Clinical Analyst I — TeleRehab & Case Reviews

MedRisk; Mandaluyong; On-site; PHP 279,000 - 502,000; Full time

Job summary

MedRisk is seeking a Clinical Analyst in the Philippines to support clinical oversight of workers’ compensation cases focused on Certified Hand Therapy, Occupational Therapy, and Physical Therapy across telerehab programs.

The role involves collecting and reviewing clinical data, coordinating with US-based providers, and ensuring accurate documentation for reviews. Requires a valid Philippines Physical Therapy license and 2–3 years of outpatient clinic experience.

Qualifications

• Must hold a current Philippines Physical Therapy License.
• Experience: 2-3 years of outpatient hospital clinic setting strongly preferred.
• Knowledgeable of current physical medicine treatments.
• Excellent verbal and written communication skills.
• Organizational skills, prioritization, problem-solving and decision making skills are required.
• Ability to multi-task in a fast paced environment.
• Not required, but desired: current US Physical Therapy license and/or Doctor of Physical Therapy degree.
• Experience in utilization review, case management, quality improvement and/or managed care is desired.

Responsibilities

• Clinical Oversight: Confirm attendance of initial evaluation (IE) and receipt of IE Report.
• Reviews documentation and updates cases with accurate clinical information, including ICD codes, Date of Surgery, Clinical Guidelines, ROM/Strength measurements.
• Initiates review for requested service upon referral; review types include Continued Authorization and Internal Clinical Reviews.
• Obtains, compiles, proofs and processes information from providers/adjusters to aid final determination of a clinical reviewer.
• Reviews all assigned cases to provide efficient, cost-effective and quality utilization review services.
• Teleservices: Opens new Telerehab cases and schedules injured workers for Telerehab.
• Manages department calls through the Telerehab Queue; handles inbox and communications.
• Processes continued authorization for Telerehab cases including communication with physician offices and adjusters.
• Performs other Teleservices duties as assigned.
• Overall Duties: Documents all pertinent clinical patient information and actions into case notes.
• Complies with policies and procedures.
• Assists manager and team in quality improvement projects and trainings.
• Meets quality management standards and works within licensure scope.
• Completes other duties and projects as assigned.

Skills

Verbal communication

Written communication

Organizational skills

Multi-tasking

Problem solving

Interpersonal skills

Analytical skills

Education

Philippines Physical Therapy License

Doctor of Physical Therapy

Tools

Microsoft Office

Zoom

Job description

MedRisk is seeking a Clinical Analyst in the Philippines to support clinical oversight of workers’ compensation cases focused on Certified Hand Therapy, Occupational Therapy, and Physical Therapy across telerehab programs.

The role involves collecting and reviewing clinical data, coordinating with US-based providers, and ensuring accurate documentation for reviews. Requires a valid Philippines Physical Therapy license and 2–3 years of outpatient clinic experience.