8 Medical Review Nurse Jobs in Mandaluyong City
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Registered Nurse Gratitude Philippines - Mandaluyong City, Metro Manila . The nurse will review clinical documentation to ensure accuracy and medical necessity, complete required payer forms, and work closely with administrative support staff to track and follow up on all submitted 19 days ago
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Medical Records Specialist NTT DATA Services - Manila, PH recommendations for medical review as necessary. Requirements: 2 - 4 years of experience in processing appeals or utilization management RN - Registered Nurse – State required Licensure and/or Compact State 3 days ago
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Utilization Review Nurse/Doctor Dynamic Talent Solutions - Taguig, Philippines Utilization Review Nurse and Doctor The Reviewer is responsible for assessing the delivery of medical services to determine if the care provided is appropriate, medically necessary, and of high 4 days ago
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Clinical Appeals Nurse Writer (PHRN) Coronis Health Philippines - Pasig City, National Capital Region Performs medical record reviews concurrently and/or retrospectively and be able to determine why cases are denied and whether an appeal is required Able to review clinical denials in a timely manner More than 30 days ago
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Case Manager Nurse - USRN TASQ Staffing Solutions - Pasig, National Capital Region Authorization, Case Management, and Utilization Review. Experience (Preferred): - Prior Authorization: 1 year - Case Management: 1 year - Utilization Review: 1 year Full job description: The case manager nurse More than 30 days ago
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Case Manager Nurse - USRN TASQ Staffing Solutions - Pasig, Metro Manila, Philippines , required. Experience in Prior Authorization, Case Management and Utilization Review Experience: Prior Authorization: 1 year (Preferred) Case Management: 1 year (Preferred) Utilization Review: 1 year More than 30 days ago
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PH USRN Authorization Nurse GrowthFN Sdn Bhd - Taguig, Philippines ) will support the review and submission of prior authorization requests for behavioral health treatments, medications, or services. The nurse will review clinical documentation to ensure accuracy and medical 24 days ago
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Inpatient Medical Coder /CDI Specialist(Taguig) J&B Services - Taguig City, National Capital Region Responsibilities: -Review inpatient medical records to ensure accurate ICD-10-CM, ICD-10-PCS, and DRG coding. -Collaborate with physicians, nurses, and clinical teams to improve documentation quality 110000 More than 30 days ago
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