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- CALLMAX SOLUTIONS INC.Work from Home
- Responsible for securing insurance approval for a Skilled Nursing Facility (Skilled SNF Stay, aka Subacute).
- Problem Solving: Address issues that arise, such as…
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- Remedy Skintech, Inc.Makati
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- OptumMakati
- Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to,…
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- ActivCare Home Health Solutions Inc.Pasig
- ✓ Bachelor of Science in Nursing (BSN) graduate.
- ✓ Open to applicants with or without professional.
- ✓ Willing to undergo one-week palliative care.
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- Orient Holdings Philippines IncManila
- We are seeking a compassionate, skilled, and dedicated Staff Nurse to provide safe and quality nursing care to patients.
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- Cruise Administration Services, Inc.Pasay
- Review medical reports, maintain accurate medical records, and document case updates and communications.
- In this role, you will coordinate medical care for crew…
- AIADavao City
- Record patient data, diagnostic findings, and nursing interventions accurately in medical records and clinic systems.
- Provide direct patient care (15%).
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- CALLMAX SOLUTIONS INC.Work from Home
- *Extensive clinical knowledge and experience, as a thorough understanding of medical procedures, practices, and terminology, is necessary for auditing medical…
- Genfinity Philippines, Inc.Makati
- Provide administrative support to the clinical team, including psychiatrists, nurse practitioners, and medical assistants.
- Willing to work full-time onsite.
- ActivCare Home Health Solutions Inc.Pasig
- ✓ Bachelor’s Degree in Nursing with a valid PRC.
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- The Medical City Clark, Inc.Clark Freeport Zone
- The ideal candidate will be responsible for providing care to patients while adhering to compliance standards.
- Knowledge of OSHA, FDA, and HIPAA compliance.
- The Medical City Clark, Inc.Clark Freeport Zone
- The ideal candidate will be responsible for providing care to patients while adhering to compliance standards.
- Knowledge of OSHA, FDA, and HIPAA compliance.
- Maxicare Health Services Inc.Zamboanga City
- From triaging patients and assisting with procedures to educating them on treatments and preventive care, your work directly enhances their experience and well-…
USRN Utilization Review Nurse
Multiple openingsShearwater Health Advisors IncPhilippines- Paid training
- Health insurance
- Opportunities for promotion
- Life insurance
- Additional leave
- Work from home
- The USRN Utilization Review Nurse role is responsible in performing medical necessity review of proposed prospective, concurrent, and retrospective cases such…
- OptumQuezon City
- Assesses and interprets customer needs and requirements.
- Identifies solutions to non-standard requests and problems.
- Graduate of Bachelor Science in Nursing.
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RN Clinical Case Reviewer and Verification Clinical Intake Specialist
Often replies in 3 daysAperio Solutions IncPhilippines- Opportunities for promotion
- Work from home
- Do you have experience reviewing medical records or preparing clinical summaries?
- Do you have experience reviewing medical records or preparing clinical…
Case Manager || BSN, Registered Nurse (PHRN) / Physical Therapist / Occupational Therapist
Remote
PHP 23,813.81 - PHP 49,793.65 a month
-
Permanent
Case Manager || BSN, Registered Nurse (PHRN) / Physical Therapist / Occupational Therapist
Job details
PHP 23,813.81 - PHP 49,793.65 a month
Permanent
Remote
Full job description
Job Role:
- Responsible for securing insurance approval for a Skilled Nursing Facility (Skilled SNF Stay, aka Subacute)
- Customer Support: Expertly manage all inquiries (phone, email, portal) from patients, families, providers, and insurers, ensuring prompt, compassionate, and accurate responses, should be able to Maintain professional communication with payers, clients, and internal staff.
- Insurance Verification and Authorization: Handle all aspects of insurance eligibility and prior authorizations, securing timely approvals to prevent care delays.
- Compliance Monitoring: Monitor that the type and quantity of services provided align with what the insurance company has authorized.
- Problem Solving: Address issues that arise, such as a lack of coverage or authorization, incomplete clinical documentation, etc., and communicate them to the clinical management team
Qualifications:
- Excellent written and oral communication and interpersonal Skills
- Detail oriented and highly organized
- Skilled in time management and the ability to prioritize tasks
- Proficient in Cloud-based applications, MS Office, Adobe, etc.
- Has the ability to prepare reports and submit them on a given schedule
Pay: Php23,813.81 - Php49,793.65 per month
Benefits:
- Health insurance
- Paid training
- Promotion to permanent employee
- Work from home
Application Question(s):
- Do you have professional experience using Microsoft Office (Word, Excel, PowerPoint, and Outlook)?
- Do you have experience using cloud-based applications such as Google Workspace or Microsoft 365?
- Do you have experience prioritizing multiple tasks while meeting deadlines?
- Do you have experience handling confidential or sensitive information?
- Are you available to work the required schedule for this position? (9:00 PM - 6:00 AM Manila Time)
Work Location: Remote
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