
Clinical Information Reviewer
6 days ago
We are seeking a skilled and experienced healthcare professional to join our team as a Clinical Information Reviewer. In this role, you will be responsible for reviewing and evaluating clinical information and documentation, handling fax triage and provider calls, interpreting data from clinical records/systems, and ensuring confidentiality of member information.
Key Qualifications:
- At least 2 years of bedside nursing experience.
- Amenable working onsite - nightshift in Cebu.
- Active PHRN license.
Responsibilities:
- Review and evaluate clinical information and documentation.
- Handle fax triage and provider calls.
- Interpret data from clinical records/systems, applying clinical criteria and policy in compliance with regulatory/accreditation requirements.
- Ensure confidentiality of member information and adhere to company policies.
This is an excellent opportunity for a motivated and detail-oriented individual to make a positive impact on patient care and outcomes.
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