Nurse Case Manager/Healthcare Specialist

1 week ago

Hagonoy, Central Luzon, Philippines beBeeMedicalReviewer Full time ₱1,500,000 - ₱1,800,000
Job Description

The Medical File Reviewer/PHRN will prepare case files and Disability Benefits Questionnaires (DBQs) assigned in the client portal.

They will review and bookmark medical records, creating a synopsis to answer medical opinion questions based on the veteran's medical history.

  • Assist medical providers during scheduled appointments by accessing, navigating, and preparing different apps in the exam room prior to the appointment.
  • Remotely interview veterans via video or telephone conference platform.
  • Transcribe medical history based on the veteran's answers to DBQ questions.
  • Document physical examination findings in the appropriate section of DBQs.
  • Complete all sections of DBQ spreadsheets after each appointment.
  • Meet with medical providers to discuss assigned cases and determine final diagnosis per DBQ.
  • Transfer data from DBQ spreadsheet to client portal.
  • Submit DBQs in the client portal.
  • Answer queries/addendum reports from clients' QAs.
  • Coordinate with medical providers and team members regarding scheduled appointments.

Key Responsibilities include:

  • Preparing case files and DBQs assigned in the client portal.
  • Reviewing and bookmarking medical records, creating a synopsis to answer medical opinion questions.
  • Assisting medical providers during scheduled appointments.
  • Remotely interviewing veterans via video or telephone conference platform.
  • Transcribing medical history based on the veteran's answers to DBQ questions.
  • Documenting physical examination findings in the appropriate section of DBQs.
  • Completing all sections of DBQ spreadsheets after each appointment.
  • Meeting with medical providers to discuss assigned cases and determine final diagnosis per DBQ.
  • Transferring data from DBQ spreadsheet to client portal.
  • Submitting DBQs in the client portal.
  • Answering queries/addendum reports from clients' QAs.
  • Coordinating with medical providers and team members regarding scheduled appointments.
Required Skills and Qualifications
  • Bachelor of Science in Nursing (BSN), active PHRN license.
  • Good communication skills to assist veterans, medical providers, and colleagues.
  • Able to work independently with minimal supervision.
  • Flexible in work schedule changes as needed.
  • Takes accountability for all assigned cases.
  • Proficient in MS applications such as Word, Excel, and PowerPoint.
  • Assists Lead and/or Trainer in improving process.
  • Creates process-related templates as needed.
  • Perform other job-related duties as assigned.
Benefits
  • Fiber connection with at least 20mbps download and upload speed.
  • Available backup internet with minimum 15mbps download and upload speed.
  • Main desktop/laptop must be i5 to i7 w/ 8GB RAM; 4th generation and above.
  • Backup desktop/laptop must be i3 to i5 w/ 8GB RAM; 4th generation and above.

  • Healthcare Data Specialist

    1 week ago

    Hagonoy, Central Luzon, Philippines beBeeClinical Full time ₱2,500,000 - ₱4,000,000

    Healthcare Data ValidatorAbout the RoleWe are seeking a detail-oriented and clinically skilled Registered Nurse to join our team. This role involves reviewing, comparing, and validating patient data during an electronic health record migration.The ideal candidate will ensure accuracy and completeness of patient data from the source system to the new...

  • Clinical Healthcare Talent Acquirer

    1 week ago

    Hagonoy, Central Luzon, Philippines beBeeNursing Full time ₱550,000 - ₱950,000

    Healthcare Recruitment SpecialistWe are seeking a proactive and detail-oriented individual to support our healthcare staffing team. The successful candidate will play a key role in identifying and qualifying top nursing talent for various assignments.Key ResponsibilitiesSource nurses for hospitals, clinics, and ambulatory care settingsScreen candidates based...

  • Healthcare Professional

    1 week ago

    Hagonoy, Central Luzon, Philippines beBeeBiller Full time ₱7,200 - ₱7,800

    Skilled Nursing Facility Billing SpecialistManage the billing and collection processes in a healthcare environment with expertise in using PCC(PointClickCare). This role is crucial for ensuring that skilled nursing facilities receive proper reimbursement for services rendered.Key Responsibilities:Billing Management: Handle timely and accurate submission of...

  • Nurse Advocate

    1 week ago

    Hagonoy, Central Luzon, Philippines beBeeCare Full time ₱6,000,000 - ₱7,254,960

    Nursing Care ProfessionalWe are seeking a skilled Nursing Care Professional to connect with patients enrolled in our Chronic Care Management program. This is a vital role where you will empower patients with chronic conditions to live healthier, fuller lives.You will make monthly outreach calls to patients, collaborate with them and their providers to design...

  • Licensed Registered Nurse

    1 week ago

    Hagonoy, Central Luzon, Philippines beBeeNurse Full time ₱54,000 - ₱84,000

    Registered Nurse (RN) OpportunityWe are seeking a seasoned licensed registered nurse to join our team. With a minimum of one year of bedside hospital and clinical experience, this individual will have the ideal skills to thrive in a non-clinical setting and contribute their expertise to support case determinations.Key Responsibilities:Conduct thorough...

  • Remote Healthcare Data Specialist Position

    1 week ago

    Hagonoy, Central Luzon, Philippines beBeeData Full time ₱900,000 - ₱1,200,000

    Healthcare Data Specialist Role OverviewThe role of the Healthcare Data Specialist is pivotal in the medical records retrieval process. The specialist ensures that every request is accurate, complete, and optimized for downstream success.The precision and quality of the data intake process directly influence the speed and accuracy of medical record retrieval...

  • Remote Case Management Specialist

    1 week ago

    Hagonoy, Central Luzon, Philippines beBeeCaseManagement Full time ₱1,700 - ₱2,200

    As a skilled Client Support Specialist, you will play a pivotal role in delivering exceptional services to clients throughout their treatment journey. This position is responsible for providing remote support across all stages of treatment, including intake, active care coordination, appointment scheduling, and discharge planning.The primary goal of this...

  • Clinical Bedside Registered Nurse Specialist

    1 week ago

    Hagonoy, Central Luzon, Philippines beBeeUtilization Full time ₱40,000 - ₱65,000

    Job PositionWe are seeking a highly skilled Clinical Bedside Registered Nurse to join our team. The ideal candidate will have a strong background in Workers Compensation Utilization Management reviews and Healthcare Utilization Management Provider Appeals reviews, with experience working in Inpatient/Outpatient services.

  • Healthcare Scheduling Support Specialist

    1 week ago

    Hagonoy, Central Luzon, Philippines beBeeScheduling Full time ₱500,000 - ₱1,000,000

    We are seeking a skilled professional to manage patient and nursing scheduling support, resolve issues, and provide direct client-facing communication.This role requires someone confident, personable, and able to handle independently.Responsibilities:Schedule and manage appointments for patients, ensuring that all necessary resources and personnel are...

  • Aspiring Registered Nurse

    1 week ago

    Hagonoy, Central Luzon, Philippines beBeeNursing Full time $80,000 - $120,000

    Comprehensive Nursing Opportunity in the U.S.The ideal candidate for this nursing opportunity is a highly motivated and experienced registered nurse with current bedside experience at a secondary or tertiary hospital, holding a Bachelor of Science in Nursing (BSN) or higher. This rewarding nursing career path provides a unique chance to grow professionally...