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Clinical Case Manager

2 months ago

Makati City, National Capital Region, Philippines Metacom Business Process Outsourcing Solutions Full time
Metacom Business Process Outsourcing Solutions seeks a highly skilled Clinical Case Manager to join our team. As a key member of our healthcare team, you will be responsible for conducting utilization reviews to determine the appropriateness of patient care. Your strong analytical skills and ability to communicate effectively with medical staff will be essential in this role. You will work closely with physicians to ensure timely discharges and handle inbound and outbound calls from patients and healthcare providers. Additionally, you will analyze and determine eligibility of medical claims and coordinate with providers and specialists to assess the validity of claims. If you are a motivated and detail-oriented individual with a passion for healthcare, we encourage you to apply for this exciting opportunity.