Roles:Overall in charge of the day-to-day operations of the center - focusing on the CLINICAL AUDITORS DEPARTMENTResponsible for the attainment of client-set
US RN certification – Mandatory.With five years of experience in utilization management review or 3 years clinical appeals and denials handling for
Roles:Overall in charge of the day-to-day operations of the center - focusing on the CLINICAL AUDITORS DEPARTMENTResponsible for the attainment of client-set
Qualifications:Bachelor's degree in Nursing or related field; Master's degree preferred.Registered Nurse (RN) with a valid license in the Philippines.Minimum
Job summary As a Utilization Review Nurse, you will play a pivotal role in evaluating and optimizing healthcare servicesYour primary responsibility will
Roles:Overall in charge of the day-to-day operations of the center - focusing on the CLINICAL AUDITORS DEPARTMENTResponsible for the attainment of client-set
Hard Requirements:Either a PH RN or US RNWith nursing home experienceGood English communication skillsWith supervisory experience is an advantage Work
Roles:Overall in charge of the day-to-day operations of the center - focusing on the CLINICAL AUDITORS DEPARTMENTResponsible for the attainment of client-set
Will provide inbound and outbound telephony. Will handle full benefit verification with patient insurance. Will provide information back to client and
This role functions as a Clinical Review Supervisor which engages and enables clinical review nurses to ensure quality service to external providers and
Responsible for reviewing and analyzing institutional and professional claims and supporting medical documents to determine medical necessity of billed
**SALARY & BENEFITS**:- Earn while you Learn! **20k Monthly Allowance** while reviewing- **FREE **NCLEX Review & Exam _**(NO WORK OPERATION just REVIEW for 3-4
**SALARY & BENEFITS**:- Earn while you Learn! **20k Monthly Allowance** while reviewing- **FREE **NCLEX Review & Exam _**(NO WORK OPERATION just REVIEW 3-4
**Qualifications**:- Preferably with at least 1 year of cumulative clinical bedside care experience (hospital, clinic, healthcare facility, etc.) or business
Responsible for reviewing and analyzing institutional and professional claims and supporting medical documents to determine medical necessity of billed
Responsible for reviewing and analyzing institutional and professional claims and supporting medical documents to determine medical necessity of billed
**Qualifications**:- Preferably with at least 1 year of cumulative clinical bedside care experience (hospital, clinic, healthcare facility, etc.) or business
**SALARY & BENEFITS**:- Earn while you Learn! **20k Monthly Allowance** while reviewing- **FREE **NCLEX Review & Exam _**(NO WORK OPERATION just REVIEW for 3-4
**SALARY & BENEFITS**:- Earn while you Learn! 20k Monthly Allowance while reviewing- FREE NCLEX Review & Exam for 3-4 months review (NO WORK OPERATION just
Graduate of Bachelor's Degree in Nursing- Holds active and unrestricted local (PH) Registered Nurse license- Must have at least 3 months experience as a