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- ...Job Description - Wellness Nurse Navigator Organization: RCG Heath, Clinical Operations Work Location: Manila RCG Office Reports To: Care Management Leadership Position Overview The Wellness Nurse Navigator is a critical member of the shoreside Medical Operations...
- ...HBiz where we strive to provide outstanding care and service excellence. We are currently seeking a highly skilled Clinical Appeals Nurse to play a crucial role in managing medical denials by providing clinical expertise in the appeals process. This position is ideal...
2500 $
...Remote Registered Nurse Location: Remote (Philippines) Compensation: Up to USD $2,500/month (depending on experience) Industry: Home Healthcare / Senior Care Schedule: Full-time, aligned with New York business hours About the Company Our client is a New...- ...The Case Management Nurse Manager is responsible for overseeing the daily operations of the Case Management department and leading a team of Case Management Nurses. This role involves ensuring efficient care coordination, managing healthcare costs, and maintaining high...
- ...Utilization Review Nurse Location: Philippines About Us: HBiz is a leading Revenue Cycle Management (RCM) company dedicated to helping healthcare providers optimize their financial performance. We specialize in delivering innovative solutions that streamline revenue...
- ...broader range of candidates in local search results. Job Bridge Global is thrilled to present an exciting opportunity for Registered Nurses and Healthcare Workers who are eager to expand their horizons and enhance their careers on an international scale. This role allows...
- ...We are seeking a US Registered Nurse (USRN) to support a U.S. healthcare client through remote clinical coordination, patient communication, and administrative assistance. This role requires conversational Spanish , as regular interaction with Spanish-speaking patients...
- ...review as necessary. Requirements: ~1-3 years of experience in processing appeals or utilization management. ~ RN - Registered Nurse - State required Licensure and/or Compact State Licensure ~ Knowledge of utilization management process ~ Knowledge of NCQA,...
- ...Collaborate with payor sources to communicate clinical information and secure hospital reimbursement. Consult with physicians and nursing staff. Participate in interdisciplinary care rounds for effective communication with the care team. Use escalation pathways...
- ...quality standards as defined by the organization Qualifications: ~ Bachelor’s degree in Health Information Management , Nursing, or related field (preferred) ~ Minimum 2–4 years of inpatient coding and/or denial appeals experience ~ Strong knowledge...
- ...Preferred Qualification If you have the following characteristics, it would be a plus: - Degree specifically in Marketing, Pharmacy, Nursing or Life Sciences. - Experience working on oncology or specialty medicines brands, especially solid tumor areas. - Experience...
- ...Systems: Strong knowledge of ICD-10, CPT, and HCPCS coding systems, and familiarity with DRG, E/M coding. Bachelor's degree: in Nursing, or any Medical or Health Information Management or a related field. Familiarity with medical necessity criteria, payer policies...
- ...with global pharmacovigilance standards and reporting regulations Qualifications: Bachelor's degree in Life Sciences, Pharmacy, Nursing, or related field preferred. Experience in pharmacovigilance case, at least 1 year experience in processing within clinical...
- ...Systems : Strong knowledge of ICD-10, CPT, and HCPCS coding systems, and familiarity with DRG, E/M coding. Bachelor's degree: in Nursing, or any Medical or Health Information Management or a related field. Attention to Detail : Exceptional attention to detail with...
- ...customer service by treating all patients courteously, professionally, and efficiently. Job Requirements: Graduate of BS in Nursing, Medical Technology, or Physical Therapy. Preferably with at least 2 years of related work experience and IVT Certification Excellent...
- ...Systems: Strong knowledge of ICD-10, CPT, and HCPCS coding systems, and familiarity with DRG, E/M coding. Bachelor's degree: in Nursing, or any Medical or Health Information Management or a related field. Proficient in using coding software, encoders, and electronic...
850 $
...of thoughtfully designed vacation homes that prioritize comfort, style, and hospitality in every detail. Whether hosting a traveling nurse, a Gator football fan, or a family exploring Florida’s freshwater springs, we deliver more than a stay — we create memorable,...Remote job- ...identifying errors, gathering documentation, and preparing claims for reconsideration. The Audit Tech works closely with auditors, nurses, and claims specialists to minimize financial loss and improve claim acceptance rates. Key Responsibilities Review denied medical...
- ...to greener and smarter mobility worldwide, connecting cities as we reduce carbon and replace cars. Could you be the full-time Nurse in Mabalacat depot, Pampanga, Philippines we’re looking for? Your future role Take on a new challenge and apply your...
- ...’re looking for someone who: Bachelor’s degree in Human Resources, Psychology, Business, or a science-related field such as Nursing or Life Sciences, with a technical or science background preferred. Over 3 years of proven experience as a 180 Recruiter within...
- ...The US Registered Nurse (USRN) will support clinical review and healthcare operations by evaluating medical records, validating clinical necessity, and ensuring compliance with payer and regulatory standards. This role focuses on supporting accurate reimbursement outcomes...
- ...and coordinate referrals to hospitals. Perform administrative/clerical task from time to time. Job Qualifications Graduate of B.S. Nursing Registered Nurse Male or Female Fresh Graduate may apply Preferably with BOSH and OHNAP Training Certificate...
- ...JOB DESCRIPTION Leadership and Oversight of Nursing Operations 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...
- ...Job Summary The Company Nurse is responsible for independently managing the company clinic and leading all health and safety initiatives. This role provides primary healthcare services, ensures compliance with occupational health standards, and supports HR functions...
- ...We are seeking a compassionate and dedicated Registered Nurse (RN) to join our healthcare team. The ideal candidate will be responsible for providing high-quality patient care, administering medications, coordinating patient treatments, and collaborating with other healthcare...
- ...About the role: The Company Nurse is responsible for delivering high-quality onsite clinical and emergency care within a corporate or site-based environment. This role ensures the health, safety, and overall well-being of employees through effective medical response...
1 $ per year
...About the job Nurse Concierge Are you looking for a position with tremendous growth potential? Gallagher Bassett, a premier multiline claims services provider, is looking for Philippine-licensed RNs to be part of their team in their Metro Manila site. The role is...- ...Locations: Taguig City | Makati City | Laguna We are looking for a highly skilled Occupational Health Nurse to join our corporate clinic team and take an active role in emergency care, occupational safety, and employee wellness programs. Key responsibilities:...
- ...Performing other administrative tasks as required in the healthcare setting. Requirements Education ~ Active Registered Nurse (USRN) – Texas Licensed Skills Strong understanding of medical terminology, procedures, and healthcare administration processes...
- ...~ Review interdisciplinary documentation for completeness, accuracy, and compliance ~ Review documentation from: ~- Skilled Nursing (RN) ~- Physical Therapy (PT) ~- Occupational Therapy (OT) ~- Speech Therapy (ST) ~ Review and validate OASIS-E1 / OASIS-E2 documentation...