PHRN - ICU/ER Experience Required in a Tertiary Hospital | Hybrid Work Set-up

2 weeks ago

Makati City, National Capital Region, Philippines Optum Full time ₱1,200,000 - ₱2,400,000 per year

ROLE AND RESPONSIBILITIES

  • The Clinical Appeals Nurse in Optum will ensure defensible and accurate case recommendations for concurrent admission, continued stay, and concurrent denial cases which are then reviewed by a Physician Advisor for completion of the concurrent and/or peer to peer review. They will be working directly with the Physician Advisors utilizing the guidance provided in order to make defensible and accurate case recommendations.

Your role is critical in allowing our members, families, facilities and health professionals to have greater confidence in the exceptional care we provide. And for you, an everyday opportunity to do your life's best work.

JOB QUALIFICATIONS

Primary Profile

  • PHRN with active license
  • Strong Clinical Knowledge base with a
    minimum of 2 years of Critical Care bedside experience in a tertiary hospital
    (local/overseas), (areas: ICU, Critical Care Unit, Telemetry, Cardiovascular Intensive Care Unit, Medical Intensive Care Unit, ER

WHAT WE OFFER

  • Fixed Weekends Off
  • Hybrid Work setup
  • Pure Non-Voice Account
  • Market Competitive Pay Levels
  • Retirement Plan
  • Medical Plan (HMO) from Day 1 of employment
  • Dental, Medical, and Optical Reimbursements
  • Life and Disability Insurance
  • Paid Time-Off Benefits
  • Sick Leave Conversion
  • Tuition Fee Reimbursement
  • Employee Assistance Program (EAP)
  • Annual Performance Based Merit Increases
  • Employee Recognition
  • Training and Staff Development
  • Employee Referral Program
  • Employee Volunteerism Opportunity
  • All Mandatory Statutory Benefits

WHO WE ARE

  • Optum
    is the health care technology and innovation company of the UnitedHealth Group enterprise along with UnitedHealthcare.
  • UnitedHealth Group
    is a health care and well-being company with a mission to help people live healthier lives and help make the health system work better for everyone.
  • We're a leading health solution and care delivery organization. Our work is complex, but our mission is simple: create a healthier world, with you at the center.
  • As part of a Fortune 5 enterprise, we are improving the health care experience of over 125 million people around the world.
  • We're a diverse team with operations across North America, South America, Europe, Asia Pacific and the Middle East. This includes our over 25,000 employees in the Philippines.
  • Elevate your career with a leading health care company while improving lives.

Join us in evolving health care so everyone can have the opportunity to live their healthiest life. This is your opportunity to be part of a team that's dedicated to
Caring. Connecting. Growing together

  • CSR- Hybrid Set up

    2 weeks ago

    Makati City, National Capital Region, Philippines Private Advertiser Full time ₱600,000 - ₱1,200,000 per year

    We're Hiring | Customer Service RepresentativesLocation: TaguigSetup: Hybrid set-up (Equipment Provided)Start Dates: October 20, and 27Qualifications:At least 1 year of experience (local or international) in:TelcoFinancialHealthcareLife InsuranceSchedule: Day Shift (Local) Shifting (International)Perks & Benefits:HMO on Day 1Life InsuranceService Incentive...

  • Network Security Engineer for Hybrid Set Up

    2 weeks ago

    Makati City, National Capital Region, Philippines ConnectWise Outsourcing Services Full time ₱720,000 - ₱800,000 per year

    We are looking for Network Security Engineer who has an experience for 5 years and must be college graduate, willing to work in hybrid set up in Makati. Other details will be discuss during the interview.Interested candidate please send cv to Only shortlisted candidates will be contacted via email or phone callJob Types: Full-time, PermanentPay: Php60,...

