Clinical Reviewer for Skilled Nursing Facilities

6 days ago


Makati City, National Capital Region, Philippines ISTA Solutions Full time
Job Overview:
ISTA Solutions is seeking an experienced Clinical Reviewer to join our team. As a member of our team, you will have the opportunity to work with highly skilled professionals who prioritize employee satisfaction and work-life balance.

About the Role:
As a Clinical Reviewer, you will be responsible for reviewing medical records, preparing clinical packets, and evaluating the clinical validity of therapy notes. You will also ensure compliance with regulatory standards and facility requirements.

Key Responsibilities:
  • Reviewing medical records to ensure completeness and accuracy
  • Preparing and sending clinical packets to skilled nursing facilities
  • Evaluating the clinical validity of therapy notes and other patient-related documentation
  • Ensuring compliance with regulatory standards and facility requirements

Requirements:
  • Current and valid PHRN license
  • Good working knowledge of US healthcare insurance
  • Strong knowledge of prehospital patient care protocols, standards, and regulatory requirements
  • Excellent attention to detail and analytical skills
  • Good verbal and written English skills
  • Ability to work independently and collaboratively in a team-oriented environment
  • Commitment to continuous learning and professional development


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