Clinical Nurse Care Manager Opportunity

19 hours ago


Cabuyao, Calabarzon, Philippines beBeeCare Full time ₱50,000 - ₱68,000
Role Overview

Clinical Nurse Case Managers play a pivotal role in patient care management and treatment plan coordination. Effective communication and strong clinical expertise are essential for success.

Key Responsibilities:

  • Conducting thorough Utilization Management (UM) reviews to ensure the appropriateness of treatment settings
  • Reviewing service requests for compliance with medical policy, member eligibility, benefits, and contracts
  • Collaborating with clinical reviewers and medical directors to deliver high-quality, cost-effective care

This is a direct employment opportunity, allowing you to work from home and choose the company that best suits your needs.

Required Qualifications
  • Active USRN License or equivalent
  • At least one year of experience in clinical or hospital settings
  • USRN with RN License


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