Description About the Role The Medical Review Nurse is responsible for reviewing medical reports for TRICARE... processing. Key Responsibilities Review and validate incoming medical reports for accuracy and completeness. Close cases...
Description The Medical Review Nurse will be responsible for reviewing and processing incoming medical reports for beneficiaries... care is required. The Medical Review Nurse will communicate with beneficiaries, providers, and points of contact via...
- Nurse/Medical Support and Assistant or equivalent. Responsibilities CALLING ALL PHRN - GET YOUR NCLEX REVIEW FOR FREE... weekend off while on review Be a US Registered Nurse while in Philippines Competitive Salary Package License Premium...
a Utilization Review Nurse - USRN (Remote work!) to join our team in Manila, National Capital Region (PH-00), Philippines (PH... knowledge of the policies and procedures for appeals processing, specifically for Medicaid and medical necessity review. Uses...
a Utilization Review Nurse - USRN (Remote work!) to join our team in Manila, National Capital Region (PH-00), Philippines (PH... knowledge of the policies and procedures for appeals processing, specifically for Medicaid and medical necessity review. Uses...
Discover your 100% YOU with MicroSourcing! Position: Utilization Review Nurse Specialist Location: Taguig Work setup... results for the organizations they serve. Your Role The Utilization Review Nurse Specialist is responsible for optimizing...
a Utilization Review Nurse - USRN (Remote work!) to join our team in Manila, National Capital Region (PH-00), Philippines (PH... knowledge of the policies and procedures for appeals processing, specifically for Medicaid and medical necessity review. Uses...
Job Title Utilization Review Nurse (USRN Only - Dayshift) Description About the Role We are looking for a Medical... Benefits Review Nurse who will review healthcare service requests and determine coverage eligibility based on clinical criteria...
We are looking for a Medical Benefits Review Nurse who will review healthcare service requests and determine coverage eligibility based on clinical...Job Title: Utilization Review Nurse (USRN Only - Dayshift) Description: About the Role...
Discover your 100% YOU with MicroSourcing! Position: Utilization Review Nurse Specialist Location: Taguig Work setup... results for the organizations they serve. Your Role The Utilization Review Nurse Specialist is responsible for optimizing...
Job Title Utilization Review Nurse (USRN Only - Dayshift) Description About the Role We are looking for a Medical... Benefits Review Nurse who will review healthcare service requests and determine coverage eligibility based on clinical criteria...
Management experience At least 3 months clinical experience (hospital or clinical setting) Experience in medical necessity review... Management, you will: Review clinical documentation for medical necessity and coverage Perform concurrent, retrospective...
review,registered nurse,clinical knowledge,managed care,accreditation standards, About Company: UST is a global digital... equitably and effectively to all. In this role, the Utilization Review RN is responsible for performing prospective...
is seeking a highly motivated Utilization Review Registered Nurse (RN) to join our team. In this role, you will conduct...,utilization review,registered nurse,clinical knowledge,communication skills,customer service management,microsoft office...
claims adjudication as per agreed business SOP and within agreed SLA's. Review and evaluation of medical costs and service... line items. Review and evaluation of medical codes, supporting documents and observations to determine medical...
and Destination Management. Job Title: Medical Claims Processor Job Purpose: To review, adjudicate and process medical e-claims... as per agreed business SOP and within agreed SLA's. Review and evaluation of medical costs and service line items. Review...
products, in the post marketing period. Summary Of Responsibilities Undertake primary medical review of cases, including... medical assessment of the case for seriousness, listedness/labeling, causality, adverse event coding and narrative review...
portfolio and new business targets. Monitor, review and comply with all underwriting standards, procedures and processes...
Position Title: Medical Virtual Assistant Work Set Up: On-site Schedule: 10:00 PM to 7:00 AM PH Time Job Location... organized Medical Scheduler to join our team. In this role, you will not only handle scheduling tasks and matching caregivers...
Discover your 100% YOU with MicroSourcing! Position: Medical Coder - Inpatient DRG (IPDRG) Location: Taguig Work setup... results for the organizations they serve. Your Role The Medical Coder-Inpatient DRG (IPDRG) provides high-level technical...