10 Medical Review Nurse Jobs
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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 2 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 3 days ago
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Registered Nurse - Cebu E-Solutions IT Services - Cebu, Philippines Were looking for a dedicated and detail-oriented Registered Nurse (RN) to join our team in a Utilization Review capacity. In this role, you will play a key part in evaluating medical service requests 10 days ago
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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 18 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 23 days ago
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Registered Nurse - Associate HRTX - Metro Manila, Philippines support for healthcare processes such as utilization management, medical review, claims processing, or telehealth services, depending on the account. This role is ideal for nurses who want to explore 28 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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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, 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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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
Top locations
- Pasig City (4)
- Taguig City (3)
- Cebu City (1)
- Manila (1)
- Pasay (1)
- Quezon City (1)
- Mandaluyong City (1)