Clinical Case Evaluator

Job DescriptionWe are seeking a highly skilled and detail-oriented clinical professional to support our residential, PHP, and IOP levels of care. This individual will be responsible for conducting peer reviews, case consultations, and interfacing with insurance payers to obtain continued authorization.The ideal candidate will be a licensed clinician who is...

Research Reviewer OpportunityWe are seeking a highly skilled research reviewer to assess manuscripts for clinical oncology journals and publishers. As a freelance peer reviewer, you will be responsible for evaluating the originality of research and its contribution to the field.Required ExpertiseA Doctorate (PhD/MD) or equivalent advanced degree in clinical...

OverviewJoin to apply for the Therapeutic Franchise Head (Renal) role at Emerald Clinical.At Emerald Clinical Trials, we are a global, full-service Contract Research Organization (CRO) with a rich heritage in the Asia-Pacific region. We are dedicated to advancing clinical research through scientific expertise and operational excellence, supporting...

Senior Dentist OpportunityThis is an exciting opportunity for a passionate and experienced dental professional to join our team as a Senior Resident. The ideal candidate will have the ability to deepen their clinical expertise, take on greater responsibility, and mentor junior residents.Key ResponsibilitiesExamination & Consultation: Conduct thorough oral...

Therapeutic Franchise Head (Cardiovascular)Join to apply for the Therapeutic Franchise Head (Cardiovascular) role at Emerald Clinical.At Emerald Clinical Trials, we are a global, full-service Contract Research Organization (CRO) with a heritage in the Asia-Pacific region. We advance clinical research through scientific expertise and operational excellence,...

Job OpportunityWe are seeking a seasoned Clinical Nurse Case Manager with at least one year of experience in a clinical or hospital setting. The ideal candidate will possess an active and non-active USRN license and excel in conducting UM pre-service, concurrent, retrospective, out of network, and appropriateness of treatment setting reviews.Key...

Position Title: Clinical AdviserLocation: Makati CityEmployment Type: Contractual (once or twice a week)Job Summary:The Clinical Adviser provides expert medical advice and guidance to support the company's underwriting, claims, and product development functions. This role is responsible for reviewing and validating medical documentation, interpreting...

Job SummaryWe are seeking a skilled professional to fill the role of Care Account Specialist. In this position, you will serve as the key clinical operations representative for enterprise clients in your assigned regions.The ideal candidate will have experience in clinical operations, client relationship management, and case management. You should be able to...

Job Title: Clinical Authorization SpecialistWe are seeking a detail-oriented and highly skilled individual to support our clinical operations. The successful candidate will be responsible for conducting thorough reviews, case consultations, and interfacing with insurance payers to obtain continued authorization.The ideal candidate will be a licensed clinical...

Job Description:This role serves as the primary point of contact for assigned enterprise clients, ensuring exceptional delivery of clinical services and maintaining service quality across onsite and virtual channels. The key responsibilities include managing clinician rosters, monitoring clinical quality benchmarks, and coordinating various teams to refine...