Care Management Nurse Associate — Drive Quality Outcomes

Siegen HR Solutions; Manila; Sur place; PHP 334 800 - 502 200; Plein temps

Résumé du poste

A healthcare staffing agency is seeking a PHRN Care Management Associate/Nurse in Metro Manila, Philippines. The role involves supporting clinical teams to promote quality outcomes and manage claims. Candidates should possess a BS Nursing degree, an active PHRN license, and experience in a clinical setting. Customer service experience is a plus. This position offers an opportunity to make a significant impact on member benefits and healthcare quality.

Qualifications

• Minimum of three months of prior working experience as a Registered Nurse in a clinical setting.
• Experience in providing direct patient care.
• 1 year of customer service or call-center experience is a plus.

Responsabilités

• Provide support to the clinical and client teams for quality member outcomes.
• Determine customer eligibility by reviewing medical documentation.
• Assess medical appropriateness of claims and manage both new and open claims.

Connaissances

Clinical assessment

Patient care

Customer service

Formation

BS Nursing (BSN) Degree

Active PHRN License

Description du poste

A healthcare staffing agency is seeking a PHRN Care Management Associate/Nurse in Metro Manila, Philippines. The role involves supporting clinical teams to promote quality outcomes and manage claims. Candidates should possess a BS Nursing degree, an active PHRN license, and experience in a clinical setting. Customer service experience is a plus. This position offers an opportunity to make a significant impact on member benefits and healthcare quality.