
Nurse Clinician
2 days ago
We are seeking an experienced and highly motivated nurse to fill the role of Clinical Nurse Case Manager. This position involves critical thinking, strong clinical expertise, and excellent communication skills.
Key Responsibilities:- Conduct reviews to assess appropriateness of treatment settings and ensure compliance with applicable criteria.
- Review service requests to verify member eligibility, benefits, and contracts.
- Collaborate with clinical reviewers and medical directors to ensure high-quality, cost-effective care.
Responsibilities also include conducting UM pre-service, concurrent, retrospective, out-of-network, and appropriateness of treatment setting reviews. The ideal candidate will possess an active USRN license, at least 1 year of clinical experience, and a deep understanding of client-specific criteria sets and medical policy guidelines.
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Healthcare Operations Specialist
2 days ago
Davao City, Davao, Philippines beBeeIntake Full time ₱129,600 - ₱145,200Yellowstone Local is a staffing and recruiting agency dedicated to supporting the skilled trades industry. We connect high-performing talent with growing home service companies across the U.S. Our clients depend on skilled professionals to help drive their business growth. At Yellowstone Local, we take pride in matching the right people with the right...
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Notes Auditor
1 week ago
Davao City, Davao, Philippines Novacare Administrative Solution's (NCAS) OPC Full time ₱500,000 - ₱1,000,000 per yearNovaCare Administrative Solutions is a newly established business Process Outsourcing Company based in Davao City which aims to provide excellent customer service to its partner healthcare agencies and delivering QA services that set new standards in Healthcare services. At the same time, we offer employment opportunities to local talents and help them...
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Clinical Nurse Manager
1 week ago
Quezon City, National Capital Region, Philippines Worldwide Healthstaff Solutions Full time $60,000 - $80,000 per yearWe are looking for a highly motivated professional who is well versed in clinical knowledge, healthcare staffing, people leadership and job matching. This role will interview local and US healthcare professionals and clinicians/travelers to help fill in positions that match their clinical skills and hospital unit needs. Job Responsibilities: Conduct...
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Nurse Clinician for Document Review
1 day ago
Marikina City, National Capital Region, Philippines beBeenurse Full time $48,000 - $52,000Job Title: Registered Nurse – Quality AssuranceLocation: Remote (Central Time hours)Hours: Full-time, 37.5 hours/week
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Executives-Clinicians-Nurses
1 week ago
Pasay City Central Post Office, Philippines AUMTREND PH INC Full time $40,000 - $60,000 per yearJob DescriptionResponsible for the review and evaluation of clinical information and documentation, fax triage and conversion, and provider calls.Reviews documentation and interprets data obtained from clinical records or systems to apply appropriate clinical criteria and policies in line with regulatory and accreditation requirementsProtects the...
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Home Healthcare Coordinator
2 days ago
Quezon City, National Capital Region, Philippines beBeeHealthcare Full time $13,000Job Title: Home Healthcare AdministratorWe are seeking a skilled professional to oversee intake coordination, compliance, and clinical documentation for our home healthcare services. As a key member of our team, you will be responsible for managing new patient intakes, ensuring regulatory compliance, and collaborating with clinicians and administrative...
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Home Health Services Administrator
2 days ago
Iloilo City, Western Visayas, Philippines beBeeHealthcare Full time ₱12,960 - ₱128,800Job Title: Home Health Care CoordinatorOur organization is seeking a skilled and experienced professional to oversee intake coordination, compliance, and clinical documentation for our home healthcare services. As the critical bridge between physicians, nurses, patients, and administrative staff, you will ensure seamless operations and accurate patient...
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Healthcare Intake Specialist
2 days ago
Mandaluyong City, National Capital Region, Philippines beBeeCoordinator Full time $12,960Intake Coordinator Role OverviewWe are seeking a skilled Intake Coordinator to manage and coordinate intake processes for new patients, ensuring compliance with regulations.Key ResponsibilitiesReview, write, and edit high-level clinical notes in collaboration with physicians and nurses.Track referrals, authorization statuses, and admission workflows...
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Intake Coordination Specialist
2 days ago
Angeles City, Central Luzon, Philippines beBeeHealthcare Full time $108,000 - $130,000Home Health Care Intake CoordinatorWe are seeking a seasoned professional to oversee intake coordination, compliance, and clinical documentation in our home healthcare organization. The ideal candidate will have 3–5 years of experience in intake coordination in the United States, preferably within California's home health sector.Responsibilities:Manage and...
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Healthcare Intake Specialist
2 days ago
Caloocan City, National Capital Region, Philippines beBeeIntakeCoordinator Full time $1,080 - $12,960Job OpportunityWe are seeking a highly skilled and organized professional to join our team as an Intake Coordinator.About the RoleThe successful candidate will be responsible for coordinating the intake process for new patients, ensuring compliance with relevant regulations.They will work closely with physicians and nurses to review, write, and edit...
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Home Healthcare Professional
2 days ago
Paranaque City, Calabarzon, Philippines beBeeHealthcare Full time $1,296 - $12,960We are seeking a skilled Home Healthcare Administrator to oversee intake coordination, compliance, and clinical documentation. This is an exciting opportunity for a clinical rockstar who thrives in a fast-moving, high-touch environment.ResponsibilitiesManage the intake process for new patients, ensuring adherence to CMS and California state...
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Executives-Training-Clinical Training
1 week 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...