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- ...Job Summary: We are seeking a dynamic and experienced Clinical Nurse Trainer (USRN) to lead onboarding, skills development, and ongoing training for registered nurses supporting telephonic triage, utilization management, prior authorization, and administrative clinical...
- ...client specific medical policy and client clinical guidelines for decision making to either approve or summarize and route to Client's nursing reviewer and/or Client's medical staff for review. • Accurately routes cases to client medical staff for further review when a...
Accenture
Taguig9 days ago - ...Overview We are seeking a skilled Utilization Management/Review Nurse to join our team. This role is essential in ensuring patients... ...procedures. Qualifications Graduate of BS Nursing with an active USRN license. At least 2-4 years of solid experience in...
- ...for healthcare organizations seeking innovation and sustainable development. For more information, visit Vee Healthtek. USRN Case Manager Nurse Overview: Responsible for coordinating patient care, liaising with physicians, insurance providers, patients, and...
- ...Implement corrective action plans to address performance or quality gaps Required Qualifications: ~ Bachelor of Science in Nursing with active US license in at least one US mainland state ~1 yr of leadership/TL exp in clinical setting ~ Must be flexible with...
- ...landscape effectively. Learn more at Role Description This is a full-time, on-site position based in Manila for a Registered Nurse Case Manager. The RN Case Manager will be responsible for coordinating patient care plans, assessing medical needs, and...
- ...reviews with the client • Handle a team of team leaders Minimum Hiring Qualifications : Bachelor's Degree in Nursing Active PHRN or USRN Lic Clinical Appeals experience (Medical Necessity Review) At least 1 year of experience handling Team Leads (1:100...
- ...Job Title: USRN Quality Assurance Specialist Shift: Night shift Work Set-up: On-site in Bridgetowne, Quezon City Start date:... ...interview processes QUALIFICATIONS: • Bachelor's Degree in Nursing with an active and valid license in USRN Massachusetts •...
- ...Philippines is currently looking for talented individuals for our USRN Team Lead role. About the Role: As a USRN Team Lead, you... ...skills and experience: • Holds active, unrestricted US Registered Nurse license. • Bachelor of Science in Nursing (BSN) degree • One...
- ...Job Title: Operations Manager for Utilization Management - USRN Shift: Night shift Work Set-up: On-site in Bridgetowne, Quezon City... ...standards. QUALIFICATIONS: • Bachelor's Degree in Nursing with an active and valid license in USRN • Must have at least...
- ...to Improve Process(es), Provide Structured Feedback to Appeals Nurse(s), Case Coordinator(s), as well as Appeals Representative(s) to... ...Bachelor's Degree in Nursing with Active and Valid License (USRN) - 1 Year(s) Minimum Experience in Appeals and Grievances Workstream...
- ...Position Summary: The Team Lead – Clinical Reviewer (US Registered Nurse) plays a key role in overseeing clinical review operations while... ...Nursing License in the Philippines and mainland US (PHRN and USRN) Minimum of 2 years clinical nursing experience At least 1...
- ...Job Title: Operations Manager for Utilization Management - USRN Shift: Night shift Work Set-up: On-site in Bridgetowne, Quezon City... ...standards. QUALIFICATIONS: • Bachelor's Degree in Nursing with an active and valid license in USRN • Must have at least...
- ...turnaround times. Job Qualifications: ~ Bachelor of Science Nursing (BSN) degree or General Nursing & Midwifery (GNM) Diploma or... ...clinic ~ No state license required ~ For CL 10 role USRN + UM, minimum 6 months of UM experience. ~ Work experience such...
- ...Customer Feedback and/or Training Needs Analysis Minimum Hiring Qualifications : Bachelor's Degree in Nursing with an Active and Valid License (PHRN/USRN) - 2 Year(s) Experience in Utilization Management and Medical Necessity Approval(s) and Denial(s) with at...
- ...Are you a skilled USRN with a strong background in ICU or Emergency Department care Join our team of dedicated professionals making a real impact in patient outcomes. Qualifications: ~ Active PRC & USRN License from mainland ~3 to 5 years of recent clinical experience...
- ...Do you want to be a part of one of the largest, independent process transformation companies in the world Apply now as a USRN - Customer Service Associate here in Sutherland. Job Description: Review medical records in relation to the services billed on claims...
- ...The Nurse Triage USRN will serve as the point of clinical contact for patients in virtual behavioral health program. This role is responsible for scheduling appts, assisting with rx refills, assessing patient symptoms, determining urgency, documenting interactions, and...
- ...across a range of essential functions. Job Description: As a USRN at Core-VA Solutions, you will play a vital role in supporting... ...setting. Requirements Education ~ Active Registered Nurse (USRN) – Texas Licensed Skills Strong understanding...
- ...YOU with MicroSourcing! Position: Clinical Denials & Appeals Nurse - IP & OP Location: Taguig Work setup & shift: Onsite |... ...Bachelor of Science in Nursing. Registered Nurse (PHRN or USRN) with active license. Proficiency with InterQual or MCG clinical...
- ...Responsible for serving in an interim basis as a nurse trainee in the USRN Clinical Academy while obtaining NCLEX certification and USRN license prior to being deployed to a USRN function. Primary duties may include, but are not limited to: ~ Attend review and USRN...
- ...Philippines. Job Title: Lead Associate-Transactional Quality (USRN) Location: Metro Manila Work Mode: Night Shift (WFH)... ...Auditing role handling a USRN Healthcare account Graduate of BS Nursing, licensed PHRN and must be a US-Licensed Registered Nurse - current...
- ...any limitation (implied or otherwise) on its ability to do so Required Qualifications ~ Bachelor's Degree in Nursing ~ With valid and unrestricted USRN Licenses ~2+ years of clinical nursing and/or USRN contact center experience ~ Willing to work onsite at One...
- ...the Philippines. Job Title: Lead Associate-Process Training(USRN) Location: Metro Manila Work Mode: Night Shift (WFH)... ...Specialist capacity handling a USRN Healthcare account Graduate of BS Nursing licensed PHRN and must be a US-Licensed Registered Nurse -...
- ...BASIC FUNCTION The Company Nurse provides medical assistance, first aid, and health monitoring to employees. The role maintains accurate clinic records, supports health-related programs, and ensures proper coordination with HR and other departments regarding employee...
- ...Growing together. Positions in this function require various nurse licensure and certification based on role and grade level. Licensure... ...~ Bachelor's Degree in Nursing ~ With valid and unrestricted USRN Licenses ~2+ years of clinical nursing and/or USRN contact...
- ...The Company Nurse / Health & Safety is responsible for delivering immediate medical care, promoting employee wellness, ensuring workplace safety, and maintaining compliance with government health regulations. This role also involves coordinating with vendors and managing...
- Hello USRN, Sharing with you an amazing work-from-home opportunity. Title: Clinical Documentation Review Consultant Objective... ...Qualifications: ~ At least three years of experience as a nurse and with Experience working as a Medical Coder nurse/ Nurse Reviewer...
- We are seeking for a compassionate and experienced company nurse to provide exceptional care to our valued guests in the stunning The Mactan Newtown Beach area. Registered Nurse at least 1 year of experience as a company nurse or in a similar role. Excellent communication...
- ...Dear Nurses, Kyrios Global Community -A Part of GRG Health is one of the world's fastest-growing exclusive network of healthcare professionals from around the globe. We connect Doctors, Nurses, Pharmacists, Payors, Physician assistants, Occupational therapists, Medical...