  • senior network security engineer 150k salary hybrid set up

    2 weeks ago

    Makati City, National Capital Region, Philippines ConnectWise Outsourcing Services Full time ₱1,440,000 - ₱1,800,000 per year

    This is for a hybrid set up in Makati CityRequirements and Experience:● Proven experience with Advanced Routing (BGP design and troubleshooting) and Cloud Computing (AWS, Azure, Etc.).● Cisco CCNP/CCIE, CISSP, Security+ or equivalent certifications.● Strong Expertise with Cisco Nexus devices.● Experience with Cisco NSO is desired.● Cloud...

  • hospital dietician

    2 weeks ago

    Quezon City, National Capital Region, Philippines Novaliches General Hospital Incorporation Full time ₱180,000 - ₱270,000 per year

    A hospital dietitian provides specialized dietary care and guidance to patients by assessing their nutritional needs, creating personalized meal plans, and educating them on healthy eating habits. They work with other healthcare professionals to ensure patients receive appropriate nutrition therapy for their specific conditions, such as diabetes, kidney...

  • hr-er assistant

    2 weeks ago

    Makati City, National Capital Region, Philippines ALPHA INFINITY HOLDING CORPORATION Full time ₱200,000 - ₱250,000 per year

    Join Our Team as an ER (Employee Relations) AssistantThe HR Employee Relations Assistant provides essential support in managing employee relations, ensuring a positive and productive work environment. This role involves assisting with employee communication, conflict resolution, policy administration, and maintaining compliance with labor laws and company...

  • Emergency Room Resident on Duty

    2 weeks ago

    Quezon City, National Capital Region, Philippines METRO NORTH MEDICAL CENTER AND HOSPITAL, INC. Full time ₱288,000 - ₱432,000 per year

    𝐖𝐡𝐞𝐧:November 3, slot)November 4, slots)November 6, slots)November 8, slot)November 9, slots)November 10, slot)November 11, slots)November 13, slot)November 15, slot)November 17, slot)November 18, slot)November 24, slot)November 25, slot)𝐄𝐑 𝐏𝐨𝐬𝐭: to handle ER patients (2 ER RODs per duty)𝐖𝐡𝐞𝐫𝐞: Metro North Medical...

  • Hospitality Manager

    2 weeks ago

    Makati City, National Capital Region, Philippines 1220 PACIFIC GRAND TOWER CORPORATION Full time ₱1,200,000 - ₱2,400,000 per year

    The Hospitality Manager oversees all hotel and commercial operations within the property, ensuring excellent guest experience, operational efficiency, and overall profitability. The role is responsible for maintaining brand standards, leading staff, managing financial performance, and ensuring that all departments operate in accordance with company policies...

  • healthcare documentation coordinator

    1 week ago

    Makati City, National Capital Region, Philippines Care Solutions and Outsourcing Corp. Full time ₱150,000 - ₱250,000 per year

    DUTIES:Assist Managed Care Team in US for special project and patient care required.Review and summarizing patient assessment, procedure results in a reportDocumenting patient conditions, treatments, and medication in the patients' electronic Health record.Schedule patient's appointment and post hospitalization/ER follow up.QUALIFICATIONS:Graduate of NURSING...

  • Hospitality Management Trainee

    2 weeks ago

    Makati City, National Capital Region, Philippines Anyone Can Cook Inc Full time ₱250,000 - ₱500,000 per year

    As a Hospitality Management Trainee , you'll join a group of aspiring leaders who will undergo a 9-month training program that will prepare you with the necessary know-how and skills to manage a store (or more) in the fast-paced food service environment. About the Program: We believe that leadership by example is best. Understanding the challenges faced by...

  • Telemarketer - 20K - 28K | Hybrid Set up | Start ASAP

    2 weeks ago

    Makati City, National Capital Region, Philippines Nezda Technologies, Inc. Full time ₱240,000 - ₱268,800 per year

    About the roleJoin our dynamic team at Nezda Technologies, Inc. as a Telemarketer. In this full-time, hybrid role, you will be responsible for engaging with potential customers over the phone to promote our cutting-edge products and services. This is an exciting opportunity to contribute to the growth and success of our company based in the vibrant Makati...