Medical Case Reviewer PHRN

Position Title:PHRN - 2024Shift:Job Description:Responsible for providing non-clinical support to the Medical Management and/or Operations areas.Primary duties may include, but are not limited to:Gathers clinical information regarding case and determines appropriate area to refer or assign case (utilization management, case management, QI, Med...

We are mass hiring PHRN across our Quezon City sites! Earn Up to 47K Monthly. Open to those without bedside experience. and newly registered are open to apply! Job Responsibilities: Telephone Triage & Health Assessment Assess patient symptoms and medical concerns over the phone. Use clinical judgment and established protocols to determine the level of care...

Full job descriptionE-TeleConnect (Paranaque) is hiring Registered Nurse Case Manager, a healthcare professional who coordinates and manages the care of patients, from the point of hospital admission to discharge. They work closely with patients, families, healthcare providers, and insurance companies to ensure that the patient receives the appropriate care,...

What we offer Salary Package: PHP 50,000 + Sign-On Bonus: PHP 50,000 Work Setup: Onsite at Bridgetowne, Quezon City Schedule: Shifting Schedule Essential Duties and Responsibilities Accurately interpret member benefits and managed care products, and guide members to appropriate providers, programs, or community resources. Collaborate with medical directors...

[Kindly submit your updated English resume.]The Medical Case Coordinator serves as the primary liaison between patients, attorneys, and medical providers following auto-related personal injury accidents. This role involves managing treatment funding requests, coordinating ongoing medical care, and ensuring compliance with confidentiality and ethical...

A PHRN - Non voice Campaign (Philippine Registered Nurse) is responsible for providing remote healthcare support through chat, email, or system-based documentation rather than phone calls. This role involves reviewing medical records, processing claims, verifying insurance details, handling case management, and ensuring compliance with healthcare protocols....

DE -PHRN Claims Management Associate Join to apply for the DE -PHRN Claims Management Associate role at myGwork - LGBTQ+ Business Community This job is with Accenture, an inclusive employer and a member of myGwork – the largest global platform for the LGBTQ+ business community. Please do not contact the recruiter directly. Responsibilities Manages incoming...

PHRN Care Management Associate A PHRN Back Office Specialist supports healthcare operations by performing administrative and clinical tasks in a non-voice (back office) setting. This role is ideal for licensed Philippine Registered Nurses (PHRNs) looking to apply their medical knowledge in a corporate or BPO environment. Review and process medical...

Job SummaryWe're hiring PH Registered Nurses (Client Insurance) to collaborate with healthcare providers and members to ensure quality, medically appropriate, and cost-effective care.You'll assess inpatient and outpatient medical necessity, coordinate discharge planning, and support utilization management and appeals review.ResponsibilitiesEvaluate medical...

Job Overview:E-TeleConnect is looking for a Spanish Bilingual Registered Nurse (RN) Case Manager to join our growing healthcare BPO team. This role involves managing patient cases remotely for US-based clients, ensuring high-quality, cost-effective care coordination. You'll serve as the bridge between patients, providers, and payers — ensuring clinical...