Search Results: 26,259 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
19 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
more than 2 months 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
 ...As a Utilization Review Nurse, you will play a pivotal role in evaluating and optimizing healthcare services by ensuring the efficient and effective utilization of resources. Your primary responsibility will involve conducting thorough reviews of patient medical records... 

Health Business Solutions

Central Visayas
7 days ago
 ...are amenable to these terms. The Team Leader plays a crucial role in our operations. They monitor the daily activities of Utilization Review Nurses, ensuring the production volume goal and quality standards are consistently achieved. They coordinate work schedules,... 
Muntinlupa
3 days ago
 ...LOOKING FOR FILIPINO CANDIDATES RESIDING IN THE PHILIPPINES. We are hiring for USRN - Utilization Review Author Qualifications: Bachelor of Science in Nursing Must have a current Registered Nurse license (Mainland: USRN) At least 2 years of recent... 

R1 RCM

Philippines
8 days ago
 ...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
1 day ago

14000 Php

 ...replacing faulty faucets. Taking instructions from supervisors and managers. Qualifications: At least High school graduate. Previous experience as a utility worker. Must be residing at Pasig or any nearby areas. Must be willing to provide necessary documents ASAP.

Infinity Outsourcing Services

Angono, Rizal
3 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... 
Pasig
12 days ago
 ...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,... 
Makati
25 days ago
Posted 8 days ago and deadline of application is on 26 Apr Recruiter was hiring a day ago Job Description Interact with patients and healthcare providers over the phone on matters relating to medical claims Analyze and determine eligibility for medical claims...

Aces Call Center

Cebu City
2 days ago
-At least High School Graduate -Physical agility aimed at performing manual labor -Has knowledge of installing and maintaining utility systems -Strong ability to follow oral and written instructions properly -Can drive and with driver's license (1 and 2 restriction... 

Purchase and Grow Inc.

San Fernando City, La Union
3 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:... 

AGS Health LLC

Metro Manila
more than 2 months 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
3 days ago
 ...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
3 days ago
 ...Nezda is currently hiring for Utilization Review Nurse (USRN). Qualifications: Active USRN and PHRN License With at least 1 Year Clinical or Hospital Experience Job Description: Reviews service requests to ensure compliance with applicable criteria, medical... 

Nezda Technologies, Inc.

Philippines
a month ago

14000 Php

Key Responsibilities: * Reviews the completeness of loan application, Credit Approval Memorandum (CAM) and loan documents. * Validates the information reflected on loan application, Credit Approval Memorandum and authenticity of loan documents by conducting interview... 

CEPAT KREDIT FINANCING INC.

Cabanatuan City, Nueva Ecija
a month ago
• Ensures cleanliness, orderliness and good working condition. • Performs minor maintenance works and security procedures. • Does some errands as assigned by Immediate Head to perform urgent matters. Qualifications: • At least High school graduate • Minimum of one ...

Maximum Solutions Corporation

Manila
24 days 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
a month ago

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... 

Aspire Global Solutions

Quezon City
10 days ago