RN Healthcare Specialist
2 days ago
We are looking for a skilled ICU RN Auditor to join our team at Go-Get Data Consultancy. As an ICU RN Auditor, you will play a crucial role in reviewing and assessing medical records, ensuring coding accuracy, and promoting documentation compliance.
About the Role- This is a hybrid position working in Taguig, requiring flexibility and adaptability.
- The ideal candidate will have a strong background in critical care nursing, medical auditing, and regulatory compliance.
- You will work closely with healthcare teams to provide feedback and recommendations for documentation improvement.
- Conduct audits of ICU patient records to identify discrepancies and errors.
- Evaluate documentation for proper coding, billing, and reimbursement alignment.
- Collaborate with healthcare teams to provide feedback and recommendations.
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RN Case Manager
3 days ago
Taguig, National Capital Region, Philippines Gratitude Philippines Full timeRole OverviewThis is an exciting opportunity to join Gratitude Philippines as a clinical appeals specialist. As a key member of our team, you will be responsible for reviewing medical records, making decisions on coverage, and communicating with clients and healthcare providers. To succeed in this role, you will need at least 3 years of experience in...
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Healthcare Utilization Manager
4 days ago
Taguig, National Capital Region, Philippines Gratitude Philippines Full timeCompany OverviewGratitude Philippines is a healthcare organization that provides quality services to its clients. Our team of professionals is dedicated to delivering exceptional care and support.SalaryThe salary range for this position is 30-50K per annum, depending on experience. Job DescriptionWe are seeking a skilled RN with at least 5 years of...
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Post Payment Claims Audit Specialist
2 days ago
Taguig, National Capital Region, Philippines Linda Hausermann & Associates Full timeJob Summary:Linda Hausermann & Associates is seeking a highly experienced ICU RN Auditor to lead the development and implementation of auditing protocols, ensuring accuracy and efficiency in patient care reimbursement.Duties and Responsibilities:Design and execute comprehensive auditing strategies to identify areas for improvementCollaborate with...
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Healthcare Utilization Manager
5 days ago
Taguig, National Capital Region, Philippines Gratitude Philippines Full timeJob DescriptionWe are seeking a highly skilled RN Case Management Professional to join our team at Gratitude Philippines. As a key member of our healthcare team, you will be responsible for managing the care of patients with complex medical conditions.The ideal candidate will have 5+ years of experience in utilization management review or clinical appeals...
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Healthcare Utilization Reviewer
5 days ago
Taguig, National Capital Region, Philippines Gratitude Philippines Full timeUtilization Reviewer Job Description:We are seeking a highly skilled Utilization Reviewer to join our team at Gratitude Philippines. As a Utilization Reviewer, you will play a critical role in reviewing medical treatments to ensure that they are necessary and delivered effectively. Your expertise in utilization review will enable you to identify potential...
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Taguig, National Capital Region, Philippines Linda Hausermann & Associates Full timeJob Details:We are seeking a highly skilled ICU RN Auditor to support the review and analysis of patient data, ensuring compliance with regulatory guidelines and industry standards.Main Responsibilities:Conduct thorough audits of patient records to identify potential issues and areas for improvementCollaborate with healthcare professionals to address...
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Taguig, National Capital Region, Philippines Linda Hausermann & Associates Full timeAbout the Role:We are looking for a seasoned ICU RN Auditor to oversee the review and analysis of patient data, ensuring compliance with regulatory guidelines and industry standards.Key Responsibilities:Conduct thorough audits of patient records to identify potential issues and areas for improvementCollaborate with healthcare professionals to address...
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Healthcare Training Specialist
6 days ago
Taguig, National Capital Region, Philippines UST Full timeAbout the RoleWe are seeking a skilled Healthcare Training Specialist to join our team at UST. The successful candidate will be responsible for developing and delivering comprehensive training programs for helpdesk associates, ensuring they possess the necessary skills and knowledge to provide exceptional customer support.
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Pre-Onboarding Specialist
6 days ago
Taguig, National Capital Region, Philippines Tenet Healthcare Full timeAs a critical member of the Tenet Healthcare team, the Onboarding Analyst is responsible for administrative tasks that facilitate a seamless transition for new hires.Primary DutiesCreate and manage schedules for necessary screenings and physicals for new employees, as needed.Support the development and distribution of offer letters and personnel change...
