Clinical Care Professional

22 hours ago


Mabalacat, Central Luzon, Philippines beBeeCare Full time ₱50,000 - ₱68,000
Key Responsibilities

This role involves coordinating patient care and ensuring that members receive medically necessary, quality healthcare in a cost-effective setting.

  • Conduct Utilization Management (UM) reviews to ensure compliance with applicable criteria, medical policy, and member eligibility.
  • Review service requests to ensure accuracy and completeness of clinical information.
  • Collaborate with healthcare providers to ensure seamless patient care and outcomes.
  • Consult with clinical reviewers and/or U.S. licensed medical directors to ensure medically appropriate, high-quality, cost-effective care throughout the medical management process.
Requirements:
  • Active and Non-Active USRN License.
  • At least 1 year of clinical or hospital experience.

As a skilled Clinical Nurse Case Manager, you will be responsible for managing patient care and ensuring the delivery of high-quality, cost-effective healthcare services.



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