PHRN Hospital Clinical Appeals

1 week ago


Manila, National Capital Region, Philippines Cobden & Carter International Full time ₱448,000 - ₱548,000 per year

Requirements:

  • Bachelor's degree of Nursing + PHRN Active License
  • At least 2-3 years clinical exp-bed side, critical care in Tertiary Hospital (ICU, CCU, Telemetry, Cardiovascular ICU, Medical ICU, ER, MS); Exp should be from the past 5 years

SALARY PACKAGE:

  • PHP 35, 000 - PHP 45,000 Basic Salary + PHP 3,600 NTA Allowance + PHP 8,000 PHRN Allowance (Taxable)
  • Hybrid; Graveyard Shift; US Holidays

LOCATION: Taguig and Makati



  • Manila, National Capital Region, Philippines R1 RCM Full time ₱300,000 - ₱600,000 per year

    LOOKING FOR FILIPINO CANDIDATES RESIDING IN THE PHILIPPINES.We are hiring forClinical Appeals WriterQualifications:Basic Clinical Appeals writing experienceAt least 1+ years of Clinical / Hospital Experience.BS Nursing graduate.With an active PHRN / USRN LicenseStrong familiarity with using EMR/EHR (Electronic Medical Records or Electronic Health...


  • Manila, National Capital Region, Philippines GGIS - Global Group Innovative Services Full time ₱280,000 - ₱600,000 per year

    Ready to take your nursing career to the next level? Join one of the leading healthcare accounts in the country Whether your strength is bedside care, clinical support, or BPO healthcare, we have a spot for you.1 — PHRN (Registered Nurse) | Critical Care AccountLocation: Taguig City or MakatiWork Setup: Hybrid | Graveyard Shift | US HolidaysSalary Range:...


  • Manila, National Capital Region, Philippines Global Group Innovative Services, Inc. Full time ₱40,000 - ₱50,000 per year

    PHRN – Healthcare Account (BPO and Hospital Experience)Work Setup: 100% OnsiteWork Location: ManilaStart Date: ASAPOpenings: 7Job OverviewWe are hiring Active Philippine Registered Nurses (PHRN) with both hospital and BPO healthcare voice experience. The successful candidate will provide clinical support and medical review assistance to international...

  • PHRN Quality Analyst

    15 hours ago


    Manila, National Capital Region, Philippines PMConsulting Full time ₱800,000 - ₱1,200,000 per year

    The Quality Analyst will play a crucial role in ensuring the quality of services provided in our Utilization Management, Clinical Denials, and Appeals accounts. The ideal candidate must be a Licensed Nurse with at least 2 years of relevant experience, responsible for monitoring calls and cases, analyzing performance metrics, and providing feedback to improve...


  • Manila, National Capital Region, Philippines PMConsulting Full time ₱480,000 - ₱720,000 per year

    We are seeking a highly skilled and dedicated Philippine Registered Nurse (PHRN) with a strong background in Emergency Department (ED) or Intensive Care Unit (ICU) settings. The ideal candidate will provide exceptional patient care, apply critical thinking in high-pressure situations, and support clinical documentation or healthcare-related operations in...

  • Clinical Pharmacist

    15 hours ago


    Manila, National Capital Region, Philippines MCU Hospital Full time ₱1,500,000 - ₱3,000,000 per year

    The Clinical Pharmacist is responsible for the monitoring and transcribing of drugs and other pharmaceutical preparations.Key job results include appropriate unit dose of drugs preparation; correct drug information provided to patients; accurate and updated records; accurate encoding of unit dose drugs.DUTIES AND RESPONSIBILITIESInterprets and transcribes...

  • PHRN Team Lead

    1 week ago


    Manila, National Capital Region, Philippines Nezda Technologies, Inc. Full time ₱80,000 per year

    NOW HIRING: TL – Clinical Authorization (Pharma) / Prior Authorization Team Lead QA – RCM (Releasing of Information) Locations: Taguig | Ortigas Schedule: Nightshift Setup: Onsite Compensation: Up to ₱80,000 basic, depending on current salary With allowances and benefits (to be discussed)Qualifications:For TL – Clinical Authorization (Pharma) /...

  • URGENT: USRN

    14 hours ago


    Manila, National Capital Region, Philippines Nezda Technologies, Inc. Full time ₱65,000 per year

    Be part of a top healthcare organization where your clinical expertise makes an impact. Enjoy a competitive salary, fast process, and an ASAP start date — apply now and advance your nursing career today Location: Onsite in Ortigas, Pasig Start Date: ASAP / Night shift Competitive Pay + Benefits + Career GrowthOpen Roles:USRN – Hospital Experience (offers...


  • Manila, National Capital Region, Philippines NTT DATA Full time ₱300,000 - ₱600,000 per year

    Performs quality audits on clinical reviews needed to resolve and process appeals. Provides guidance on preparing case reviews for Medical Directors by researching the appeal, reviewing applicable criteria, and analyzing the basis for the appeal. Ensures timely review, processing, and response to appeal in accordance with State, Federal and NCQA standards....


  • Manila, National Capital Region, Philippines The Nippon Telegraph and Telephone Corporation (NTT) Full time ₱600,000 - ₱800,000 per year

    Performs quality audits on clinical reviews needed to resolve and process appeals. Reviews medical records and clinical data to determine medical necessity for services in accordance with policies, guidelines, and National Committee for Quality Assurance (NCQA) standards. Roles and Responsibilities:Provides guidance on preparing case reviews for Medical...