ccu jobs in Manila

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...

ROLE AND RESPONSIBILITIESThe 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...

Concentrix is seeking a licensed RN (PHRN) in Metro Manila for a remote utilization review role. You will apply InterQual or MCG guidelines to determine medical necessity and coordinate with providers to ensure documentation supports the level of care. The role requires 2+ years bedside experience in ICU/CCU/ER, 1 year InterQual/MCG experience, and a stable...

Concentrix Philippines is seeking a Clinical Appeals Specialist (PHRN) to review, process, and resolve appeals in line with NCQA and CMS standards. You will ensure timely, clinically sound determinations and support case documentation for payor programs. The role requires a BS Nursing with an active PHRN license, 1 year with InterQual or MCG, and 2 years...

Private Advertiser is seeking a Clinical Appeals Specialist for a temporary work-from-home role. You will handle client inquiries, provide assistance, and help resolve issues efficiently to maintain high service levels.The role requires 1+ year BPO/CPO experience, familiarity with InterQual or MCG, and 2+ years bedside clinical experience (ICU/CCU/ER). PHRN...

Responsibilities Apply InterQual or MCG (Milliman Care Guidelines) to determine the medical necessity of requested services. Coordinate with healthcare providers to ensure clinical documentation supports the level of care. Maintain high accuracy and productivity standards in a remote, fast-paced environment. Qualifications Education: Graduate of BS...

TEMPORARY WORK FROM HOME Office: Bridgetowne, Quezon City About the role As a Clinical Appeals Specialist, you will be responsible for delivering exceptional service to clients by handling inquiries, providing assistance, and resolving issues in a professional and efficient manner. Key responsibilities Handle inquiries from clients Provide assistance to...

Concentrix is seeking a licensed RN (PHRN) in Metro Manila for a remote utilization review role. You will apply InterQual or MCG guidelines to determine medical necessity and coordinate with providers to ensure documentation supports the level of care.The role requires 2+ years bedside experience in ICU/CCU/ER, 1 year InterQual/MCG experience, and a stable...

Remote Patient Care Coordinator — US Cardiology Team (RN/MA/CNA) | $5-6/hr Coordinates patient care and clinical operations for a US-based cardiology team, with a focus on patient communication, documentation, and workflow support. Sector Healthcare — Cardiology / Care Coordination Reports to Clinical Lead / Provider Team Type Full-time Hours US...

Are you ready to POWER UP your skills? Take the leap and join Concentrix's League of TOP-NOTCH TALENTS ! Prepare for an Extra-Ordinary Journey where you not only Collaborate with Industry Champions but also immerse yourself in an Innovative Workplace filled with Laughter, Continuous Learning, and Limitless Opportunities. Join the Leading Global Provider of...

Concentrix is seeking a licensed RN (PHRN) in Metro Manila for a remote utilization review role. You will apply InterQual or MCG guidelines to determine medical necessity and coordinate with providers to ensure documentation supports the level of care. The role requires 2+ years bedside experience in ICU/CCU/ER, 1 year InterQual/MCG experience, and a stable...

ResponsibilitiesApply InterQual or MCG (Milliman Care Guidelines) to determine the medical necessity of requested services.Coordinate with healthcare providers to ensure clinical documentation supports the level of care.Maintain high accuracy and productivity standards in a remote, fast-paced environment.QualificationsEducation: Graduate of BS...

On-site - Manila 1-3 Yrs Exp Bachelor Full-time Job Description Description Job Title: Branch Cashier / Treasury Assistant Location: Binondo RESPONSIBILITIES: 1. Receipt of Cash and Check Payments 1.1. Receive, process, and apply cash, check, and credit card payments to client accounts receivable within the core system, ensuring the accurate...

In line with our growing business, we are seeking energy professionals with strong consultancy experience to support the development and delivery of LNG and broader energy projects across Asia. As part of AFRY's interconnected energy team, you will provide technical advisory and consultancy services across the project development lifecycle, with a strong...

Responsibilities Apply InterQual or MCG (Milliman Care Guidelines) to determine the medical necessity of requested services. Coordinate with healthcare providers to ensure clinical documentation supports the level of care. Maintain high accuracy and productivity standards in a remote, fast-paced environment. Qualifications Education: Graduate of BS...

Company Description AFRY is one of the largest international power sector consulting and engineering companies with about 19,000 experts working across the world to create sustainable solutions for future generations. In SE Asia, we are a leading power sector consulting engineering company executing our regional consultancy and engineering assignments mainly...

Company Description AFRY is one of the largest international power sector consulting and engineering companies with about 19,000 experts working across the world to create sustainable solutions for future generations. In SE Asia, we are a leading power sector consulting engineering company executing our regional consultancy and engineering assignments...

AboitizPower, a leading energy company in the Philippines, seeks a New Energy Specialist to drive BESS and new technology initiatives from concept to delivery. You will engage with the Business Development team to deliver results, contribute to community impact, and grow in a purpose-driven environment. Required are a Bachelor's in Engineering, 8+ years in...

Concentrix Philippines is seeking a Clinical Appeals Specialist (PHRN) to review, process, and resolve appeals in line with NCQA and CMS standards. You will ensure timely, clinically sound determinations and support case documentation for payor programs. The role requires a BS Nursing with an active PHRN license, 1 year with InterQual or MCG, and 2 years...

Private Advertiser is seeking a Clinical Appeals Specialist for a temporary work-from-home role. You will handle client inquiries, provide assistance, and help resolve issues efficiently to maintain high service levels. The role requires 1+ year BPO/CPO experience, familiarity with InterQual or MCG, and 2+ years bedside clinical experience (ICU/CCU/ER). PHRN...