Clinical Experience Specialist

Shearwater Health is the home of clinicians, a community that values passion and dedication to patient care.We are seeking a skilled Clinical Training Specialist to join our team. The ideal candidate will have a strong clinical background in orthopedics, emergency room, intensive care, neurology, occupational medicine, or rehabilitation.The responsibilities...

About the Role:The Clinical Trials Specialist is responsible for managing vendor records and ensuring compliance with SOC 1 policies and procedures. This position involves reviewing and validating contract-related documents, opening and monitoring cases, and providing timely resolution of issues.Key Responsibilities:Set-up and manage vendor records to ensure...

Job SummaryAt Gratitude Philippines, we are seeking a highly skilled Clinical Quality Assurance Specialist to join our team. This role is responsible for ensuring the highest quality of care for our clients through effective quality assurance oversight activities.

Job DescriptionThe Telehealth Care Navigator at Gratitude Philippines will be responsible for providing safe and effective telephone assessments, patient care instructions, and directions to the appropriate level of care. This role requires a strong clinical background with emphasis on use of criteria, guidelines, and national standards of practice.Key...

Company OverviewGratitude Philippines is a leading provider of healthcare services, dedicated to making a positive impact on people's lives. We believe in empowering our staff with the skills and knowledge needed to excel in their roles.Job RequirementsThis role requires an individual with extensive experience in utilization management review or clinical...

UnitedHealth Group Clinical Case ManagerWe are seeking a skilled Clinical Case Manager to join our team. As a Clinical Case Manager, you will play a critical role in improving health outcomes by connecting patients with the care and resources they need.This function requires various nurse licensure and certification based on role and grade level. Licensure...

We are seeking an experienced Clinical Consulting Lead to join our team of experts at Manpower Core Group Inc. In this role, you will lead cross-functional teams in delivering digital health solutions to clients worldwide.About Us: With a strong focus on the healthcare industry, we provide innovative staffing and consulting services to empower businesses to...

JOB SUMMARYSupports clinical performance by using specialty registries and databases to abstract data elements from patient records to meet applicable regulatory and safe care practice requirements. The data identified and analyzed by this team member supports ongoing quality initiatives, and is an essential part of providing safe and evidence-based care to...

Job Overview:Gratitude Philippines is seeking a Nursing Practitioner - Clinical Operations to join our team. As a key member of our organization, you will be responsible for overseeing the clinical operations of our facility.Responsibilities:Oversee the day-to-day clinical operations of the facilityDevelop and implement policies and procedures to ensure...

Gratitude Philippines is seeking a dedicated Clinical Education Program Manager to oversee the development and implementation of our clinical education programs. In this role, you will be responsible for managing a team of educators and trainers, and ensuring that our programs meet the highest standards of quality and excellence.To succeed in this position,...

Job Overview:Gratitude Philippines is seeking a highly skilled Clinical Case Manager to join our team. As a Utilization Reviewer, you will play a critical role in ensuring that patients receive necessary care while minimizing unnecessary costs. In this position, you will work closely with healthcare providers, claims adjusters, and other stakeholders to...

We are RecruiterPH, a leading recruitment agency in the Philippines, and we are looking for a Clinical Classification Expert to join our team.About the Role:As a Clinical Classification Expert, you will be responsible for classifying patient data and maintaining accurate medical records using AHIMA or AAPC approved credentials.Responsibilities:Classify...

TASQ Staffing Solutions is looking for a Clinical Quality Assurance Associate to join our team. In this role, you will be responsible for ensuring the quality of our medical coding services. You will monitor, audit, review, analyze, and document work processes to further improve clinical operations standards.Key qualifications for this position include at...

At Gratitude Philippines, we are committed to delivering exceptional patient care and service.We are seeking a skilled Clinical Appeals Coordinator to join our team.**Job Summary:**In this role, you will be responsible for reviewing and resolving denied medical claims, working closely with healthcare providers and insurance companies to ensure timely and...

Healthcare Utilization Specialist RoleWe are seeking a skilled Healthcare Utilization Specialist to join our team. As a Healthcare Utilization Specialist, you will play a critical role in optimizing healthcare resource allocation.This position requires strong analytical skills and the ability to work independently. The ideal candidate will have a Bachelor's...

About the RoleGratitude Philippines is looking for an experienced Nurse Advisor to join our injury management team. This is an exciting opportunity to make a real difference in the lives of injured employees by providing expert medical guidance and support.Main Responsibilities:Triage and Case Management:Review workers' compensation claims with serious...

Job DescriptionGo-Get Data Consultancy Seeking ICU RN AuditorWe are seeking a highly skilled and experienced ICU RN Auditor to join our team. As an ICU RN Auditor, you will be responsible for reviewing and assessing medical records, coding accuracy, and documentation compliance in intensive care units.This role requires a strong background in critical care...

Professional SummaryWe're seeking an experienced RN professional with a proven track record in utilization management review or clinical appeals and denials handling for healthcare insurance/UMR. As a key member of our team, you will utilize your expertise to ensure that patients receive the necessary care while adhering to medical guidelines and...

On-site - Taguig 3-5 Yrs Exp Diploma Full-timeJob DescriptionJob Description:Responsible for serving as the operations point of contact in for day-to-day operations, including but not limited to, facilitating issue resolution, meeting goals and targets. Primary duties may include, but are not limited to:Conducts Performance reviews and participates in...

About Gratitude PhilippinesAt Gratitude Philippines, we strive for excellence in providing quality services to our clients. Our team is dedicated to delivering exceptional results and fostering a culture of continuous improvement.Job SummaryWe are seeking a highly skilled Clinical Operations Director to join our team. As a key member of our operations...