Current jobs related to Inpatient Case Manager RN - Taguig, National Capital Region - UnitedHealth Group
-
Clinical Case Manager
6 days ago
Taguig, National Capital Region, Philippines UnitedHealth Group Full timeUnitedHealth Group Clinical Case ManagerWe are seeking a skilled Clinical Case Manager to join our team. As a Clinical Case Manager, you will play a critical role in improving health outcomes by connecting patients with the care and resources they need.This function requires various nurse licensure and certification based on role and grade level. Licensure...
-
Medical Case Manager
4 days ago
Taguig, National Capital Region, Philippines Gratitude Philippines Full time**Company Overview:**Gratitude Philippines is a leading healthcare organization that values compassion and excellence in patient care.**Job Summary:** We are seeking a skilled Medical Case Manager to join our team. In this role, you will be responsible for reviewing medical cases and making informed decisions about coverage and...
-
US Registered Nurse
1 week ago
Taguig, National Capital Region, Philippines UnitedHealth Group Full timeOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion,...
-
US Registered Nurse
6 days ago
Taguig, National Capital Region, Philippines UnitedHealth Group Full timeUnitedHealth Group US Registered Nurse - Muntinlupa City, NCR in Alabang, PhilippinesOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to...
-
Medical Case Manager
4 hours ago
Taguig, National Capital Region, Philippines Gratitude Philippines Full timeAbout the Role:As a Medical Case Manager at Gratitude Philippines, you will play a critical role in ensuring that injured employees receive appropriate medical care and support to return to work safely and efficiently. You will be responsible for reviewing workers' compensation claims, developing return-to-work plans, and collaborating with various...
-
Inpatient Medical Coder
3 weeks ago
Taguig, National Capital Region, Philippines Tasq Staffing Solutions Full timeRequirements:Bachelor's degree in Nursing or Medical-related courseWith recent medical coding experience in clinical/BPO/CPO set-upWith active Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) licenseExcellent communication, organizational, time management, and interpersonal skillsOnsite
-
Inpatient Medical Coder
3 weeks ago
Taguig, National Capital Region, Philippines PRIVATE ADVERTISER Full timeResponsibilities:-Review inpatient medical records and documentation to assign accurate ICD-10-CM, ICD-10-PCS, and DRG codes.-Ensure compliance with CMS (Centers for Medicare & Medicaid Services), AHIMA, and AAPC coding guidelines.-Validate physician documentation to support assigned codes and query providers when necessary.-Work closely with billing,...
-
Clinical Case Manager
5 days ago
Taguig, National Capital Region, Philippines Gratitude Philippines Full timeJob Overview:Gratitude Philippines is seeking a highly skilled Clinical Case Manager to join our team. As a Utilization Reviewer, you will play a critical role in ensuring that patients receive necessary care while minimizing unnecessary costs. In this position, you will work closely with healthcare providers, claims adjusters, and other stakeholders to...
-
Clinical Case Manager Professional
4 days ago
Taguig, National Capital Region, Philippines Gratitude Philippines Full timeAbout the RoleGratitude Philippines is looking for an experienced Nurse Advisor to join our injury management team. This is an exciting opportunity to make a real difference in the lives of injured employees by providing expert medical guidance and support.Main Responsibilities:Triage and Case Management:Review workers' compensation claims with serious...
-
Taguig, National Capital Region, Philippines Gratitude Philippines Full timeJob Description:We are seeking a Utilization Review and Case Management Professional to join our team at Gratitude Philippines. This role is ideal for a motivated and detail-oriented individual who is passionate about improving patient outcomes.Duties and Responsibilities:Conduct utilization review to ensure that patients receive necessary care and...
-
Medical Case Manager
4 weeks ago
Taguig, National Capital Region, Philippines Gratitude Philippines Full timeRoles and Responsibilities:• PH Registered nurses to review workers compensation claims with serious injury and that need surgery/lengthy treatments, create a return-to-work plan, work with various stakeholders (medical providers, injured worker, employer, attorney) to track the treatment plan and help bring the injured worker back to work.• Nurses have...
