73 Medical Review Jobs - page 2
-
PRC Licensed Nurse - Your Next Step in Clinical Excellence MetHealth - Eastwood City, Quezon • Partner with healthcare providers to ensure optimal member outcomes and maximize benefits for patients. • Oversee the initial benefit determinations and medical necessity reviews, ensuring 35000 8 days ago
-
Technical Writer/Editor - Scientific Documentation (Medical Sciences) QuickStart Careers - Pasig , adaptability, and a strong command of the English language (C1 level or higher). Key Responsibilities Create, review, and maintain scientific and technical documentation related to dental and medical products 4 days ago
-
Healthcare Professional Night Shifts - PRC and ORC Required MetHealth - Eastwood City, Quezon • Collaborate with the Medical Director to review cases that do not meet medical necessity standards. • Ensure that all written communication to providers and members is accurate and timely, in line 35000 8 days ago
-
Night Shift Clinical Nurse - Weekends Free - PRC License Needed MetHealth - Eastwood City, Quezon for approval or denial, and forward cases to the Medical Director for final review. Review medical claims to verify medical necessity based on established guidelines. • Interpret customer needs and assess 35000 8 days ago
-
US Registered Nurse - Taguig City, NCR Optum - Pasig ). Performs reviews of current inpatient services. Determines medical appropriateness of inpatient and outpatient services following evaluation of medical guidelines and benefit determination. *Employees 8 days ago
-
Manila-Based PHRN Job - HMO plus Work-Life Balance - Apply Today MetHealth - Eastwood City, Quezon • Escalate complex cases to appropriate departments for resolution. • Stay updated on industry trends and medical policies. • Assist in policy development for medical claim reviews. 35000 7 days ago
-
Company Physician (Ob/Gyn) - Quezon City ActiveOne Health - Makati be appropriately revised or removed. Conduct periodic examinations of employees in designated medical monitoring programs; through health data analysis.promotion and disease prevention. Review results of medical 8 days ago
-
UR Nurse (USRN) Genfinity - Makati ) and determine appropriateness of treatment and length of treatment. Determine appropriateness of referrals to peer advisors. Maintain and monitor volume and cost of peer advisor reviews for management report 9 days ago
-
Medical Coder Analyst (RN with CPC) / Night Shift / WFH Set Up Manpower Core Group Inc. - Taguig City, National Capital Region (PRC) License. Must be an AHIMA Certified Coding Specialist - Physician (CCS-P) or AAPC Certified Professional Coder (CPC). At least 5 years of experience in the areas of CPT Coding, Medical Billing 65000 More than 30 days ago
-
Cardiographics Technician UERMMMC - Quezon City Job Description : Performs and/or assists in the performance of tasks such as but not limited to the following: Review medical history, orient and prepare patients for procedure; Performs technical 7 days ago
Top locations
- Taguig City (26)
- Pasig City (25)
- Pasay (22)
- Makati City (16)
- Angeles City (13)
- Quezon City (13)
- Cebu City (11)
- Manila (10)
- See more