The Clinical Consultant provides clinical and operational support as a U.S. Healthcare Subject Matter Expert, providing various clinical support services and operational guidance for business processes, to include Case Management, Utilization Management, Clinical Coverage Preservice, Claims
Job Role: - Operations Manager Utilization Management Job Location: - Manila, Philippines Experience: -10+ Years Roles & Responsibilities Oversee daily Utilization Management (UM) operations for preservice, retrospective, and concurrent review activities. Ensure compliance with SLAs, policies,
Join us to be our next Clinical Appeals DRG Nurses in Quezon City and Cebu City! Qualifications & experience Clinical Appeals Writing Experience (6 months to 1+ year) familiar with DRG downcode or coding appeals) Familiar
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
USRN - Appeals & Grievances Taguig, National Capital Region, Philippines About the Role JOB DESCRIPTION In this role you should independently be able to effectively and efficiently process the transactions assigned in a timely manner, clarify
USRN Trainer MANILA • Active USRN License of any state ( • Minimum 1-2 years’ experience in a US Healthcare account (Utilization Management Review and Clinical Appeals) • Experience with utilization of Interqual/MCG Guidelines • Exposure to
USRN Trainer MANILA • Active USRN License of any state (NY preferred) • Minimum 1-2 years’ experience in a US Healthcare account (Utilization Management Review and Clinical Appeals) • Experience with utilization of Interqual/MCG Guidelines • Exposure
Registered Nurse (PHRN) | Clinical Appeals DRG Specialist | 1+ Year Clinical Appeals DRG Experience | Work From Home | ₱70K–₱85K Salary Package: ₱70,000–₱85,000 (Depending on your skills, qualifications, relevant experience, and interview results.) Work Setup:
Registered Nurse (PHRN) | Clinical Appeals DRG Specialist | 1+ Year Clinical Appeals DRG Experience | Work From Home | ₱70K–₱85K Salary Package: ₱70,000–₱85,000 (Depending on your skills, qualifications, relevant experience, and interview results.) Work Setup:
Registered Nurse (PHRN) | Clinical Appeals DRG Specialist | 1+ Year Clinical Appeals DRG Experience | Work From Home | ₱70K–₱85K Salary Package: ₱70,000–₱85,000 (Depending on your skills, qualifications, relevant experience, and interview results.) Work Setup:
Registered Nurse (PHRN) | Clinical Appeals DRG Specialist | 1+ Year Clinical Appeals DRG Experience | Work From Home | ₱70K–₱85K Salary Package: ₱70,000–₱85,000 (Depending on your skills, qualifications, relevant experience, and interview results.) Work Setup:
Registered Nurse (PHRN) | Clinical Appeals DRG Specialist | 1+ Year Clinical Appeals DRG Experience | Work From Home | ₱70K–₱85K Salary Package: ₱70,000–₱85,000 (Depending on your skills, qualifications, relevant experience, and interview results.) Work Setup:
Registered Nurse (PHRN) | Clinical Appeals DRG Specialist | 1+ Year Clinical Appeals DRG Experience | Work From Home | ₱70K–₱85K Salary Package: ₱70,000–₱85,000 (Depending on your skills, qualifications, relevant experience, and interview results.) Work Setup:
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
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