Clinical Case Reviewer

1 week ago


Pagadian, Zamboanga Peninsula, Philippines beBeeUtilization Full time ₱55,000 - ₱155,000
Job Title: Clinical Case Reviewer

Role Summary: Nezda Global seeks a seasoned clinical professional to review medical claims for medical necessity and provide expert advice to ensure the best possible patient outcomes.

As a key member of our team, you will be responsible for assessing customer needs, interpreting medical records, and working closely with customers to understand their requirements.

This is an excellent opportunity for an experienced healthcare professional to utilize their expertise in utilization review and management, ensuring that our customers receive the most effective and efficient treatment available.

Key Responsibilities:

  • Review medical claims for medical necessity
  • Provide expert advice on patient care and treatment options
  • Work closely with customers to understand their needs and requirements

Requirements:

  • Active PHRN and USRN Mainland License
  • 1 year Bedside experience, preferably with UR/UM experience

What We Offer:

  • Opportunities for career growth and professional development
  • A dynamic and supportive work environment

Join Our Team:

We are passionate about delivering exceptional patient care and outcomes. If you share our commitment to excellence and have a passion for healthcare, we encourage you to apply for this exciting opportunity.



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