Performs training and provides subject matter expertise on clinical reviews needed to resolve and process appeals to team members. • Reviews medical records and clinical data to determine medical necessity for services in accordance with policies, guidelines, and
We are hiring for USRN - Utilization Review Qualifications: Bachelor of Science in Nursing Must have a current Registered Nurse license (Mainland: USRN) At least 2 years of recent hospital-based Utilization Review experience or Case Management Experience At least 1
USRN Team Lead – Active USRN & PHRN with BPO Team Lead and Utilization Review Experience Required Work Setup: Onsite – Ortigas, Manila Shift: Nightshift Salary Package: Up to PHP 90,000 (depending on experience) Start Date: ASAP We are currently hiring
USRN Team Lead – Active USRN & PHRN with BPO Team Lead and Utilization Review Experience Required Work Setup: Onsite – Ortigas, Manila Shift: Nightshift Salary Package: Up to PHP 90,000 (depending on experience) Start Date: ASAP We are currently hiring
Company Description WNS, part of Capgemini, is an Agentic AI-powered leader in intelligent operations and transformation, serving more than 700 clients across 10 industries, including Banking and Financial Services, Healthcare, Insurance, Shipping and Logistics, and Travel
Career-defining. Life-changing. At iRhythm, you’ll have the opportunity to grow your skills and your career while impacting the lives of people around the world. iRhythm is shaping a future where everyone, everywhere can access the best
You are as unique as your background, experience and point of view. Here, you’ll be encouraged, empowered and challenged to be your best self. Youll work with dynamic colleagues - experts in their fields - who
Are you looking for a position with tremendous growth potential? Gallagher Bassett, a premier multiline worldwide claims services provider, is looking for Licensed Philippine Nurses to be part of their team at their first Philippine-based site.
Our US-based client, a premier multiline claims services provider, is looking for USRNs to be part of their team at their Philippine-based site. The role will provide utilization management services for clients, insurers, and injured employees to
Role Purpose Purpose of the role Provide operational support to IHG hotels, internal teams, and external partners across all brands and regions. Serve as a liaison for resolving inquiries related to performance metrics, IHG initiatives, digital
At Globe, our goal is to create a wonderful world for our people, business, and nation. By uniting people of passion who believe they can make a difference, we are confident that we can achieve this
At TTEC Digital, we coach clients to ensure their employees feel valued, and fully supported, because an amazing customer experience is an employee first process. Our vision is the same, a place where employees know they
Senior Technical Engineer Req number:R8432 Employment type:Full time Worksite flexibility:Hybrid Who we are CAI is a global services firm with over 9,000 associates worldwide and a yearly revenue of $1.3 billion+. We have over 40 years
WHAT IS NEXT IN YOUR CAREER IN 2026? Our US-based client, a premier multiline claims services provider, is looking for U.S.-licensed nurses based in the Philippines to support Nurse Case Management (NCM) nurses and clients for
Role Overview: The Nurse Case Management Support Nurse Supervisor is a Philippines-based, U.S.-licensed nurse responsible for overseeing daily support nurse operations for Nurse Case Management services. This role supports quality, timeliness, compliance, training, escalation management, and
About us DSSI is a Philippine owned transport provider brought together through a joint venture with one of the nation’s leading conglomerates, JG Group and the world’s provider of choice in Supply Chain and Transport, DHL.
About us At DHL Supply Chain we take pride in our commitment to fostering a workplace that celebrates diversity and promotes inclusion for all. We believe that the diverse backgrounds, perspectives, and experiences of our employees
Job Title: IBMi Engineer What IBMi Engineer contributes to Cardinal Health The IBMi Engineer serves as the technical expert for the IBMi environment, ensuring its security, stability, performance, and availability. The role drives platform modernization through
Industry/SectorNot Applicable SpecialismSAP Management LevelManager Job Description & Summary The Opportunity Join our Acceleration Center Manila and help shape the future of business for our diverse client portfolio across geographies and jurisdictions. You’ll work at the
At TTEC Digital, we coach clients to ensure their employees feel valued, and fully supported, because an amazing customer experience is an employee first process. Our vision is the same, a place where employees know they