Clinical Case Manager Professional

UnitedHealth 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...

Job 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...

**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...

Job 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...

Roles 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...

Roles 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...

About 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...

About 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...

About the RoleWe are seeking a highly organized and detail-oriented Clinical Trials Associate to join our team at IQVIA LLC. In this role, you will be responsible for reviewing and validating document collection in compliance with SOC 1 policies and procedures to ensure accurate payments.You will also be responsible for setting up vendor records in internal...

About the Role:The Clinical Trials Specialist is responsible for managing vendor records and ensuring compliance with SOC 1 policies and procedures. This position involves reviewing and validating contract-related documents, opening and monitoring cases, and providing timely resolution of issues.Key Responsibilities:Set-up and manage vendor records to ensure...

At Gratitude Philippines, we are committed to delivering exceptional patient care and service.We are seeking a skilled Clinical Appeals Coordinator to join our team.**Job Summary:**In this role, you will be responsible for reviewing and resolving denied medical claims, working closely with healthcare providers and insurance companies to ensure timely and...

About Gratitude PhilippinesAt Gratitude Philippines, we strive for excellence in providing quality services to our clients. Our team is dedicated to delivering exceptional results and fostering a culture of continuous improvement.Job SummaryWe are seeking a highly skilled Clinical Operations Director to join our team. As a key member of our operations...

About the TeamWe are a dynamic team of professionals working together to accelerate the development and commercialization of innovative medical treatments.We are seeking a highly organized and detail-oriented Clinical Trials Associate to join our team at IQVIA LLC.In this role, you will be responsible for reviewing and validating document collection in...

ResponsibilitiesAs a Clinical Service Coordinator at R1 RCM Inc., you will be responsible for coordinating clinical services to ensure that patients receive the best possible care. Your primary responsibilities will include:Verifying patient information and identifying any discrepanciesCoordinating with medical professionals to ensure that patient care is...

The ideal candidate will have a strong background in nursing and experience in case management, with a focus on rehabilitation and medical management.

Gratitude Philippines is seeking a dedicated Clinical Education Program Manager to oversee the development and implementation of our clinical education programs. In this role, you will be responsible for managing a team of educators and trainers, and ensuring that our programs meet the highest standards of quality and excellence.To succeed in this position,...

We are seeking an experienced Clinical Consulting Lead to join our team of experts at Manpower Core Group Inc. In this role, you will lead cross-functional teams in delivering digital health solutions to clients worldwide.About Us: With a strong focus on the healthcare industry, we provide innovative staffing and consulting services to empower businesses to...

Sutherland Global Services offers an exciting opportunity for a Clinical Process Expert to join our team. In this role, you will be responsible for coordinating case management, administrative responsibilities, and diagnostics-related tasks.The ideal candidate will have a strong background in healthcare and experience managing customer-facing accounts. A...

What 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...

We are RecruiterPH, a leading recruitment agency in the Philippines, and we are looking for a Clinical Classification Expert to join our team.About the Role:As a Clinical Classification Expert, you will be responsible for classifying patient data and maintaining accurate medical records using AHIMA or AAPC approved credentials.Responsibilities:Classify...