Medical Case Manager

Job Summary:We are seeking an experienced Medical Case Manager to join our team at Gratitude Philippines. As a Medical Case Manager, you will play a vital role in ensuring that our clients receive the most effective and efficient medical treatment possible. Your expertise in case management will enable you to develop and implement comprehensive treatment...

Roles and Responsibilities:• PH Registered nurses to review workers compensation claims with serious injury and that need surgery/lengthy treatments, create a return-to-work plan, work with various stakeholders (medical providers, injured worker, employer, attorney) to track the treatment plan and help bring the injured worker back to work.• Nurses have...

As a Medical Case Management Specialist at RecruiterPH, you will have the opportunity to make a meaningful impact on the lives of employees who are struggling with illness or injury.About the Role:In this critical position, you will be responsible for coordinating care and developing individualized case management plans to help employees achieve optimal...

About the Opportunity:Sun Life Financial is committed to providing exceptional service to our clients and employees. As a Disability Case Specialist, you will play a vital role in delivering this promise by adjudicating disability claims, coordinating interventions, and working collaboratively with stakeholders to ensure timely and effective support.Key...

Job SummaryWe are seeking a highly skilled Medical Case Manager to join our team at Gratitude Philippines. As a key member of our healthcare team, you will be responsible for coordinating the return-to-work process for injured workers, ensuring timely and effective medical treatment, and promoting optimal outcomes.This role requires strong clinical...

About the Role:As a Disability Case Specialist at Sun Life Financial, you will play a crucial role in helping clients achieve lifetime financial security and live healthier lives. You will be responsible for adjudicating disability claims, coordinating interventions, and working collaboratively with stakeholders to provide timely and effective support.Key...

- Adjudicate disability for eligibility of short and long-term benefits. This includes reviewing and analyzing contractual, medical, functional and occupational information- Coordinate appropriate interventions including, but not limited to: Independent Medical Evaluations, Functional Capacity Evaluations, Ergonomic assessments, Medical Consultant Opinions,...

At Recruiter PH, we're looking for a skilled Disability Case Manager Specialist to join our team.Job Summary:This role involves adjudicating disability claims to determine eligibility for short and long-term benefits. The successful candidate will review and analyze contractual, medical, functional, and occupational information, as well as coordinate...

What will you do?o Adjudicate disability for eligibility of short and long-term benefits. This includes reviewing and analyzing contractual, medical, functional and occupational informationo Coordinate appropriate interventions including, but not limited to: Independent Medical Evaluations, Functional Capacity Evaluations, Ergonomic assessments, Medical...

What will you do?o Adjudicate disability for eligibility of short and long-term benefits. This includes reviewing and analyzing contractual, medical, functional and occupational informationo Coordinate appropriate interventions including, but not limited to: Independent Medical Evaluations, Functional Capacity Evaluations, Ergonomic assessments, Medical...

Role OverviewThis is an exciting opportunity to join Gratitude Philippines as a clinical appeals specialist. As a key member of our team, you will be responsible for reviewing medical records, making decisions on coverage, and communicating with clients and healthcare providers. To succeed in this role, you will need at least 3 years of experience in...

About the Role:Gratitude Philippines is looking for a medical training coordinator to lead the development of training programs and initiatives. The successful candidate will have a bachelor's degree in nursing or equivalent experience, along with certification in case management, pharmacy, rehabilitation nursing, or a related specialty.Responsibilities...

Responsibilities:Research, plan, develop, implement and evaluate training strategies, initiatives, and materials including comprehensive education programs to meet orientation and ongoing competency needs and professional development needsAssess data and information related to claim medical outcome and other pertinent situations including identification of...

The Clinical Appeals Nurse plays a critical role in ensuring that patients receive the right level of care. This involves reviewing patients' medical charts, lab work-ups, and determining if they require admission, observation, or no hospital care at all.Job Description:This position requires 2 years of Adult Medical Surgical experience and 2 years of...

Responsibilities:Research, plan, develop, implement and evaluate training strategies, initiatives, and materials including comprehensive education programs to meet orientation and ongoing competency needs and professional development needsAssess data and information related to claim medical outcome and other pertinent situations including identification of...

Key ResponsibilitiesAs a Medical Coding Team Leader at Visage Executive Search, you will be responsible for leading our Inpatient DRG coding team to deliver high-quality results. Key responsibilities include:• Ensuring the team meets productivity and quality targets• Managing the day-to-day operations of the Coding and Auditing Services• Handling team...

Job OverviewVisage Executive Search is seeking a seasoned Medical Coding Team Leader to lead our Inpatient DRG coding team. The successful candidate will possess excellent leadership skills, technical expertise in DRG coding, and experience in managing high-performing teams.The ideal candidate will have a strong background in medical coding, with a focus on...

At Principal Global Services, we are seeking a detail-oriented and meticulous member to join our team as a Claims Manager - Pregnancy and STD Cases. This role involves effectively managing all STD/Pregnancy claims per department guidelines, ensuring timely and accurate decisions in accordance with performance expectations. The ideal candidate should possess...

COMPANY PROFILE: This company have been the world leader for nearly 34 years. They specialize in technology software, research and development. This company is part of a global network known for innovation and expertise, delivering services that empower clients to excel as high-performance entities.Position: Medical Consulting ManagerCompany Industry: BPO/IT...

COMPANY PROFILE: This company have been the world leader for nearly 34 years. They specialize in technology software, research and development. This company is part of a global network known for innovation and expertise, delivering services that empower clients to excel as high-performance entities.Position: Medical Consulting ManagerCompany Industry: BPO/IT...