Clinical Review Nurse

Job OverviewThe Clinical Appeals Nurse role involves medical chart review to determine the appropriate level of care for patients.ResponsibilitiesReview medical records and lab results to determine hospital admission, observation, or no hospital care is required.Key Requirements:2-4 years of experience in adult Medical-Surgical and General Ward...

Job SummaryWe are seeking an experienced Clinical Nurse Case Manager to join our team. This is a remote opportunity that offers flexibility and autonomy.The ideal candidate will have a strong background in nursing, with experience in clinical or hospital settings. They will be responsible for conducting medical management reviews, ensuring member access to...

Location: Makati | Full Onsite | Day shift scheduleJob Overview:The Clinical Nurse will be responsible for delivering high-quality, patient-centered care and supporting daily clinical operations. Key duties include assisting with assessments, maintaining accurate patient documentation, and collaborating with healthcare professionals to ensure effective care...

Healthcare SpecialistWe are seeking a qualified professional to fill a clinical review and adjudication role. The ideal candidate will have experience in clinical review, excellent verbal and written communication skills, and be able to work independently with minimal supervision.Clinical Review Nurses – Conduct clinical reviews of cases not meeting...

We are hiring Clinic Nurse for well-established, full-service medical clinics in prime locations. These roles provide hands-on clinical care and patient support in a fast-paced, team-based setting.Key Responsibilities:Provide professional and compassionate nursing care to walk-in and scheduled patients.Assist in patient triage, medical history taking, vital...

Job OpportunityWe are seeking a highly skilled and experienced Licensed Nurse to join our team. The successful candidate will possess excellent communication skills, strong analytical abilities and the capacity to work in a dynamic and fast-paced environment.Key Responsibilities:Conduct in-depth non-clinical research to support case determinationsDetermine...

Job Overview:We are seeking a highly skilled Registered Nurse to provide clinical support for performing thorough reviews of appeals and quality of service issues.Key Responsibilities:Analyzing, reviewing and evaluating appeals in compliance with state and federally mandated timelines and process requirementsComplying with employment contract terms,...

Job Description:As a Registered Nurse – Quality Assurance Specialist, you will be responsible for reviewing clinical documentation and timesheets for accuracy and quality. This role is crucial in ensuring our records are error-free, grammatically correct, and aligned with the plan of care.Review staff clinical notes to ensure accuracy and consistency with...

Are you a skilled and compassionate healthcare professional ready to take the next step in your leadershipjourney? We're looking for a Nurse Supervisor who can inspire teams, elevate patient care, and drive service excellence. If you thrive in a fast-paced clinical setting and are passionate about both people and patient outcomes — this is the role for...

Are you a skilled and compassionate healthcare professional ready to take the next step in your leadershipjourney? We're looking for a Nurse Supervisor who can inspire teams, elevate patient care, and drive service excellence. If you thrive in a fast-paced clinical setting and are passionate about both people and patient outcomes — this is the role for...