Clinical Utilization Specialist

About the role At MOESTHETICS INC.', we are seeking a dedicated and meticulous Clinic Utility Staff to join our team in our clinic located in Paranaque City Metro Manila. This full-time role will involve ensuring the cleanliness and proper maintenance of our medical facilities, contributing to the smooth and hygienic operation of our clinic.What you'll be...

Job Title: Clinical Utilization ReviewerEvaluate and screen potential admissions to our healthcare facility. This entails conducting thorough assessments of patients to ensure they are receiving the appropriate level of care for their condition.The goal is to assess the medical necessity of services provided, ensuring that treatments align with patient needs...

Clinical Documentation SpecialistWe are seeking a detail-oriented and reliable Clinical Documentation Specialist to support mental health professionals by creating and reviewing clinical notes with the assistance of AI technology. The role involves accurately entering finalized notes into multiple platforms while maintaining confidentiality and...

Utilization Management Specialist About the Role:We are seeking a highly skilled Utilization Management specialist to join our team. The ideal candidate will have expertise in assessing and interpreting customer needs, requirements, and medical records. Key Responsibilities:Review medical claims for medical necessity.Develop and implement effective...

Job Description:The Clinical Care Coordinator Specialist plays a pivotal role in delivering comprehensive, client-centric support throughout the treatment journey. This involves facilitating remote intake processes, active care coordination, scheduling therapy and psychiatric appointments, and discharging clients.This specialist ensures seamless service...

We are in need of a manager for these locations: Paranaque, Imus, Naga City, Quezon City,  Angeles Pampanga,  Bacolod, Pangasinan, and  Baguio 1. Clinic Operations ManagementOversee the day-to-day operations of the cancer treatment clinic, ensuring smooth, efficient, and patient-centered service deliveryDevelop and implement clinic policies and...

Job OverviewAs a specialist in clinical operations, you will act as the key representative for enterprise clients in your assigned regions. You will ensure exceptional delivery of clinical services across onsite and virtual channels, provide case management, maintain service quality, and oversee regional clinicians.Key Responsibilities:Client Management &...

Clinical Coding SpecialistThis role plays a pivotal part in ensuring the accurate and timely submission of medical claims. You will utilize expertise in clinical coding processes to optimize revenue cycles while maintaining compliance with regulatory standards.Analyze patient records for physician/NP visits and home health start-of-care visits to extract...

Clinical Data Specialist RoleWe are seeking a detail-oriented Registered Nurse with strong clinical judgment to join our team.Key Responsibilities:Data Validation & ReviewManually review patient records post-migration to ensure accuracy and completeness.Compare data fields in the new EHR against the legacy source, identifying discrepancies.Quality...

Job Title: Clinical Documentation SpecialistJob Description:The primary function of this role is to record and maintain accurate patient medical histories, symptoms, previous diagnoses, and other relevant health information.This position requires strong analytical skills to identify pertinent health background and accurately document it in a clear and...