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Case Manager Nurse

2 weeks ago

Pasig, Philippines TASQ Staffing Solutions Full time

TASQ is seeking a USRN case manager to join their team in Pasig on-site as soon as possible.

The pre-screening interview will be done over the phone.

Qualifications:

- Bachelor's degree in nursing; a USRN license is mandatory.

- A minimum of 1 year of hospital nursing or case management experience within a clinical setting for a US-based healthcare organization is required.

- Experience in Prior Authorization, Case Management, and Utilization Review.

Experience (Preferred):

- Prior Authorization: 1 year

- Case Management: 1 year

- Utilization Review: 1 year

Full job description:

The case manager nurse will engage regularly with various clinical specialties and physicians. The role involves consistent communication with insurance providers, patients and their families, legal representatives, and staff from other medical facilities. Additionally, they will frequently coordinate with nursing teams, billing departments, medical social workers, and staff from different departments.