Clinical Case Manager

Job Overview:Gratitude Philippines is seeking a highly skilled Clinical Case Manager to join our team. As a Utilization Reviewer, you will play a critical role in ensuring that patients receive necessary care while minimizing unnecessary costs. In this position, you will work closely with healthcare providers, claims adjusters, and other stakeholders to...

About the RoleGratitude Philippines is looking for an experienced Nurse Advisor to join our injury management team. This is an exciting opportunity to make a real difference in the lives of injured employees by providing expert medical guidance and support.Main Responsibilities:Triage and Case Management:Review workers' compensation claims with serious...

Job DescriptionOur Clinical Nurse Specialist - Utilization Management role requires a unique blend of clinical expertise and business acumen. As a nurse in this position, you will work closely with healthcare professionals to review cases and determine medical appropriateness.You will collaborate with UnitedHealthcare Medical Directors to perform utilization...

Roles and Responsibilities:• PH Registered nurses to review workers compensation claims with serious injury and that need surgery/lengthy treatments, create a return-to-work plan, work with various stakeholders (medical providers, injured worker, employer, attorney) to track the treatment plan and help bring the injured worker back to work.• Nurses have...

**Company Overview:**Gratitude Philippines is a leading healthcare organization that values compassion and excellence in patient care.**Job Summary:** We are seeking a skilled Medical Case Manager to join our team. In this role, you will be responsible for reviewing medical cases and making informed decisions about coverage and...

Job Description:We are seeking a Utilization Review and Case Management Professional to join our team at Gratitude Philippines. This role is ideal for a motivated and detail-oriented individual who is passionate about improving patient outcomes.Duties and Responsibilities:Conduct utilization review to ensure that patients receive necessary care and...

About the Role:The Clinical Trials Specialist is responsible for managing vendor records and ensuring compliance with SOC 1 policies and procedures. This position involves reviewing and validating contract-related documents, opening and monitoring cases, and providing timely resolution of issues.Key Responsibilities:Set-up and manage vendor records to ensure...

About Gratitude PhilippinesAt Gratitude Philippines, we strive for excellence in providing quality services to our clients. Our team is dedicated to delivering exceptional results and fostering a culture of continuous improvement.Job SummaryWe are seeking a highly skilled Clinical Operations Director to join our team. As a key member of our operations...

At Gratitude Philippines, we are committed to delivering exceptional patient care and service.We are seeking a skilled Clinical Appeals Coordinator to join our team.**Job Summary:**In this role, you will be responsible for reviewing and resolving denied medical claims, working closely with healthcare providers and insurance companies to ensure timely and...

About the JobWe are looking for a highly skilled Medical Case Management Professional to join our team at RecruiterPH. As a Medical Case Management Professional, you will be responsible for managing complex cases and providing support to employees who have experienced a disability or illness.Key ResponsibilitiesReview and analyze medical information to...

- Adjudicate disability for eligibility of short and long-term benefits. This includes reviewing and analyzing contractual, medical, functional and occupational information- Coordinate appropriate interventions including, but not limited to: Independent Medical Evaluations, Functional Capacity Evaluations, Ergonomic assessments, Medical Consultant Opinions,...

The ideal candidate will have a strong background in nursing and experience in case management, with a focus on rehabilitation and medical management.

Gratitude Philippines is seeking a dedicated Clinical Education Program Manager to oversee the development and implementation of our clinical education programs. In this role, you will be responsible for managing a team of educators and trainers, and ensuring that our programs meet the highest standards of quality and excellence.To succeed in this position,...

What will you do?o Adjudicate disability for eligibility of short and long-term benefits. This includes reviewing and analyzing contractual, medical, functional and occupational informationo Coordinate appropriate interventions including, but not limited to: Independent Medical Evaluations, Functional Capacity Evaluations, Ergonomic assessments, Medical...

Sutherland Global Services offers an exciting opportunity for a Clinical Process Expert to join our team. In this role, you will be responsible for coordinating case management, administrative responsibilities, and diagnostics-related tasks.The ideal candidate will have a strong background in healthcare and experience managing customer-facing accounts. A...

About the JobAs a Clinical Case Manager at Gratitude Philippines, you will have the opportunity to utilize your clinical expertise to help injured employees recover and return to work. Our team is dedicated to delivering high-quality care and support to those who need it most.Main Responsibilities:Clinical Assessment:Conduct thorough clinical assessments of...

We are seeking an experienced Clinical Consulting Lead to join our team of experts at Manpower Core Group Inc. In this role, you will lead cross-functional teams in delivering digital health solutions to clients worldwide.About Us: With a strong focus on the healthcare industry, we provide innovative staffing and consulting services to empower businesses to...

ThermoFisher Scientific Clinical Trials Cost ManagerJob Overview:This role plays a vital part in our Global Finance division, working closely with cross-functional teams to achieve financial and business objectives through accurate and timely reporting of revenue and costs for clinical trial projects.Responsibilities:Manage the day-to-day financial...

JOB SUMMARYSupports clinical performance by using specialty registries and databases to abstract data elements from patient records to meet applicable regulatory and safe care practice requirements. The data identified and analyzed by this team member supports ongoing quality initiatives, and is an essential part of providing safe and evidence-based care to...

Shearwater Health is the home of clinicians, a community that values passion and dedication to patient care.We are seeking a skilled Clinical Training Specialist to join our team. The ideal candidate will have a strong clinical background in orthopedics, emergency room, intensive care, neurology, occupational medicine, or rehabilitation.The responsibilities...