RN Clinical Lead

Job RequirementsTo be successful in this role, you must have strong understanding of chronic disease management, patient education, and care coordination. Proficiency in EMR/EHR systems and telehealth platforms is also required.Key ResponsibilitiesRegistered Nurse (RN) or BSN graduate from the Philippines with at least 2 years of clinical...

Job Description:Responsible for serving as the operations point of contact for day-to-day operations, including but not limited to facilitating issue resolution and meeting goals and targets. Primary duties may include, but are not limited to:Conducts performance reviews and participates in performance management initiatives.Acts as a liaison for both...

We are seeking a highly skilled Clinical Care Coordinator to join our team at Private Advertiser.The successful candidate will be responsible for ensuring medically appropriate, high-quality, cost-effective care through assessing the medical necessity of inpatient admissions and extensions of stay, outpatient services, out-of-network services, and...

ResponsibilitiesThe successful candidate will be responsible for conducting research and identifying relevant medical coding and billing documents to support our automated claims editing solution.They will also provide written and oral presentations to stakeholders to obtain consensus on proposed denial criteria and support customers with clinical content...

About the RoleCarelon Global Solutions is seeking an experienced Operational Manager Clinical Trainer to lead our team in delivering exceptional results. As a key member of our operations team, you will be responsible for overseeing day-to-day activities and ensuring that all goals and targets are met.Main Responsibilities:Performance Management: Conduct...

At Shearwater Health, we're committed to providing exceptional healthcare services. As a Clinical Program Manager, you will play a crucial role in ensuring the effectiveness of our teams and driving results through effective people development and performance management.To develop, motivate and manage assigned Team Leads towards meeting or exceeding customer...

Access Healthcare is looking for a Utilization and Clinical Denials Nurse to join our growing clinical account. The ideal candidate is a Licensed Philippines Nurse with at least one (1) year of hospital bedside experience and a strong understanding of utilization review, clinical documentation, and denial management in a BPO set-up. This role involves...

Qualifications:Graduate of Bachelor of Science in Nursing (BSN)Currently holds unrestricted US Registered Nurse licenseA minimum of three (3) months' of prior working experience as a Registered Nurse in a clinical setting required (preferred to be most recent experience)Willing to work on site, possible sites are: Boni Cybergate 3 or TaguigWilling to work on...

Grow with us in the heart of Metro Manila This position is an onsite independent contractor role, based in Ortigas CBD, Pasig, right by Ortigas Station MRT.ROLE OVERVIEW:Provide monthly care coordination for patients with chronic conditions such as diabetes, hypertension, COPD, and heart disease.Develop and update personalized care plans in collaboration...

Nezda Technologies Inc. is currently hiring for Clinical Nurse Case Manager - USRN.Salary: P 50,000 - P 68,000 (with Perks and benefits).Work Set up: Work From HomeQualifications:Active and Non-Active USRN License.With at least 1 Year Clinical or Hospital Experience.USRN with RN License.Job Description:We are in partnership with multiple companies for this...

AGS Health is a revenue cycle management company that helps healthcare providers alleviate financial and administrative burdens.About the RoleWe are seeking an experienced Clinical Services Solutions Lead to join our leadership team. This individual will be responsible for leading the solution design team, collaborating with marketing to define GTM content,...

Job DescriptionWe are looking for a highly motivated Clinical Review Team Lead to oversee the clinical review process at WNS Global Services, Inc.Main Responsibilities:Team Leadership: Lead and guide the clinical review team to achieve quality standards.Process Improvement: Develop and implement quality management programs, ensuring compliance with...

TASQ is currently looking for a Clinical Documentation Improvement Specialist to fill an immediate opening in Pasig. The initial screening interview will be held via phone.Qualifications:Candidates must be a Registered Nurse (RN) or have completed a Medical Allied Course.They must hold at least one active certification, such as a Philippine Registered Nurse...

Job DescriptionAs a CSU Trainer, your primary roles will be onboarding and training new hires through different modules of the CSU program, which includes but is not limited to domain training, charts immersion, and process training. You are also expected to provide support during the ramp phase and conduct random internal quality reviews aimed at...

About Us:Omega Healthcare Management Services Inc. is a trusted name in the healthcare industry, dedicated to providing exceptional patient care.Salary Range:The compensation for this role includes a competitive salary and bonuses based on performance.Job Summary:We are seeking a skilled US Registered Nurse with experience in acute care settings to join our...

We are currently seeking a Clinical Analyst to support a growing client base while combining their clinical and/or coding expertise with payment accuracy. The Clinical Analyst is responsible for analyzing, interpreting, and assigning the correct codes for the descriptions available on various medical procedures and diagnoses, as well as other related medical...

Be a USRN for FREE Join our NCLEX AcademyLocation: Vertis North, Quezon CityQualifications:Must be a registered nurse with 2 years bedside hospital or clinical experienceCan start AS SOON AS POSSIBLEWilling to review onsite - QCWilling to take 10k monthly allowance while reviewingBenefits:PURE REVIEW 5 hours - 7 pm to 12 midnightAfter passing NCLEX, you will...

Responsible for collaborating with healthcare providers and/or consumers to drive personalized health management and improve health outcomes for optimal consumers. Performs care management activities within the scope of licensure for members with complex and chronic care needs.Primary duties may include, but are not limited to:Ensures medically appropriate,...

As a Care Delivery Consultant with Private Advertiser, you will play a key role in shaping the delivery of high-quality, cost-effective care to our consumers.Your primary focus will be on ensuring medically appropriate care through assessing the medical necessity of inpatient admissions and extensions of stay, outpatient services, out-of-network services,...

PRODUCT & CLINICAL SPECIALIST (MEDICAL IMAGING)QUALIFICATIONSMedical Allied graduate – must be licensed radiologic technologist.Minimum of 3 years of clinical experience as a general imaging or sonographer with experience in commercial clinical sales.Sales experience in the healthcare industry is a plus.Clinical product specialist include a bachelor's...