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Healthcare Specialist
4 days ago
Taguig, National Capital Region, Philippines DDT Konstract Inc. Full timeWe are seeking a Healthcare Specialist to join our team at DDT Konstract Inc.About the Role:The primary objective of this position is to provide comprehensive healthcare services to employees and stakeholders, ensuring their safety and well-being in the workplace.Key Responsibilities:Observation and Assessment: Conduct regular observations and assessments of...
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Healthcare Support Specialist
6 days ago
Taguig, National Capital Region, Philippines R1 RCM Full timeJob DescriptionWe are seeking a highly skilled and motivated Healthcare Support Specialist to join our team. As a key member of our customer service team, you will be responsible for providing exceptional support to our patients, ensuring their needs are met, and delivering innovative solutions in an evolving healthcare setting.About the Role:Provide...
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Clinical Utilization Review Specialist
5 days ago
Taguig, National Capital Region, Philippines Gratitude Philippines Full timeJob Description:The Clinical Utilization Review Specialist is a critical role at Gratitude Philippines, responsible for ensuring that medical treatments are necessary and delivered effectively. As a key member of our team, you will work closely with claims adjusters to review treatment authorization requests based on state guidelines and medical...
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Clinical Appeals Specialist
3 days ago
Taguig, National Capital Region, Philippines Gratitude Philippines Full timeCompany ProfileAt Gratitude Philippines, we are committed to providing exceptional healthcare services to our clients. We believe in the importance of compassion, empathy, and excellence in everything we do. About the RoleWe are seeking a highly skilled RN to join our team as a healthcare utilization manager. In this role, you will be responsible for...
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Healthcare Professional Verifier
2 days ago
Taguig, National Capital Region, Philippines Eviden Full timeJob DescriptionThe successful candidate will have a Bachelor's degree in healthcare administration or a related field, with experience in credentialing in a medical or healthcare setting.As a Credentialing Specialist, you will be responsible for ensuring the credentials of medical professionals are impeccable, working closely with various healthcare...
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Pediatric Healthcare Specialist
5 days ago
Taguig, National Capital Region, Philippines Wellnostics Inc. Full timeJob Title: PediatricianWe are seeking a compassionate and experienced pediatrician to provide primary healthcare services to young patients. The ideal candidate will be responsible for diagnosing and treating a wide range of common illnesses and injuries, as well as managing chronic medical conditions.Responsibilities:Provide comprehensive medical services...
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RN Case Management Professional
5 days ago
Taguig, National Capital Region, Philippines Gratitude Philippines Full timeKey ResponsibilitiesWe are seeking a highly skilled Healthcare Utilization Manager to join our team at Gratitude Philippines. As a key member of our healthcare team, you will be responsible for ensuring that patients receive high-quality, effective care.The ideal candidate will have 5+ years of experience in utilization management review or clinical appeals...
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Intensive Care Unit Registered Nurse Auditor
2 days ago
Taguig, National Capital Region, Philippines Linda Hausermann & Associates Full timeJob Overview:Linda Hausermann & Associates seeks a skilled Intensive Care Unit Registered Nurse Auditor to join our team. The ideal candidate will possess strong clinical knowledge, excellent analytical skills, and the ability to effectively communicate with healthcare professionals.Salary Information:The salary for this position is PHP 70,000 - PHP 80,000...
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usrn
3 weeks ago
Taguig, National Capital Region, Philippines Gratitude Philippines Full timeUS RN certification – Mandatory.With five years of experience in utilization management review or 3 years clinical appeals and denials handling for healthcare insurance/ UMRSalary range – 30-50KExperience range - 5+ yearsShifts – flexibleOnsite in Taguig
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Healthcare Claims Specialist
6 days ago
Taguig, National Capital Region, Philippines Sun Life Financial Full timeAbout the Opportunity:Sun Life Financial is seeking a skilled Disability Case Specialist to join our team. As a key member of our healthcare team, you will have the opportunity to make a meaningful impact on the lives of our clients and employees.Key Responsibilities:Adjudicate disability claims and coordinate interventions to ensure timely and effective...
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ICU Clinical Auditor
2 days ago
Taguig, National Capital Region, Philippines Go-Get Data Consultancy Full timeAt Go-Get Data Consultancy, we are seeking a detail-oriented and experienced ICU RN Auditor to review and assess medical records, coding accuracy, and documentation compliance in intensive care unit (ICU) settings. The ideal candidate will have a strong background in critical care nursing, medical auditing, and regulatory compliance to ensure adherence to...