Clinical Case Manager Specialist
5 days ago
V-Assist is seeking a highly skilled Clinical Case Manager Specialist to join our team. This role requires strong expertise in patient care and case management, with excellent communication and problem-solving skills.
Responsibilities- Conduct thorough utilization reviews to ensure patients receive appropriate care for their condition, working closely with medical staff to assess diagnosis, treatment length, and documentation.
- Verify document completeness and request any necessary information for claims processing.
- Solve complex issues independently, utilizing strong analytical and problem-solving skills.
- Develop and maintain positive relationships with customers, healthcare providers, and internal stakeholders, ensuring timely and effective resolution of inquiries and concerns.
- Bachelor of Science in Nursing degree.
- Active PHRN license.
- Able to work flexible hours, including nights.
- Strong knowledge of medical terminology and ability to multitask, organize, and prioritize tasks effectively.
- Proficient in MS Office applications.
We offer an attractive salary range of $80,000 - $110,000 per annum, depending on experience. Our comprehensive benefits package includes health insurance, retirement plan, and paid time off.
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Clinical Case Manager
3 weeks ago
Makati City, National Capital Region, Philippines Metacom Business Process Outsourcing Solutions Full timeMetacom Business Process Outsourcing Solutions seeks a highly skilled Clinical Case Manager to join our team. As a key member of our healthcare team, you will be responsible for conducting utilization reviews to determine the appropriateness of patient care. Your strong analytical skills and ability to communicate effectively with medical staff will be...
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Clinical Case Manager
2 weeks ago
Makati City, National Capital Region, Philippines BrightCare Assist Philippines Inc. Full timeJob Title: Clinical Case ManagerBrightCare Assist Philippines, Inc. is seeking a skilled Clinical Case Manager to ensure seamless billing processes and deliver exceptional patient support.Key Responsibilities:Manage insurance eligibility and secure payment guarantees.Collaborate with healthcare providers on credit arrangements and fee negotiations.Conduct...
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Clinical Support Specialist
3 weeks ago
Makati City, National Capital Region, Philippines MetaHealth Full timeKey ResponsibilitiesWe are seeking a skilled Clinical Support Specialist to provide top-notch support to our clients. As a Clinical Support Specialist, you will be responsible for:Providing exceptional support to clients to meet their needsUsing analytical skills to troubleshoot and resolve issuesMaintaining accurate records and documentation for smooth...
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Case Manager
1 month ago
Makati City, National Capital Region, Philippines BrightCare Assist Philippines Inc. Full timeJob Title: Case CoordinatorWe are seeking a highly skilled and detail-oriented Case Coordinator to join our team at BrightCare Assist Philippines, Inc.Key Responsibilities:Manage insurance eligibility and secure payment guarantees.Collaborate with healthcare providers on credit arrangements and fee negotiations.Conduct daily case reviews and audits for...
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Clinical Care Coordinator
1 month ago
Makati City, National Capital Region, Philippines Metacom Business Process Outsourcing Solutions Full timeAs a Clinical Care Coordinator at Metacom Business Process Outsourcing Solutions, you will play a crucial role in ensuring the delivery of high-quality patient care. Your responsibilities will include conducting thorough utilization reviews to determine the appropriateness of care, consulting with medical and treatment staff to discuss client diagnosis and...
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Clinical Application Specialist
3 weeks ago
Quezon City, National Capital Region, Philippines RecruiterPH Full timeJob Summary:We are seeking a highly skilled Clinical Application Specialist to join our team at RecruiterPH. As a key member of our team, you will be responsible for providing clinical training and support to our clients.Key Responsibilities:Provide pre-and post-sales clinical training and support to clients equipped with effective presentation and...
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Digital Fraud Case Manager
3 weeks ago
Makati City, National Capital Region, Philippines EastWest Bank Full timeEWB Case Manager Job DescriptionRole Summary:A highly skilled EWB Case Manager is required to play a pivotal role in ensuring confidence in EastWest Bank (EWB) and KOMO digital services by effectively handling reported fraud and unauthorized transaction complaints against EWB and EWRB accounts to EWB Enterprise Fraud.Key Responsibilities:Fraud Alerts Case...
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Clinical Application Specialist
1 month ago
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Clinical Manager
1 month ago
Quezon City, National Capital Region, Philippines Cathy Valencia Advanced Skin Clinic Full timeClinic Supervisor Job DescriptionAt Cathy Valencia Advanced Skin Clinic, we are seeking a highly skilled and experienced Clinic Supervisor to join our team.Key Responsibilities:Manage the day-to-day operations of the clinic, ensuring smooth and efficient delivery of services.Supervise and mentor clinic staff, providing guidance and support to ensure...
