phrn remote jobs in Makati

Private Advertiser is seeking Philippine Registered Nurses (PHRNs) to join our team as Utilization Review Nurses. This role is WFH after regularization with initial training in Alabang, requiring strong clinical knowledge and attention to detail.You will review medical records, determine medical necessity, and ensure compliant documentation while meeting...

A healthcare company in Cebu City is seeking a Medical Coder with an active coding license. The ideal candidate must have at least 3 years of experience in medical coding and be amenable to working from home. Responsibilities include reviewing medical records, assigning coding accurately, and ensuring compliance with regulations. This role offers a salary...

Recruitify_HR is seeking an experienced Registered Nurse (PHRN) with Clinical Appeals DRG expertise to join our Healthcare BPO team. Review inpatient records, evaluate documentation, and prepare appeal letters to support appropriate reimbursement. The role requires DRG experience, strong English communication, and willingness to work Night Shift; remote work...

On-site - Quezon City 1-3 Yrs Exp Bachelor Full-time Job Description Medical Reimbursement We are seeking a licensed Registered Nurse to join our Clinical Analyst team. The successful candidate will review patient medical records, conduct clinical assessments, maintain accurate healthcare documentation, and collaborate with multidisciplinary teams to...

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...

On-site - Makati 3-5 Yrs Exp Bachelor Full-time Chat Apply Share Job Description Employee Recognition and Rewards Performance Bonus, Incentives Government Mandated Benefits Insurance Health & Wellness HMO Work-Life Balance Read More Shift: 9 PM – 6 AM (Graveyard) Start Date: ASAP Qualifications Active PHRN license At least 3 years people management...

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 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...

Gratitude Philippines seeks a skilled PHRN Risk Adjustment Medical Coder Team Leader_TWFH | Non-Voice to join our team. This role requires ownership, clear communication, and practical problem-solving in a remote setup.You will lead risk adjustment coding efforts, mentor teammates, and collaborate with cross-functional partners to deliver accurate, compliant...

A healthcare services company is urgently hiring Medical Coders in the Philippines, both PHRN and Non-RN. This remote role involves accurate medical coding using CPT and HCPCS guidelines. Candidates must have an active Medical Coder License and a minimum of 3 years of coding experience. Responsibilities include reviewing clinical documentation for accurate...

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...

Phoenix Virtual Solutions is seeking an experienced RPM/CCM nurse to support remote patient monitoring and chronic care management programs. You will monitor readings, update care plans, and escalate concerns to clinical staff, while maintaining accurate records in line with HIPAA and privacy requirements. The role requires 5+ years of hands-on RPM/CCM...

Optum Philippines is seeking qualified nurses to support US healthcare operations in Makati. The role requires a US Registered Nurse with a PHRN license, plus 1+ years hospital experience or 2+ years UM Nursing (USRN). Telephonic or remote work is a plus. A strong commitment to clinical excellence and patient care is essential. As part of UnitedHealth Group,...

About the role This role involves remote patient monitoring (RPM) and chronic care management (CCM) support, where you will monitor patient readings and health data, identify abnormal readings, and elevate concerns to clinical staff. You will support ongoing care coordination for patients with chronic conditions, manage patient records and monitoring...