Medical Review Nurse Jobs

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

from: NTT DATA Services - 3 days ago

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

from: bossjob.ph - 4 days ago

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

from: bossjob.ph - 11 days ago

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

from: jora.com - 19 days ago

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

from: bossjob.ph - 24 days ago

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

from: manatal.com - 29 days ago

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

from: jobslin.com - More than 30 days ago

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

from: jobslin.com - More than 30 days ago

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

from: manatal.com - More than 30 days ago

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

from: jobslin.com (+1 source) - More than 30 days ago