Healthcare Case Manager

2 days ago


Manila, National Capital Region, Philippines Access Healthcare Services Manila, Inc. Full time

At Access Healthcare Services Manila, Inc., we are committed to delivering high-quality healthcare services to our patients.

We are currently seeking a skilled Registered Nurse to assume a key role in our team.

Job Summary:

  • Perform advanced level work related to clinical denial and utilization management.
  • Manage medical denials by reviewing clinical documentation.
  • Handle audit and compliance responsibilities.

Responsibilities:

  • Ensure the completion of assigned patient cases.
  • Write compelling arguments and submit appeals.
  • Actively manage denial or appeal activity.
  • Report emerging trends related to payer denials.

Qualifications:

  • A registered nurse with an active license.
  • 1-3 years of experience in a hospital bedside/acute care/clinical setting.
  • Strong communication and analytical skills.

We are seeking a dedicated and detail-oriented individual to join our team.



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