Nurse Case Manager – Healthcare Professional
2 days ago
We are seeking a seasoned Clinical Nurse Case Manager with at least one year of experience in a clinical or hospital setting. The ideal candidate will possess an active and non-active USRN license and excel in conducting UM pre-service, concurrent, retrospective, out of network, and appropriateness of treatment setting reviews.
Key Responsibilities:- Conduct comprehensive medical management review activities that involve reviewing clinical information against client-specific criteria.
- Collaborate with clinical reviewers and/or U.S. licensed medical directors to ensure high-quality, cost-effective care throughout the medical management process.
- Evaluate member access to medically necessary, quality healthcare in a cost-effective setting according to contractual agreements.
As a key member of our team, you will be responsible for ensuring seamless communication between clinical stakeholders and providing timely, accurate, and transparent case management services.
The selected candidate will have the opportunity to work with a dynamic team of professionals who share a passion for delivering exceptional patient care and outcomes.
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Nurse Case Manager Professional
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Registered Nurse Case Manager
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Makati City, National Capital Region, Philippines beBeeNurse Full time ₱50,000 - ₱68,000Job OverviewWe are seeking a skilled Clinical Nurse Case Manager to join our team. This role involves working from home and offers direct employment with no bond.This position is ideal for nurses with at least one year of clinical or hospital experience, holding an active or non-active USRN license.The successful candidate will have excellent decision-making...
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Healthcare Professional
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Healthcare Professional Case Reviewer
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Marikina City, National Capital Region, Philippines beBeeMedicalReviewer Full time ₱3,500,000 - ₱4,500,000Job Overview:We are seeking a highly skilled and detail-oriented Medical Reviewer to join our team. In this role, you will be responsible for reviewing medical records and creating case files for clients.Key Responsibilities: Prepares case files and Disability Benefits Questionnaires (DBQs) assigned in the client portal.Reviews and bookmarks medical records...
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On-Site Healthcare Professional
1 week ago
Mandaluyong City, National Capital Region, Philippines beBeeOccupationalHealth Full time ₱400,000 - ₱800,000Occupational Health Nurse Job DescriptionWe are seeking an experienced and skilled Occupational Health Nurse to provide on-site healthcare services to our employees.The successful candidate will be responsible for providing direct care for occupational and non-occupational cases, conducting health screenings, and recommending appropriate interventions.Key...
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Senior Healthcare Case Manager Professional
7 days ago
Makati City, National Capital Region, Philippines beBeeCase Full time ₱1,200 - ₱1,500Healthcare Case Manager PositionWe are seeking an experienced and skilled professional to fill a challenging role as a Healthcare Case Manager. As part of our team, you will have the opportunity to work collaboratively with highly skilled professionals who prioritize employee satisfaction and work-life balance.This is a great chance to leverage your...
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Healthcare Nurse Position
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Quezon City, National Capital Region, Philippines beBeeNurse Full time ₱400,000 - ₱800,000Job SummaryNurse - Healthcare Provider Job Title: NurseThe successful candidate will be responsible for assessing patients' health problems and needs, developing and implementing nursing care plans, administering medications and treatments as prescribed by the physician, monitoring and recording patient vital signs, educating patients and their families on...
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USRN - Remote Healthcare Professional
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Marikina City, National Capital Region, Philippines beBeeNurse Full time ₱480,000 - ₱660,000Remote Nursing PositionWe are seeking a skilled nurse to work remotely. As a remote nursing professional, you will be responsible for conducting non-clinical research and determining the appropriate team and health plan for case review.This is an excellent opportunity to utilize your nursing skills in a virtual setting and enjoy a competitive salary and...
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Makati City, National Capital Region, Philippines beBeeNurse Full time ₱300,000 - ₱500,000Job OverviewThe role of a registered nurse involves comprehensive patient care, including assessment, developing and implementing care plans, administering medications, monitoring patient conditions, and educating patients and families on health and wellness.A registered nurse is responsible for providing high-quality patient care across various healthcare...
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Experienced Healthcare Professional
2 days ago
Mandaluyong City, National Capital Region, Philippines beBeeHealthcare Full time ₱50,000 - ₱65,000Job SummaryWe are seeking a highly skilled professional to join our team as an Experienced Healthcare Professional.Key Responsibilities:Hold active licensure as a Registered Nurse (RN) and be certified in Utilization Review Management.Demonstrate expertise in Healthcare Utilization Management Provider Appeals with at least one year of experience in a...
