Clinical Care Professional III

5 days ago


Manila, National Capital Region, Philippines Crawford Group Full time
Role Description

The Nurse Clinical Specialist is responsible for managing medical cases, developing treatment plans, and ensuring seamless communication between healthcare professionals and patients.

Key Accountabilities:
  • Medical Case Management
    • Evaluate patient medical history and develop comprehensive care plans.
    • Collaborate with healthcare teams to ensure effective treatment delivery.
    • Communicate regularly with patients and families to address concerns and provide support.
  • Communication and Collaboration
    • Establish strong relationships with healthcare providers, payers, and other stakeholders.
    • Foster open communication channels to resolve issues efficiently.
    • Ensure accurate documentation and data entry for case management activities.
  • Quality and Compliance
    • Maintain up-to-date knowledge of industry standards and regulatory requirements.
    • Adhere to organizational policies and procedures for quality assurance and risk management.
    • Participate in ongoing professional development to enhance clinical skills and knowledge.
Requirements
  • Bachelor's degree in Nursing.
  • Active and in good standing without restriction Philippine RN license or US RN license from any mainland state.
  • Two years' diverse clinical experience or prior experience in Medical Bill Review.
  • Strong verbal and written communication skills.
  • Ability to work independently and collaboratively within a team environment.
  • Excellent problem-solving and critical thinking skills.
  • Maintain confidentiality and adhere to organizational policies and procedures.


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