-
Medical Case Manager
5 hours ago
Taguig, National Capital Region, Philippines Gratitude Philippines Full timeRoles and Responsibilities:PH Registered nurses to review workers compensation claims with serious injury and that need surgery/lengthy treatments, create a return-to-work plan, work with various stakeholders (medical providers, injured worker, employer, attorney) to track the treatment plan and help bring the injured worker back to work.Nurses have...
-
RN Professional with Experience
4 days ago
Taguig, National Capital Region, Philippines Gratitude Philippines Full timeProfessional SummaryWe're seeking an experienced RN professional with a proven track record in utilization management review or clinical appeals and denials handling for healthcare insurance/UMR. As a key member of our team, you will utilize your expertise to ensure that patients receive the necessary care while adhering to medical guidelines and...
-
Inpatient Medical Coder
3 weeks ago
Taguig, National Capital Region, Philippines PRIVATE ADVERTISER Full timeResponsibilities:-Review inpatient medical records to ensure accurate ICD-10-CM, ICD-10-PCS, and DRG coding.-Collaborate with physicians, nurses, and clinical teams to improve documentation quality and completeness.-Conduct clinical documentation reviews to ensure compliance with CMS, AHIMA, and ACDIS guidelines.-Identify documentation discrepancies and...
-
Medical Case Management Professional
5 days ago
Taguig, National Capital Region, Philippines RecruiterPH Full timeAbout the JobWe are looking for a highly skilled Medical Case Management Professional to join our team at RecruiterPH. As a Medical Case Management Professional, you will be responsible for managing complex cases and providing support to employees who have experienced a disability or illness.Key ResponsibilitiesReview and analyze medical information to...
-
Nursing Case Management Expert
5 days ago
Taguig, National Capital Region, Philippines Gratitude Philippines Full timeThe ideal candidate will have a strong background in nursing and experience in case management, with a focus on rehabilitation and medical management.
-
Disability Case Manager
3 weeks ago
Taguig, National Capital Region, Philippines RecruiterPH Full timeWhat will you do?o Adjudicate disability for eligibility of short and long-term benefits. This includes reviewing and analyzing contractual, medical, functional and occupational informationo Coordinate appropriate interventions including, but not limited to: Independent Medical Evaluations, Functional Capacity Evaluations, Ergonomic assessments, Medical...
-
Utilization Management Specialist
4 days ago
Taguig, National Capital Region, Philippines Gratitude Philippines Full timeWe are looking for a highly skilled Utilization Management Specialist to join our team at Gratitude Philippines.In this role, you will be responsible for reviewing medical cases and making informed decisions about coverage and payment.**Key Responsibilities:**Conduct thorough reviews of medical records and documentation to ensure accuracy and...
-
Return to Work Specialist
4 hours ago
Taguig, National Capital Region, Philippines Gratitude Philippines Full timeAbout the Job:We are seeking a highly skilled Medical Case Manager to join our team at Gratitude Philippines. As a Medical Case Manager, you will be responsible for managing workers' compensation claims, developing return-to-work plans, and collaborating with various stakeholders to ensure smooth claim resolution.Responsibilities:Conduct thorough assessments...
-
Trainer - Medical Education Specialist
3 weeks ago
Taguig, National Capital Region, Philippines Gratitude Philippines Full timeResponsibilities:Research, plan, develop, implement and evaluate training strategies, initiatives, and materials including comprehensive education programs to meet orientation and ongoing competency needs and professional development needsAssess data and information related to claim medical outcome and other pertinent situations including identification of...
Inpatient Case Manager RN
1 week ago
Our Clinical Nurse Specialist - Utilization Management role requires a unique blend of clinical expertise and business acumen. As a nurse in this position, you will work closely with healthcare professionals to review cases and determine medical appropriateness.
You will collaborate with UnitedHealthcare Medical Directors to perform utilization management and participate in discussions with the Clinical Services team to improve patient care.