Clinical Nurse Care Coordinator

7 days ago


Sorsogon, Bicol, Philippines beBeeClinical Full time ₱50,000 - ₱68,000
Job Opportunity: Clinical Nurse Case Manager

The role of a Clinical Nurse Case Manager is to provide patient care and coordinate with healthcare providers to ensure the best possible outcomes. This position requires a strong understanding of medical policies, client-specific criteria, and clinical guidelines.


Responsibilities:
  • Conduct medical management reviews to assess the appropriateness of treatment settings and ensure compliance with applicable criteria and medical policy.
  • Review service requests to verify member eligibility, benefits, and contracts.
  • Consult with clinical reviewers and U.S.-licensed medical directors to ensure high-quality, cost-effective care throughout the medical management process.

Required Skills and Qualifications:
  • Active and non-active USRN license.
  • At least 1 year of clinical or hospital experience.
  • USRN with RN license.

Benefits:
  • Work from home setup.
  • Partnership with multiple companies offering direct employment opportunities without bonds.

Other Information:

This position offers flexibility and autonomy in managing patient care while ensuring adherence to client-specific criteria and medical guidelines. If you are a dedicated and detail-oriented nurse looking for a challenging opportunity, apply today



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