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Clinical Support Specialist
1 month ago
Mandaluyong City, National Capital Region, Philippines A&A Outsourcing Inc. Full timeJob Title: Patient Care SpecialistThe Patient Care Specialist plays a vital role in ensuring the delivery of exceptional patient care and services in our clinic. Key responsibilities include:Key Responsibilities:Providing attentive and personalized care to patients and customersPerforming a variety of tasks to ensure efficient service deliveryCollaborating...
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{"Clinical Application Specialist
3 weeks ago
Quezon City, National Capital Region, Philippines RecruiterPH Full time{"Job DescriptionJob Title: Clinical Application SpecialistWe are seeking a skilled Clinical Application Specialist to join our team at RecruiterPH. The successful candidate will be responsible for providing pre-and post-sales clinical training and support to clients.Key Responsibilities:Provide pre-and post-sales clinical training and demo support to...
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Operations Manager
5 days ago
Makati City, National Capital Region, Philippines Career Professionals, Inc. Full timeAbout the RoleWe are seeking an experienced Operations Manager - Clinic Support to join our team at Career Professionals, Inc.Job DescriptionResponsibilities:Supervise and monitor retainer clinic management accountsDeploy personnel, manage clinics, and ensure compliance with medical programsMonitor attendance and schedule adherenceSupervise nurses and...
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Clinical Operational Manager
3 weeks ago
Quezon City, National Capital Region, Philippines Cathy Valencia Advanced Skin Clinic Full timeClinic Supervisors Job DescriptionRole Overview:We are seeking a highly skilled and experienced Clinic Supervisor to join our team at Cathy Valencia Advanced Skin Clinic.Main Responsibilities:Manage the day-to-day operations of the clinic, ensuring smooth and efficient delivery of services.Supervise and mentor clinic staff, providing guidance and support to...
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Clinical Operations Associate
3 weeks ago
Makati City, National Capital Region, Philippines Career Professionals, Inc. Full time**Clinical Operations Associate Role Overview**The Clinical Operations Associate is responsible for the supervision and monitoring of retainer clinic management accounts. Key responsibilities include the deployment and management of personnel, ensuring compliance with medical programs and activities, and monitoring attendance. Additionally, the role involves...
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Clinical Operations Coordinator
1 month ago
Makati City, National Capital Region, Philippines Career Professionals, Inc. Full timeClinic Management Support OfficerThis position is responsible for overseeing the management of retainer clinic operations, ensuring compliance with medical programs and activities, and monitoring attendance and contract schedules. The role involves supervising the performance of retainer and reliever nurses and doctors, and ensuring that all sites have...
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Operations Vendor Management Specialist
3 weeks ago
Mandaluyong City, National Capital Region, Philippines Headstart Specialist Full timeKey Qualifications:We are seeking a highly skilled Operations Vendor Management Specialist to join our team at Headstart Specialist. The ideal candidate will possess a tertiary-level qualification and have a minimum of one year of overall work experience.Japanese Language Proficiency:The candidate must be proficient in Japanese, possessing a level of N1/N2...
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Makati City, National Capital Region, Philippines Manpower Core Group Inc. Full timeJob OpportunityWe are seeking a skilled Clinical Healthcare Professional to join our team at Manpower Core Group Inc.Key Responsibilities:Utilize 1 year of clinical experience to deliver high-quality servicesMaintain an active PRC licenseProvide exceptional service as an experienced BPO Voice Account specialistWork efficiently with a focus on timely...
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EWB Fraud and Abuse Case Investigator
2 weeks ago
Makati City, National Capital Region, Philippines EastWest Bank Full timeJob Purpose:The Digital Account Security Specialist plays a critical role in maintaining customer confidence in EastWest Bank's digital services by effectively handling reported fraud and unauthorized transaction complaints.Key Responsibilities:1. Conducts proactive surveillance on social media and online channels to detect suspicious posts involving illegal...
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Dispute Management Specialist
5 days ago
Makati City, National Capital Region, Philippines Nityo Infotech Full timeNityo Infotech is currently seeking a Dispute Management Specialist to join our team in Makati.Salary: 30,000 - 35,000 PHP per month.This role involves handling disputes from member banks, assessing each case promptly and resolving or clarifying them using approved processes. The successful candidate will determine the priority of new cases, acquire details...
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Clinical Operations Manager
5 days ago
Quezon City, National Capital Region, Philippines Cathy Valencia Advanced Skin Clinic Full timeAbout UsCathy Valencia Advanced Skin Clinic is a leading provider of skin care services.