Clinical Utilization Specialist

Gratitude Philippines: A Leader in HealthcareWe are seeking a skilled Clinical Utilization Specialist to join our team in Taguig. As a key member of our healthcare team, you will play a vital role in reviewing and managing healthcare utilization.About the RoleUtilization Management Review:Clinical Appeals and Denials Handling for Healthcare...

We are seeking a highly skilled Clinical Utilization Review Specialist to join our team at Gratitude Philippines. This role is responsible for conducting thorough reviews of medical records to ensure compliance with regulatory requirements and company standards.Key Responsibilities:Conduct clinical reviews of medical records to determine medical necessity...

Manpower Core Group Inc. is seeking a skilled Clinical Utilization Specialist - Medical Case Manager to join our team in BGC. This role plays a vital part in ensuring that employees receive the necessary medical care and support to return to work.About the Role:This position involves conducting thorough reviews of treatment authorization requests based on...

We are seeking a highly skilled Clinical Laboratory Specialist to join our team at Wellnostics Inc. in the Philippines. This is an exciting opportunity for individuals who want to make a difference in the healthcare industry.About UsWellnostics Inc. is a leading provider of diagnostic services that empower individuals to take charge of their well-being. Our...

Job DescriptionGratitude Philippines is seeking a highly skilled Senior Quality Assurance Specialist to join our team. This role will be responsible for ensuring the highest standards of quality in our clinical services.About the RoleWe are looking for a dedicated professional with strong clinical expertise and a passion for quality assurance. As a Senior...

As a valued member of our team at Recruitment Solutions Department, we are seeking a skilled Clinical Care Specialist to join our esteemed organization. This is an exceptional opportunity for a dedicated and compassionate healthcare professional to make a meaningful impact in the lives of others.About Our Company:We pride ourselves on being a dynamic and...

Job DescriptionAt Gratitude Philippines, we are seeking a highly skilled Quality Assurance Specialist to join our team. In this role, you will play a vital part in ensuring the highest standards of quality care are delivered to our clients.Key Responsibilities:Conduct regular reviews of managed care internal and external claim files to validate consistent...

At Wellnostics Inc., we are committed to delivering exceptional patient care and experiences. As a key member of our healthcare team, the Clinical Care Specialist will play a vital role in ensuring the highest standards of medical care.The ideal candidate will possess strong interpersonal and communication skills, with the ability to work effectively in a...

OverviewThe Manpower Core Group Inc. seeks a skilled Clinical Telephonic Nurse Specialist to provide exceptional patient care and support via telephone assessments, health advice, and referrals.Key Responsibilities:Performing intake of phone calls from injured employees to provide timely and effective assistance.Conducting telephonic health assessments,...

About UsGratitude Philippines is a reputable healthcare organization that strives to provide top-notch services to its clients. Our team is dedicated to delivering exceptional results, and we are seeking a skilled Healthcare Utilization Specialist to join our ranks.

Job OverviewWe are seeking a highly skilled Clinical Nurse Specialist to join our client's team in a full-time capacity.

About TASQ Staffing SolutionsTASQ Staffing Solutions is a leading staffing agency that provides top talent to various industries. As a clinical claims specialist, you will be part of our esteemed team.Salary:$50,000 - $70,000 per year (dependent on experience)Job DescriptionWe are seeking an experienced Senior Clinical Claims Specialist to join our team at...

Job Title: Clinical Nurse Practitioner - Accidental Claims SpecialistAbout Us: TASQ Staffing Solutions is a leading provider of healthcare professionals, and we are currently seeking an experienced Clinical Nurse Practitioner to join our team.Salary Range: $80,000 - $120,000 per annum, depending on experience and qualifications.Job Description: As a Clinical...

Job Overview">We are seeking a skilled Medical Coding Specialist to join our team at Tasq Staffing Solutions. As a Medical Coding Specialist, you will play a vital role in ensuring accurate and efficient coding of patient data.About the Role">This is a fantastic opportunity for an experienced medical coder to work onsite at Taguig. The ideal candidate will...

Job Summary:Gratitude Philippines is seeking a skilled Clinical Case Manager to join our team. As a Clinical Case Manager, you will play a crucial role in ensuring that injured employees receive the appropriate level and intensity of care. Your primary responsibility will be to assess client situations, identify barriers to treatment, and develop medical...

About the Role:As a key member of Gratitude Philippines, we are seeking a highly skilled and experienced Nursing Education Specialist - Clinical Training Expert to join our team. In this pivotal role, you will be responsible for developing and implementing comprehensive education programs that meet the orientation and ongoing competency needs of our...

Job Title: Clinical Operations DirectorLocation: PhilippinesAbout Gratitude Philippines:We are a leading organization in the industry, and we are looking for a highly skilled and experienced Clinical Operations Director to join our team. As a Clinical Operations Director, you will play a key role in the success of our organization.Main...

OverviewWe are seeking a highly skilled Clinical Coding Specialist to join our team in Manila. This role involves reviewing claims for errors and rejections, ensuring accurate coding and revenue code selection.Job SummaryThis is a key position that requires excellent communication skills, attention to detail, and the ability to work effectively in a...

Job DescriptionRole Summary:Clinical Coders play a vital role in the healthcare industry, ensuring that medical records are accurately coded and classified. We are seeking an experienced Clinical Coder to join our team in Manila, Philippines.Responsibilities:Review claims for errors and rejections, correcting them as needed to ensure accurate coding and...

Job OverviewThe Clinical Review Nurse position is a crucial role in assessing the medical appropriateness of proposed treatments and medications for injured employees. As a key partner with the Client Claims Adjuster team, you will expedite medically necessary treatment for each claim while maintaining a solid understanding of the Client's mission, vision,...