Clinical Utilization Specialist

Job DescriptionWe are seeking a skilled Utilization Management/Review Nurse to join our team.This role is essential in ensuring patients receive appropriate, timely, and cost-effective care by reviewing medical records, treatment plans, and healthcare resource utilization.The selected candidate will be responsible for conducting concurrent and retrospective...

Job Title:Medical Documentation SpecialistA Medical Documentation Specialist works closely with healthcare providers to document clinical interactions in real-time, ensuring accurate and detailed patient records. This role allows medical professionals to focus more on patient care by handling the documentation side of the encounter.Key...

About Visaya KPO:Visaya Knowledge Process Outsourcing Corporation is a proudly Filipino organization recognized globally for service excellence, innovation, and a culture ofmalasakit. We are committed to building long-term partnerships through quality, reliability, and a people-first approach.Role Overview:We are seeking a skilled Utilization...

Job Description:\We are seeking a skilled professional to fill the position of Clinical Support Specialist. This role is responsible for handling phone inquiries related to workers' compensation claims from multi-state medical providers. The successful candidate will require an understanding of computer systems, including StrataWare and CompIQ.\Main...

The Clinic Cluster Lead will handle clinic management in terms of daily clinic operations, engagement with staff, guidance in reports, audit compliance, etc. A coordinator and first line to engage with clinic site personnel to address day-to-day concerns. Duties and Responsibilities:Monitors compliance of staff with standards defined by ActiveOne...

SY MEDICAL IS LOOKING FOR APPLICATION SPECIALISTKey Responsibilities:Product Demonstration and PresentationConducting in-depth product demonstrations for potential customers (hospitals, clinics, doctors, etc.) to highlight the features, benefits, and technical capabilities of medical devices or software.Tailoring demonstrations to meet the specific needs and...

Be a part of our fast-growing team and unchain all the possibilitiesWhat is your mission?We are looking for a Clinical Research Specialist to join our research team and support the collection, validation, and management of clinical data for research studies and registries. The ideal candidate will have a strong understanding of data integrity processes,...

The Clinic Cluster Lead will handle clinic management in terms of daily clinic operations, engagement with staff, guidance in reports, audit compliance, etc. A coordinator and first line to engage with clinic site personnel to address day-to-day concerns. Duties and Responsibilities: Monitors compliance of staff with standards defined by ActiveOne...

Medical Coding SpecialistWe are seeking a highly skilled Medical Coding Specialist to join our team.The successful candidate will be responsible for conducting research and identifying medical coding and billing documents to improve claims editing solutions.Key responsibilities include:Conducting thorough research on Medicare, Medicaid, and other medical...

Medical Coding Specialist - Primary Care ClinicWe are seeking an experienced and detail-oriented medical coding specialist to join our team. The ideal candidate will have extensive experience in coding for primary care services and a thorough understanding of medical coding guidelines and regulations.This role is pivotal in ensuring accurate and compliant...