6 Medical Review Nurse Jobs in National Capital Region
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Medical Records Specialist NTT DATA Services - Manila, PH case recommendations for medical review as necessary. Requirements: • 2 - 4 years of experience in processing appeals or utilization management • RN - Registered Nurse – State required Licensure 6 days ago
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Case Manager Nurse TASQ Staffing Solutions - Pasig, Metro Manila, Philippines 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 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 2 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 9 days ago
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Clinical Appeals Nurse (PHRN) Temporary WFH Coronis Health - Pasig, 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 13 days ago
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Clinical Nurse Auditor VISAYA KPO - Pasig, National Capital Region Qualification Education: Bachelor's Degree in Nursing License / Certification: PH Registered Nurse Experience: Clinical authorizations, medical records and customer service Language: Fluent English More than 30 days ago
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