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Asian Hospital Medical Center Nurse jobs in Pasay

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    • Review medical records and clinical documentation to determine the medical necessity and appropriateness of healthcare services.
    • View all JPR jobs - Pasay jobs
    • Salary Search: PHRN with at least 1 to 2 years Hospital Bedside Experience salaries
    • Preferably with Basic Life Support Provider (BLS).
    • Fresh graduates can be considered for the position as long as they have their license.
    • Review medical records, clinical documentation, and patient information to determine medical necessity and appropriateness of services.
    • Fresh Passers are welcome to apply.
    • Willing to work in Mandaluyong.
    • Excellent teamwork and people skills.
    • Ability to deal with emotionally charged and pressured…
    • Provide direct nursing care and assistance to patients.
    • Plans and implements delivery of nursing care according to priorities.
    • How much is your expected salary?
    • Accompanies patient to operating room/and endorses to OR nurse.
    • Provides quality nursing care to all patients.
    • Carries out doctor’s orders;
    • Review patient medical records and clinical documents.
    • Handle medical denials and prepare appeal letters.
    • If you have hospital experience and want to build your…
    • Identify discrepancies in medical information and coordinate appropriate follow-up.
    • Excellent attention to detail and ability to handle confidential medical…
    • At least 1 year of hospital or clinic experience; new registered nurses are welcome to apply.
    • Experience in a hospital, clinic, pharmacy or other healthcare…
    • With or without hospital experience.
    • Join us and be part of one of the fastest-growing healthcare service providers in Cavite!.
    • Review medical records, clinical documentation, and patient information to determine medical necessity and appropriateness of services.
    • The Staff Nurse provides direct patient care by observing the steps in the nursing process through assessment for nursing diagnosis, planning, implementation…
    • The successful candidate should have at least 2 years of clinical experience and be capable of working effectively in a hospital or healthcare setting.
    • Our work is complex, but our mission is simple: create a healthier world, with you at the center.
    • Strong Clinical Knowledge base with a minimum of *2 years of…
    • Registered nurse with an active PRC license.
    • Provide standard medical treatment and nursing care to all patients who visit the clinic.

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Job Post Details

PHRN with at least 1 to 2 years Hospital Bedside Experience
JPR
·
4.2
Pasay
PHP 40,000 - PHP 50,000 a month
Permanent, Full-time

Job details

PHP 40,000 - PHP 50,000 a month
Permanent, Full-time
Flextime
Pasay

Full job description

We are looking for Philippine Registered Nurses (PHRNs) to join our team as Utilization Review Nurses. If you have strong clinical knowledge, excellent attention to detail, and experience working with medical records and healthcare documentation, we’d love to hear from you!

What You'll Do

  • Review medical records and clinical documentation to determine the medical necessity and appropriateness of healthcare services.
  • Evaluate inpatient and outpatient cases based on established clinical criteria, medical policies, and utilization management guidelines.
  • Assess clinical information to support authorization decisions and appropriate levels of care.
  • Identify missing or insufficient documentation and coordinate with the appropriate healthcare professionals for additional information.
  • Collaborate with physicians, healthcare providers, case managers, and other stakeholders regarding utilization review findings.
  • Ensure accurate and timely processing of medical reviews and authorization requests.
  • Maintain confidentiality of patient information and comply with HIPAA, data privacy regulations, and company policies, as applicable.
  • Meet established productivity, quality, and turnaround-time targets.

Qualifications

  • Active Philippine Registered Nurse (PHRN) license.
  • Hospital bedside experience in OR, ER, ICU, PACU, General Ward, or Post-Operative Care.
  • Experience in a healthcare BPO (Insurance, Denials & Appeals, Utilization Review, Prior Authorization, Medical Coding, etc.) is an advantage but not required.
  • Strong clinical assessment, analytical, and critical-thinking skills.
  • Excellent written and verbal communication skills.
  • Strong attention to detail and ability to interpret medical records and clinical documentation.
  • Proficient in computer applications and electronic medical record systems.
  • Willing to work on night shifts, weekends, holidays, and/or shifting schedules as required.
  • Willing to report in Alabang during Training period

Pay: Php40,000.00 - Php50,000.00 per month

Benefits:

  • Additional leave
  • Company Christmas gift
  • Flextime
  • Health insurance
  • Life insurance
  • Opportunities for promotion
  • Paid training
  • Pay raise
  • Promotion to permanent employee
  • Transportation service provided

Experience:

  • Hospital bedside : 1 year (Required)
  • Utilization review: 1 year (Required)

License/Certification:

  • PHRN license (Required)

Work Location: In person

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