Clinical Bedside RN

Healthcare Professional Job OpportunityThe ideal candidate will possess active PHRN and USRN Mainland License, with a preference for 1 year of clinical bedside experience.Background in Workers Compensation Utilization Management reviews for Inpatient/Outpatient services according to URAC standards and client requirements is essential.Experience in Healthcare...

QualificationsMust have an active PHRN license, preferably not holding a nursing license from another state. At least 6 months of experience in Clinical Authorization or Clinical Denials and Appeals, with familiarity in medical necessity, clinical authorization, and denial & appeal criteria. At least 6 months of bedside nursing experience preferred but not...

Looking for USRN and PHRN Hiring for both USRN and PHRN roles in Bonifacio Global City PHRN - Responsibilities Gather clinical documentation for Prior Authorization Verify the patient eligibility and benefits - Qualifications Active Philippine RN license With healthcare or prior auth experience preferred At least 1 year bedside USRN -...

Key Responsibilities:Provide direct nursing care to patients in accordance with established medical protocols and policies. Monitor and record patients conditions, symptoms, and responses to treatment. Assist physicians during examinations, procedures, and treatments. Administer medications and intravenous therapy safely and accurately. Educate...

Job Title: Clinical Utilization Review SpecialistJob Description:We are seeking a skilled Clinical Utilization Review Specialist to assess and interpret customer needs, requirements, and medical records. The ideal candidate will review medical claims for medical necessity, ensuring that services meet the highest standards of quality and care.Required Skills...

OverviewClinical Nurse (Healthcare | Registered Nurse) role at HR TechX Corp.ResponsibilitiesProvide direct nursing care to patients in accordance with established medical protocols and policies.Monitor and record patients conditions, symptoms, and responses to treatment.Assist physicians during examinations, procedures, and treatments.Administer medications...

Job DescriptionWe are seeking an experienced Clinical Nurse Case Manager to conduct medical management reviews, review service requests and ensure member access to quality healthcare in a cost-effective setting.Responsibilities:Conduct UM pre-service, concurrent, retrospective, out-of-network, and appropriateness of treatment setting reviews to guarantee...

US RN OpportunityEarn up to P60,000 per month, plus a signing bonus of P100,000. We are currently hiring for a US RN - Mainland License position that offers a work-from-home virtual process.Key Responsibilities:Conduct research to support case determinationsDetermine the appropriate team and health plan for case reviewRequired Skills and Qualifications:BS...

Clinical Operations Leadership OpportunityWe are seeking a seasoned healthcare leader to oversee the clinical operations of our organization, ensuring seamless delivery of high-quality patient care.Key Responsibilities:Lead clinical teams to achieve exceptional patient outcomes and improve operational efficiency.Develop and implement strategies to enhance...

Healthcare Specialist Position OverviewThe ideal candidate will possess strong clinical expertise, excellent communication skills, and the ability to work independently. We are seeking a skilled and experienced Healthcare Specialist to join our organization on a temporary work-from-home basis.Job Description:Conduct clinical reviews of cases not meeting...