
Clinical Documentation Specialist
2 days ago
The Clinical Compliance Associate plays a vital role in ensuring that clinical files remain compliant with state guidelines. This position works closely with the Director of Compliance to maintain accurate documentation and support compliance workflows.
Key Responsibilities:- Verify completion of service tasks in electronic medical records and associated systems.
- Confirm accuracy and completeness of progress notes for skilled care cases.
- Ensure Plan of Care is completed within 24 hours of Start of Care.
- Ensure 485/Initial Assessment documentation is submitted within 72 hours of Start of Care.
- Collaborate with RN Care Managers to implement audit corrections.
- Monitor RNCM visit scheduling and productivity.
- Track and report monthly visit counts and identify discrepancies.
- Monitor incident reports, fall follow-ups, and on-call logs.
- Confirm transfer forms and reassessments are completed on time.
Required Skills and Qualifications:
- High school diploma or equivalent.
- Minimum of 3 years of professional experience in Community/Home Health, including home health regulatory compliance.
- Knowledge of HIPAA and regulatory standards.
- Experience with data collection and reporting.
Benefits:
- Onsite work location at Jy Square Cebu City.
- Fulltime job opportunity.
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Clinical Support Specialist
2 days ago
Cebu City, Central Visayas, Philippines Stark Asia Solutions, Inc Full time ₱16,000 - ₱24,000 per yearPosition: Clinical Support SpecialistLocation: Cebu City (Onsite)WE ARE HIRING 15 APPLICANTS ONLYCompensation and Benefits:Earn up to ₱24,000 plus monthly salary₱2,000 Monthly Allowance20% Night DifferentialDay 1 HMOAttendance BonusClothing AllowanceOther account allowances (to be discussed during your initial interview)Minimum Qualifications:Open to...
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Clinical Appeals Nurse
2 days ago
Cebu City, Central Visayas, Philippines Health Business Solutions Full time ₱720,000 - ₱1,080,000 per yearJoin our dedicated team at HBiz where we strive to provide outstanding care and service excellence. We are currently seeking a highly skilled Clinical Appeals Nurse to play a crucial role in managing medical denials by providing clinical expertise in the appeals process. This position is ideal for those who excel in analytical thinking and have a strong...
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Clinical Resource Specialist
5 days ago
Cebu City, Central Visayas, Philippines beBeeUtilization Full time ₱50,000 - ₱70,000At Nezda, we are seeking a skilled and experienced Utilization Review Nurse to join our team.Key Responsibilities:Reviews service requests to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts.Conducts medical management review activities which require the review of clinical information against...
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Clinic Secretary
2 days ago
Cebu City, Central Visayas, Philippines SculptMD Cosmetic Medical Center, Inc Full time ₱12,000 - ₱14,000 per yearPosition's Purpose: The Clinic Secretary plays a crucial role in keeping the clinic's day-to-day operations smooth and productive. The Clinic Secretary ensures that patients are received and attended to in a professional and timely manner. S/he also manages all other related tasks and activities including scheduling of doctors , billing and administrative...
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Clinical Program Coordinator
5 days ago
Cebu City, Central Visayas, Philippines Comercial Navero y Elvira Pol. Ind. Postuero - Nave 7-8 Full timeOverviewJoin to apply for the Clinical Program Coordinator role at Comercial Navero y Elvira Pol. Ind. Postuero - Nave 7-8.We are seeking a detail-oriented Clinical Program Coordinator to manage the implementation and ongoing operations of our clinical programs. This role ensures program configurations meet design requirements, performs quality checks in...
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Clinical Operations Specialist
7 days ago
Cebu City, Central Visayas, Philippines beBeeCompliance Full time ₱250,000 - ₱450,000Job OverviewClinical Compliance Professionals play a vital role in ensuring seamless operations within our organization. This position requires collaboration with senior compliance officials to maintain regulatory compliance across multiple jurisdictions.Key ResponsibilitiesVerify task completion in Electronic Medical Records (EMR) and associated...
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Peer Review Specialist
2 days ago
Cebu City, Central Visayas, Philippines RemoteRaven Full time $104,000 - $130,878 per yearHiring: Peer Review Specialist – Behavioral Health | $10–$11/hr | RemoteAre you a licensed RN, NP, MD/DO, or Licensed Therapist with experience in behavioral health and insurance reviews? Join us as a Peer Review Specialist, where you'll ensure clients continue receiving the care they need by securing payer authorizations, reviewing documentation, and...
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Clinical Operations Director
1 week ago
Cebu City, Central Visayas, Philippines beBeeOperations Full timeJob Title: Clinical Operations ManagerWe are seeking a highly skilled Clinical Operations Manager to lead our clinical services and drive excellence in patient care.Job Description:The successful candidate will be responsible for developing and implementing new clinical practices, policies, procedures, and systems to enhance existing clinic services and...
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Executives-Training-Clinical Training
2 days ago
Cebu City, Central Visayas, Philippines AUMTREND PH INC Full time $40,000 - $60,000 per yearJob DescriptionResponsible for the review and evaluation of clinical information and documentation.Reviews documentation and interprets data obtained from clinical records or systems to apply appropriate clinical criteria and policies in line with regulatory and accreditation requirements for member and/or provider issues.Independently coordinates the...
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Clinical Application Specialist
2 days ago
Cebu City, Central Visayas, Philippines Johnson & Johnson Full time $40,000 - $60,000 per yearAt Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less invasive, and solutions are personal. Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate across...