Search Results: 16,234 vacancies
55000 Php
Summary:
The Clinical Review Nurse position assesses the medical appropriateness of proposed treatments and medications for our injured... ...with clinical background can perform this task.
• Perform Utilization Review activities prospectively, concurrently, or...
Manpower Core Group Inc.
Taguig
16 days ago
...• Knowledge of workers’ compensation laws and regulations, behavioral health, case management practice, URAC standards, ODG, Utilization review, pharmaceuticals to treat pain, pain management process, drug rehabilitation, state workers compensation guidelines, periods...
Gratitude Philippines
Taguig
a month ago
45000 Php
...role is an open-end contract position with a hybrid work setup. Please apply only if you are amenable to these terms.
The Utilization Reviewer evaluates the appropriateness and necessity of medical services provided to patients. Meticulously reviewing medical records...
Human Utilization Management Solution
Muntinlupa
a month ago
...We are hiring for USRN- Utilization Review Author
Qualifications:
Bachelor of Science in Nursing
Must have an active USRN Mainland License
At least 2 years of recent hospital-based Utilization Review experience or Case Management Experience
At least 1...
...role is an open-end contract position with a hybrid work setup. Please apply only if you are amenable to these terms.
The Utilization Reviewer evaluates the appropriateness and necessity of medical services provided to patients. Meticulously reviewing medical...
...information and data for concurrent, prospective and retrospective reviews, including review of medical records if necessary and issuing... ....
5. Assist and Facilitates in the analysis of health care utilization costs, clinical outcomes and trends, clinical assessments,...
...The Utilization Review Specialist plays a critical role in assessing the utilization of healthcare services to ensure quality care while managing costs. They are responsible for reviewing medical records, treatment plans, and services provided to patients to determine...
Quantum Group Philippines
Manila
2 days ago
...Description
Conducts pre-certification, inpatient, retrospective reviews, in accordance with UM policies and procedures
Conducts... ...have valid PHRN (License)
Minimum of 1-2years experience in Utilization Management
Experience utilizing UM criteria including MCG...
...supplies.
Conducting basic repairs and maintenance equipment.
Performing basic landscaping duties including watering plants.
Inspect utility lines, equipment, and components to identify problems and make recommendations.
Maintain and replace lights
Perform routine...
Zienac Pharmaceutical Trading
Parañaque
4 days ago
Dear Candidate,
Greetings from AGS Health.
We are happy to share our job opening.
Job title- Utilization review nurse Mode of work - Onsite
Location – Cyber sigma, Lawton Ave, Mckinley West, Taguig, 1634 Metro Manila, Philippines
Responsibilities:...
25000 Php
...will join our team in Quezon City - Katipunan.
Your Key Responsibilities:
Provide exceptional customer service to clients in the Utility Campaign.
Handle inquiries and resolve issues.
Maintain accurate records of customer interactions and transactions.
Needed...
Metacom
Quezon City
7 days ago
...financial calculations involved in importing goods is preferred
High degree of accuracy and attention to detail
Able to prepare, review and understand a financial statement
Ability to handle sensitive and confidential information
Knows how to craft responses and do...
Ripped box station
Metro Manila
14 hours ago
Job Overview
The Utility is responsible for managing general cleanliness and maintenance duties at the premises of the organization.
Employment Status: Contractual
Duties and Responsibilities
>General cleaning of the office and keeping it maintained and in good...
Silverdab Corporation
Quezon City
29 days ago
• Ensures cleanliness, orderliness and good working condition.
• Carry out heavy cleansing tasks and special projects.
• Vacuuming, sweeping, and mopping floors
• Stock and maintain supply rooms.
• Emptying trash cans.
• Washing and drying windows.
• Refilling supplies...
Maximum Solutions Corporation
Muntinlupa
8 days ago
...In this role, you'll be pivotal in providing both onsite and remote IT support, ensuring our clients receive top-notch technical assistance... ...with only one time entry contributes to this number
-Utilization: The percentage of time that you are on the clock and billing...
Intelligent Technical Solutions (ITS)
Makati
7 days ago
...operating costs and boosting efficiency
Maintain cordial working relationships with vendors and supervising vendor activities
Sign and review purchasing agreements with vendors, monitoring their performance and renegotiating contracts
Use quarterly and annual data to...
Ripped box station
Metro Manila
14 hours ago
...their careers!
Physical Sites: Taguig, Cebu, and Pampanga
Remote Work Locations: Baguio & Davao
Our Clinicians & Associates... ...& Work Abroad (*)*Terms and Conditions Apply
The USRN Utilization Review Nurse role is responsible in performing medical necessity...
...campaign, including, but not limited to, links, subject line, preheader, creative, and legal, and by completing the QA Checklist
Utilize CRM to develop marketing and social media campaigns
Build and execute social media strategy through competitive research, platform...
Rippedbox Station
Manila
8 days ago
...JOB PURPOSE:
This position is responsible for clinical review of medical records against clinical guidelines (Interqual, MCG, CMS... ...insurance benefits.
PRIMARY DUTIES & RESPONSIBILITIES:
Utilization Review Nurse duties include but are not limited to:
Review...
...Active License Analyst (Non-voice Account / Fixed Weekends Off)
Perform a variety of concurrent review of patient’s clinical information and retrospective utilization management reviews for efficiency
Evaluate the patient’s situation against the hospital policies...
