Medical Case Manager

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...

For over 30 years, APRIL International Care has been specializing in international health insurance solutions. We design, distribute, and manage insurance plans and assistance services for individuals and businesses. With teams across Asia, Europe, and the Americas, we look after our members wherever they are to ensure they have access to the best care.We...

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...

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...

About the RoleWe are seeking a highly skilled Disability Case Specialist to join our team at Sun Life Global Solutions – Philippines.The ideal candidate will have experience in disability case management, with a strong understanding of contractual, medical, functional and occupational information.This role involves adjudicating disability claims,...

Coordinate with healthcare providers and insurance companies.Manage patient cases and ensure smooth claims processing.Act as a liaison between members and healthcare facilities through calls and emails.Enhance your skills and experience in case handling and patient care coordination.What We're Looking For: Bachelor's Degree in Nursing (BSN) or other...

Key ResponsibilitiesPre-Employment Medical Examinations (PEME) Screening:Conduct thorough reviews of Pre-Employment Medical Examinations (PEME) to ensure they comply with company standards.Identify areas where information is lacking or incongruent with company guidance and escalate where necessary.Respond to MSC approved medical examiners, agencies, or...

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...

Are you a highly motivated and organized individual looking for a new challenge? We are seeking a Medical Instrumentation Assistant to join our team at LeFort Medical Trading Corp. This role is responsible for providing technical support to the OR team and assisting surgeons in various surgical cases.The ideal candidate will have a Bachelor's Degree in any...

Are you passionate about delivering exceptional patient care? Do you have excellent communication and problem-solving skills? If so, we invite you to apply for the Healthcare Case Manager Assistant position at BrightCare Assist Philippines Inc.As a key member of our team, you will be responsible for coordinating with healthcare providers and insurance...

Assistant Case Manager for U.S. Law Firm (Remote from the Philippines)Setup: Fully Remote (Candidates must be based in the Philippines)Work Hours: Full-Time, Tuesday to Saturday, 12:00 AM to 9:00 AM (Philippine Time)Candidates must have prior legal experience working with U.S. law firms and/or within domestic legal settings.About CoreBridge...

ResponsibilitiesAdjudicate 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...

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...

Role DescriptionAs a Drug Safety Associate, you will be responsible for ensuring the quality and accuracy of safety data submitted to regulatory authorities. This includes performing duplicate searches of cases booked in initially from the database, performing data analysis on safety reports, coding all medical history, events, drugs/procedures/indications,...

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...

Company Overview:MSC Crewing Services Philippines, Inc. is a leading provider of healthcare services to the maritime industry.We are seeking a highly skilled Healthcare Provider Liaison to join our team.Your primary responsibility will be to update and load documentation related to crew member Seafarer Medical Certificates and return-to-work reviews.Maintain...

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...

Medical Content Specialist - Medical CommunicationsManila, PhilippinesWe are expanding our team of Medical Content Specialists based in the Philippines. Our Philippines team works alongside our global teams in ApotheCom, Nucleus Global and Ashfield MedComms across the US, UK, EU, and South Africa which will give you the opportunity to work on cutting edge...