Clinical Reviewer - Makati City, Philippines
3 araw ang nakalipas
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Cadence Rx is looking for Clinical Reviewers to join our diverse teams to make innovation possible. The Cadence Rx Clinical Reviewer performs the review of New York State (NYS) Level 1 Medication Prior Authorization Requests (PAR) and submits coverage determinations into the New ...
2 linggo ang nakalipas
Cadence Rx is looking for Clinical Reviewers to join our diverse teams to make innovation possible. The Cadence Rx Clinical Reviewer performs the review of New York State (NYS) Level 1 Medication Prior Authorization Requests (PAR) and submits coverage determinations into the New ...
4 linggo ang nakalipas
The Cadence Rx Clinical Reviewer performs the review of New York State (NYS) Level 1 Medication Prior Authorization Requests (PAR) and submits coverage determinations into the New York State Workers' Compensation Board (WCB) OnBoard Medical Portal in accordance with NYS workers c ...
2 linggo ang nakalipas
Discover your 100% YOU with MicroSourcing · Position: Clinical Review Nurse · Location: BGC, Taguig City · Work setup & shift: Onsite | Night shift · Sign-on bonus: 50,000* · Why join MicroSourcing? · You'll Have · Competitive Rewards: Enjoy above-market compensation, healthcare ...
49 minuto ang nakalipas
As a , you will review denied claims and evaluate denial reasons in a timely and accurate manner. · ...
1 buwan ang nakalipas
Prepares case reviews for Medical Directors by researching the appeal, reviewing applicable criteria, and analyzing the basis for the appeal. Ensures timely review, processing, · and response to appeal in accordance with State, Federal and NCQA standards. ...
2 linggo ang nakalipas
We are currently seeking a Clinical Reviewer Specialist to join our team in Manila.Clinical Reviewer Specialists perform clinical reviews needed to resolve and process appeals by reviewing medical records and clinical data to determine medical necessity for services in accordance ...
2 linggo ang nakalipas
Join a global leader in providing independent Medical Exams, · Peer Reviews, and Medical Compliance Services as a Medical QA Analyst – backed by decades of excellence and innovation in Healthcare Solutions. · The Opportunity · Support critical medical review operations by ensurin ...
1 buwan ang nakalipas
We are currently seeking a Clinical Reviewer Specialist 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 medical necessity for ...
1 linggo ang nakalipas
Ista Solutions is seeking a Utilization Reviewer to join their expanding team. · ...
3 araw ang nakalipas
ISTA Solutions is seeking a Utilization Reviewer to join their rapidly expanding team. As a member of the team, you will work with highly skilled professionals who prioritize employee satisfaction and work-life balance. · ...
1 linggo 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
The Medical Scientific Liaison will build relationships with medical oncologists and discuss clinical studies, product updates, and treatment protocols. · ...
1 buwan ang nakalipas
Lead Statutory Tax and Internal Audits ensuring timely completion compliance and effective coordination with auditors Tax consultants and regulatory bodies Oversee monthly quarterly and annual tax governance including tax filings VAT withholding tax · and compliance reporting R ...
1 buwan ang nakalipas
The Quality Control Director provides strategic oversight into the organization's clinical research trials, ensuring all operations are conducted to the highest standards of compliance and integrity. · ...
3 araw ang nakalipas
+The Chief Nursing Services Manager is responsible for leading and overseeing nursing operations, governance, and clinical protocols. The role involves developing and enforcing nursing clinical care standards, coordinating with cluster heads and clinic managers, and implementing ...
1 linggo ang nakalipas
The Chief Nursing Services Manager is responsible for leading and overseeing nursing operations, governance, workforce planning, patient safety, and quality assurance. They develop and implement clinical care standards, ensure compliance with national standards and internal guide ...
5 araw ang nakalipas
Chief Nursing Services Manager responsible for leading nursing operations, governance, workforce planning, patient safety quality assurance performance monitoring patient satisfaction professional development training cross-functional collaboration. · ...
3 araw ang nakalipas
The Chief Nursing Services Manager is responsible for providing centralized leadership and direction to nurse supervisors and the nursing workforce deployed across all care clinics. · ...
6 araw ang nakalipas
JOB DESCRIPTION Provides centralized leadership and direction to nurse supervisors and the nursing workforce deployed across all care clinics Implements organizational goals by translating them into nursing operations and clinical workflows that promote efficient safe and compass ...
1 linggo ang nakalipas