Job Description: - Collaborating with healthcare providers. - Work with medical directors in interpreting appropriateness of care. - Assessing the medical necessity of inpati…
Job Description: - Review service requests to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits and contracts. - Route cases to clien…
- Collaborating with healthcare providers. - Work with medical directors in interpreting appropriateness of care. - Assessing the medical necessity of inpatient admissions, out…
Description Job Overview Responsible for working with healthcare professionals and members to maximize the results of quality members, optimize the benefits of members, and pro…
Description Job Summary The Staff Nurse is responsible in performing professional nursing care in accordance to the standard nursing procedure and medical direction. Also assum…
Mandaluyong City Negotiable Filipino BENEFITS: Healthcare Insurance (HMO); Life Insurance coverage from day 1 of employment Expanded maternity leave up to 120 days* Flexi…
Quezon City P25,000-P45,000 Filipino BENEFITS: Government mandated benefits Leave credits HMO Allowance JOB DETAILS: Company Profile: This is a business and technolo…
Quezon City Php 16,000 - Php 20,000 Filipino BENEFITS: Healthy and Encouraging Work Environment Allowances Retirement Plan JOB DETAILS: Company Profile: This company …
Company Description Why Join Us? We promise our employees to experience role clarity, coaching and mentoring, professional development and structured career path through our 5 …
Company Description Why Join Us? We promise our employees to experience role clarity, coaching and mentoring, professional development and structured career path through our 5 …
Work From Home Set-up during Quarantine Job Function: Review patient files or information and check if proper care is being rendered and recommend any improvement if necessary …
Requirements At least 2 year(s) of working experience in the related field is required for this position. Candidate must possess at least a Bachelor's/College Degree, Professio…
Description The On-call Nurse/ Swabber is mainly responsible in administering and collecting of specimens for rapid antigen test. Must be a registered nurse with at least 6 mon…
Assist in verification of patients information for admission purposes Coordinates patient’s discharge planning needs Reviewing and auditing patient treatment files, the utilizati…
Description Active USRN License; With at least 2 years Hospital Experience - ER and Adult Care Active PHRN License; With at least 2 years Bed side Experience Additional Requi…
Description * Job Responsibility Responsible for taking inbound and outbound calls. Assist providers and clinic staff in checking medical eligibility, requesting Prior authorizat…
Description * Job Qualifications: Must have a Bachelor's Degree in Nursing; Confident with English communication skills; Active PRC and USRN License for License in Mainl…
Description * As a USRN you will be responsible for evaluating the appropriateness of health care and health services provided to patients covered under the plan ensuring that the …
The US Registered Nurse Analyst is responsible to collaborate with healthcare providers and members to promote quality member outcomes, to optimize member benefits, and to promote …
Description * We are hiring!!! PRC Active license With at least 2 years of hospital experience (critical area) Willing to work in Mckinley Attached CV Requirements * Mini…