateness of healthcare services and assist in managing length of stay.
  • Documentation Improvement: Identify opportunities for improving clinical documentation to support accurate coding and billing processes.
  • Patient Education: Educate patients and their families about healthcare options, treatment plans, and financial responsibilities.
  • Quality Assurance: Ensure the quality of care provided meets or exceeds established standards.
  • Data Analysis: Analyze clinical and financial data to identify trends and opportunities for improvement.
  • Compliance: Stay up-to-date with healthcare regulations, guidelines, and policies to ensure compliance.

Requirements:

  • Registered Nurse (RN) licensure in the state of practice.
  • Bachelor of Science in Nursing (BSN) preferred.
  • Case Management Certification (e.g., CCM) is beneficial.
  • Minimum of 2 years of clinical nursing experience, preferably in a hospital or acute care setting.
  • Strong understanding of revenue cycle management and healthcare reimbursement.
  • Proficiency in medical coding and clinical documentation improvement.
  • Excellent communication, interpersonal, and teamwork skills.
  • Ability to work independently and make sound clinical and financial decisions.
  • Strong analytical and problem-solving skills.
  • Proficient in using healthcare information systems and technology.
  • Commitment to maintaining patient confidentiality and ethical standards.

Benefits:

  • Competitive salary
  • Comprehensive healthcare benefits
  • Professional development and training opportunities
  • Collaborative and supportive work environment
  • Opportunities for advancement within the organization
  • Work-life balance programs

This position requires a skilled Clinical Case Management Nurse who is passionate about enhancing patient care and optimizing revenue cycle processes. If you share our commitment to excellence and innovation in healthcare, we encourage you to apply.

],

  • Clinic Manager

    5 days ago

    Cebu City, Central Visayas, Philippines Niu Professional Inc. Full time $40,000 - $80,000 per year

    Oversee daily clinic operations to ensure smooth and efficient workflow.Manage, supervise, and support clinic staff, including receptionists, nurses, and other healthcare professionals.Ensure compliance with healthcare regulations, safety standards, and clinic policies.Coordinate patient scheduling, billing, and record-keeping processes.Monitor and improve...

  • Clinical Care Liaison

    10 hours ago

    Cebu City, Central Visayas, Philippines beBeeProblemSolving Full time ₱150,000 - ₱300,000

    Job Title:Clinical Care LiaisonAbout the Role:This position plays a pivotal role in delivering exceptional patient care. The successful candidate will be responsible for coordinating referrals, verifying paperwork and insurance details to ensure seamless operations.Main Responsibilities:Collaborate with imaging specialists and technicians to communicate any...

  • Healthcare Professional

    6 days ago

    Cebu City, Central Visayas, Philippines beBeeCareCoordinator Full time ₱2,716,598 - ₱4,369,567

    Medical Allied Non-Clinical RoleWe are seeking a highly skilled and compassionate professional to join our medical allied non-clinical team. In this role, you will have the opportunity to make a meaningful impact on the lives of our members by providing exceptional customer service and support.Responsibilities:Manage member intake and admission/discharge...

  • clinic manager

    5 days ago

    Bacolod City, Western Visayas, Philippines Borough Medical Care Institute Inc. Full time $60,000 - $80,000 per year

    About the roleThe Clinic Manager is a key role within the Borough Medical Care Institute Inc.', overseeing the day-to-day operations of our healthcare facility in Bacolod City Negros Occidental. In this full-time position, you will be responsible for ensuring the smooth and efficient running of the clinic, while also contributing to the strategic direction...

  • Clinic Manager

    5 days ago

    Cebu City, Central Visayas, Philippines International HR Institute Full time $60,000 - $80,000 per year

    Our Client:One of the country's most trusted multi-specialty clinics delivering modern, accessible healthcare.We are looking for an experienced Clinic Manager to oversee the daily operations of our Clinical/Ambulatory Surgical Clinic. This role ensures smooth workflow, excellent patient care, compliance with healthcare standards, and effective management of...

  • Clinic Manager

    3 days ago

    Cebu City, Central Visayas, Philippines MediLink Network Inc. Full time $70,000 - $120,000 per year

    Overview:We are seeking an organized and proactive Clinic Manager to oversee daily operations, ensure excellent patient care, and lead our clinical team. The ideal candidate will have strong leadership skills, experience in healthcare management, and a passion for improving patient experiences.Key Responsibilities:Manage daily clinic operations, including...

  • Clinic Operations Lead

    5 days ago

    Cebu City, Central Visayas, Philippines Maxicare Health Care Full time ₱900,000 - ₱1,200,000 per year

    Are you a high-performing operations leader who thrives on driving efficiency, managing teams, and  getting things done? We're looking for a Clinic Operations Lead who's not just strategic on paper — but  relentlessly hands-on in execution.At the helm of our clinic, you'll be the engine that powers daily operations, ensuring our frontline  healthcare...

  • Clinical Data Strategist

    1 week ago

    Cebu City, Central Visayas, Philippines beBeeClinicalAnalytics Full time ₱800,000 - ₱1,200,000

    Clinical Analytics LeaderLead the development and implementation of data-driven strategies to enhance clinical program value.About the RoleThis is a key leadership position that requires a strong blend of clinical, analytical, and technical expertise. The successful candidate will be responsible for developing predictive models and analytics to measure and...

  • Clinical Documentation Specialist

    5 days ago

    Cebu City, Central Visayas, Philippines beBeeCompliance Full time ₱800,000 - ₱1,200,000

    Clinical Compliance Associate Job DescriptionThe Clinical Compliance Associate plays a vital role in ensuring that clinical files remain compliant with state guidelines. This position works closely with the Director of Compliance to maintain accurate documentation and support compliance workflows.Key Responsibilities:Verify completion of service tasks in...

  • Clinical Care Navigator

    2 weeks ago

    Bacolod City, Western Visayas, Philippines beBeeCare Full time

    Care Coordinator Nurse PositionVisaya KPO is looking for a skilled Clinical Care Navigator to join our healthcare team. If you have a passion for patient care and experience in hospital or case management, we want you on board.We are seeking a highly motivated individual with strong clinical background to manage and coordinate chronic care plans, monitor and...