PHRN Utilization Reviewer - Makati, Metro Manila, Philippines
6 araw ang nakalipas
Paglalarawan ng trabaho
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I-access ang lahat ng mataas na antas na posisyon at makuha ang trabahong pinapangarap mo.
Mga katulad na trabaho
Ista Solutions is seeking a Utilization Reviewer to join their expanding team. · ...
1 araw ang nakalipas
Ista Solutions busca un enfermero con experiencia en gestión de reclamos saludables basados en EE.UU. · Realiza revisiones de utilización (UM) según regulaciones estatales/federales y otras disposiciones mandatorias manteniendo cumplimiento con cambios regulatorios afectando UM. ...
1 buwan ang nakalipas
We are looking for experienced Utilization Review Nurse to join our team. · Conducting comprehensive reviews of patient medical records to assess the medical necessity and appropriateness of the level of care and treatment provided · Collaborating with healthcare providers to ide ...
1 buwan ang nakalipas
We are seeking a highly skilled and detail-oriented PH Registered Nurse (PHRN) to join our team. · ...
1 buwan ang nakalipas
The Utilization Management Review Nurse reviews the medical necessity and appropriateness of healthcare services and treatments through the medical information of individual patients and the limited insurance coverage available to them. · ...
1 buwan ang nakalipas
The Utilization Management Review Nurse reviews the medical necessity and appropriateness of healthcare services and treatments through the medical information of individual patients and the limited insurance coverage available to them. · ...
1 buwan ang nakalipas
· Utilization Review Nurse (USRN Only - Dayshift) · About the Role · We are looking for a Medical Benefits Review Nurse who will review healthcare service requests and determine coverage eligibility based on clinical criteria and U.S. Federal Employee Health Benefit (FEHB) Progr ...
3 linggo ang nakalipas
The Utilization Review RN is responsible for performing prospective, concurrent, and retrospective reviews of inpatient, outpatient, ambulatory, and ancillary services. These reviews ensure medical necessity, · appropriate length of stay,intensity of service,and level of care,inc ...
2 linggo ang nakalipas
We are looking for a Medical Benefits Review Nurse who will review healthcare service requests and determine coverage eligibility based on clinical criteria and U.S. Federal Employee Health Benefit (FEHB) Program policies. · ,,Active Philippines Registered Nurse license (valid fo ...
3 linggo ang nakalipas
We are hiring US Registered Nurses (USRN) with Utilization Management (UM) experience to join our growing healthcare operations team. · Active USRN license · At least 6 months Utilization Management experience · ...
4 linggo ang nakalipas
The Utilization and Denials Management Manager is responsible for the day-to-day operations and oversight of initial and concurrent clinical reviews in addition to Clinical Denials processes. This leader ensures adherence to regulatory guidelines and payer requirements and suppor ...
2 araw ang nakalipas
The Utilization Review USRN is responsible for performing prospective, concurrent and retrospective reviews of inpatient outpatient ambulatory and ancillary services to ensure medical necessity appropriate length of stay intensity of service and level of care including handling a ...
3 linggo ang nakalipas
We are hiring US Registered Nurses (USRN) with Utilization Management (UM) experience to join our growing healthcare operations team in BGC. If you are looking to move into a non-bedside corporate healthcare role while still using your clinical expertise this is for you. · Review ...
4 linggo ang nakalipas
The Utilization Review RN is responsible for performing prospective, concurrent, and retrospective reviews of inpatient, outpatient, ambulatory, and ancillary services to ensure medical necessity. · ...
1 buwan ang nakalipas
The Utilization and Denials Management Manager is responsible for the day-to-day operations and oversight of initial and concurrent clinical reviews in addition to Clinical Denials processes. · Manage team to achieve specific goals by overseeing daily activities, assigning tasks, ...
2 araw ang nakalipas
We are currently seeking a Utilization Review Nurse - USRN (Remote work) to join our team in Manila, · National Capital Region (PH-00), Philippines (PH). Performs clinical reviews needed to resolve and process appeals by · reviewing medical records and clinical data to determine ...
3 araw ang nakalipas
USRN - Utilization Review Author
Para lamang sa mga rehistradong miyembro
We are hiring for USRN - Utilization Review Author. · ...
3 linggo ang nakalipas
Kickstart the new year with a leadership role in healthcare Join a proudly Filipino-owned global company and be part of a pioneer Utilization Review team. · ...
1 buwan ang nakalipas
As a Utilization Review Nurse Specialist at MicroSourcing, you will conduct thorough initial, concurrent, and retrospective reviews of patient medical records to determine the medical necessity and appropriate level of care. · At least 1 year of utilization review experience · Cl ...
1 buwan ang nakalipas
We are looking for a Utilization Review Nurse Specialist to optimize clinical outcomes and control patient care costs. · ...
1 linggo ang nakalipas