
Senior Clinical Nurse Case Manager
20 hours ago
We are seeking a seasoned Clinical Nurse Case Manager to join our team. This role involves working with clients to provide quality healthcare in a cost-effective manner.
Key Responsibilities:
- Conduct medical management reviews to ensure that clients receive necessary treatment while minimizing costs.
- Consult with clinical reviewers and licensed medical directors to ensure high-quality care throughout the process.
- Review service requests to ensure compliance with applicable criteria, medical policy, and client eligibility.
- Develop and implement plans to ensure members have access to medically necessary healthcare in a cost-effective setting.
- Collaborate with internal stakeholders to facilitate effective communication and achieve desired outcomes.
Requirements:
- A valid USRN License is required.
- At least 1 year of experience in a clinical or hospital setting.
- Strong analytical and problem-solving skills are essential.
- Excellent communication and interpersonal skills are required.
Benefits:
- Competitive salary range.
- Opportunities for professional growth and development.
- Flexible work arrangements, including remote work options.
Work Environment:
This is a direct employment opportunity with no bond requirement. The ideal candidate will be able to work independently and as part of a team to achieve desired outcomes.
-
Clinical Case Specialist
21 hours ago
Cainta, Calabarzon, Philippines beBeeCase Full time ₱40,000 - ₱65,000Job Title: Clinical Case SpecialistWe're seeking a skilled Clinical Case Specialist to enhance our case conversion process through a voice-based intake system.This role focuses on outbound calls, handling inbound calls as needed, guiding potential clients through the intake process, and accurately capturing case details.Make outbound calls to follow up on...
-
Dedicated Registered Nurse
21 hours ago
Cainta, Calabarzon, Philippines beBeeNursing Full time ₱50,000 - ₱60,000Discover Your Calling as a USRN - Mainland LicenseAttracting skilled nursing professionals, Nezda offers an exceptional opportunity to grow your career while working from home in a virtual setting.Job Description:The role involves conducting non-clinical research and making determinations to support case assignments.Key Responsibilities:Conduct in-depth...
-
Nurse Triage Specialist
21 hours ago
Cainta, Calabarzon, Philippines beBeeCare Full time ₱400,000 - ₱650,000Job SummaryWe are seeking a skilled Nurse Triage to join our team. As a key member of our clinical staff, you will serve as the point of contact for patients in our virtual behavioral health program.This is a unique opportunity to leverage your clinical expertise and work in a dynamic, patient-centered environment.">The successful candidate will have strong...
-
Senior Case Manager
20 hours ago
Cainta, Calabarzon, Philippines beBeeCase Full time $60,000 - $80,000Senior Case ManagerWe are seeking a skilled Senior Case Manager to oversee the pipeline of incoming pre-settlement funding applications. As a key member of our team, you will be responsible for managing client and case relationships, communicating with attorneys and medical providers, and providing guidance throughout the funding process.Main...
-
Clinical Delivery Manager
21 hours ago
Cainta, Calabarzon, Philippines beBeeOperations Full time $70,000 - $95,000Job OverviewThe Clinical Operations Specialist plays a pivotal role in ensuring exceptional delivery of clinical services across onsite and virtual channels. This position acts as the key representative for enterprise clients, bridging client expectations with internal clinical standards and operational excellence.Key ResponsibilitiesClient Relationship...
-
Senior Clinical Coordinator – Home Health Services
17 hours ago
Cainta, Calabarzon, Philippines beBeeHomeHealth Full time $12,960Healthcare Administrator Job DescriptionWe are seeking a skilled Healthcare Administrator to oversee intake coordination, compliance, and clinical documentation. This role requires strong clinical skills and experience leading intake processes.Job Responsibilities:Manage new patient intakes, ensuring regulatory complianceReview and write high-level clinical...
-
Senior Clinical Operations Specialist
18 hours ago
Cainta, Calabarzon, Philippines beBeeClinical Full time ₱3,000,000 - ₱5,085,496Key Clinical Operations RoleAs a clinical operations representative, you will act as the key point of contact for enterprise clients in your assigned regions. You will ensure exceptional delivery of clinical services across onsite and virtual channels, provide case management, maintain service quality, and oversee regional clinicians.This role bridges client...
-
Healthcare Peer Review Specialist
18 hours ago
Cainta, Calabarzon, Philippines beBeeCare Full time $30,000 - $35,000Job OverviewWe are seeking a detail-oriented and skilled professional to support our Residential, PHP, and IOP levels of care.This individual will be responsible for conducting peer reviews, case consultations, and interfacing with insurance payers to obtain continued authorization.The ideal candidate will be a licensed clinical or medical professional who...
-
Registered Nurse
7 days ago
Cainta, Calabarzon, Philippines Mad Food Concepts, Inc Full time ₱1,100 per yearSureVax Animal Bite Clinic and Vaccination Services is seeking dedicated and experienced Registered Nurses to join our team.1. Patient Care and Treatment:a.Provide direct patient care, including assessment and treatment of patients.b. Follow and enforce the agreed SOPs and Department of Health (DOH) guidelines for treating rabies and providing post-exposure...
-
Nurse Advocate
17 hours ago
Cainta, Calabarzon, Philippines beBeeCare Full time ₱1,000,000 - ₱1,500,000Care Coordinator Job OpportunityThis is a full-time night shift role, ideal for nurses who are fluent in English and committed to making a difference in patients' lives.The Care Coordinator will be responsible for managing patient care plans, conducting telephonic outreach and/or in-person assessments, collaborating with healthcare professionals, educating...