ICU Nurse Specialist

Job title: ICU RN AuditorWork set-up: Hybrid in TaguigWork shift: Mid-shiftSalary: PHP 70,000 - PHP 80,000Required FTE: 1Job ID: J0225-1307QUALIFICATIONS:BS Nursing GraduateLicenses: PH RN or US RNMinimum 5 years experience in Post Payment Claims Auditing or as an ICU RN Auditor5-10 years experience in ICU/CCU nursingExposed to ICU experience in...

Nursing Professional Job Summary:Linda Hausermann & Associates is seeking a highly skilled Intensive Care Nursing Professional to join our team.About the Role:The successful candidate will be responsible for auditing post payment claims and providing expert clinical guidance.Key Responsibilities:Auditing post payment claims for accuracy and...

Job Overview: We are seeking a Clinical Auditor Expert to join our team at Linda Hausermann & Associates.About the Role:The successful candidate will be responsible for auditing post payment claims and ensuring that they meet the required standards.Key Responsibilities:Auditing post payment claims for accuracy and complianceConducting regular audits to...

Job Description: Post Payment Claims ConsultantAbout the Role:We are seeking a Post Payment Claims Consultant to join our team at Linda Hausermann & Associates.Key Responsibilities:Auditing post payment claims for accuracy and complianceIdentifying areas for improvement and implementing changes to improve efficiency and accuracyMaintaining up-to-date...

Job Title: Aesthetic Nurse SpecialistAt Avignon Clinic, we are seeking a skilled and experienced Aesthetic Nurse Specialist to join our team. As an Aesthetic Nurse Specialist, you will play a vital role in providing high-quality patient care and ensuring the smooth operation of our clinic.Responsibilities:Assist doctors in procedures and ensure all equipment...

Job Title: Clinical Experience SpecialistAt Gratitude Philippines, we are seeking a highly skilled Clinical Experience Specialist to join our team. As a key member of our organization, you will be responsible for reviewing patient care and developing strategies to improve the quality of care provided.Responsibilities:Conduct thorough reviews of patient care...

Registered Nurse for Healthcare BPO | Non VoiceCompany: Access Healthcare ServicesLocation: On-site - TaguigExperience: 1-3 YrsEmployment Type: Full-timeJob DescriptionDescriptionCompany DescriptionAccess Healthcare provides business process outsourcing, application services, and robotic process automation tools to healthcare providers worldwide. With 20...

We are committed to providing the highest quality patient care at Healthway Medical Network, and we rely on dedicated professionals like our Infection Control Nurse to make that happen.Nurse Specialist - Infection PreventionThe Nurse Specialist - Infection Prevention is responsible for managing the hospital's infection prevention program, ensuring that all...

Job OverviewAccess Healthcare Services is a leading provider of business process outsourcing, application services, and robotic process automation tools to healthcare providers worldwide.We are seeking a highly skilled Registered Nurse to join our team in a full-time on-site role at our McKinley Hill Cyberpark location in Taguig City. As a Registered Nurse...

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...

Job SummaryWe are seeking a skilled Registered Nurse to join our team at Santaisabel. As a key member of our healthcare operations team, you will be responsible for ensuring the delivery of high-quality patient care services.Key ResponsibilitiesCoordinate department processes to ensure efficient execution of client servicesPerform telephonic authorizations...

Required Qualifications:• Bachelor's degree in nursing (BSN)• Active unrestricted RN license that can be validated thru PRC website• 1-2 years of relevant Clinical experience in any medical/surgical department, Orthopedic, Medical/Surgical ICU, Coronary Care Unit (CCU), Rehabilitation, Emergency department• Written and verbal fluency in English•...

Serving patients and families across the Philippines requires dedication and compassion. As a Registered Nurse at Shearwater Health, you will play a vital role in ensuring seamless care delivery and accurate documentation.Work RequirementsMaintain active licensure with the Philippine Regulatory Commission (PRC).Demonstrate strong organizational skills to...

Access Healthcare Services seeks a highly skilled Registered Nurse to fill the position of Utilization Management Specialist.About the OpportunityThis role offers an exciting chance for a Registered Nurse with active licensure to apply their clinical expertise in managing patient cases and ensuring optimal healthcare outcomes.ResponsibilitiesEnsure...

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...

Roles and Responsibilities:• PH Nurses to review treatment authorization request based on state guidelines and medical necessity and take decision to approve/deny. In case of denial send this to independent panel review to support the decision. Nurses will work with Claims adjuster on denial decision based on risk tolerance to ensure the denial doesn't...

Healthcare Utilization Specialist RoleWe are seeking a skilled Healthcare Utilization Specialist to join our team. As a Healthcare Utilization Specialist, you will play a critical role in optimizing healthcare resource allocation.This position requires strong analytical skills and the ability to work independently. The ideal candidate will have a Bachelor's...

Summary:The Clinical Review Nurse position assesses the medical appropriateness of proposed treatments and medications for our injured employees, and partners with the Client Claims Adjuster team to expedite medically necessary treatment for each claim. Maintains a solid understanding of Client's mission, vision, and values. Upholds the standards of the...

Summary:The Clinical Review Nurse position assesses the medical appropriateness of proposed treatments and medications for our injured employees, and partners with the Client Claims Adjuster team to expedite medically necessary treatment for each claim. Maintains a solid understanding of Client's mission, vision, and values. Upholds the standards of the...

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...