Clinical Analyst Level I

MedRisk; Metro Manila; On-site; PHP 360,000 - 560,000; Full time

Job summary

MedRisk seeks an experienced Physical Therapist to support utilization review and telerehabilitation services. The role involves documenting initial evaluations, updating case files with clinical information, and coordinating Telerehab case openings and scheduling.

A current Philippine PT license is required, with 2–3 years in outpatient clinics preferred. Strong communication, organization, and multitasking abilities are essential, as you will participate in meetings and quality improvement

Qualifications

• Current Philippine Physical Therapy license required.
• 2–3 years in an outpatient hospital clinic setting preferred.
• Knowledgeable about current physical medicine treatments.
• Excellent verbal and written communication skills.
• Organizational, prioritization and multi-tasking abilities.

Responsibilities

• Confirm attendance of initial evaluation and document IE reports.
• Review documentation and update cases with clinical information (ICD, surgery dates, guidelines, ROM/strength).
• Initiate review for services upon referral; handle Teleservices duties as assigned.
• Open Telerehab cases and schedule injured workers for Telerehab.
• Maintain case notes with all pertinent clinical information and actions.
• Participate in meetings/trainings and support quality improvements.

Skills

Outpatient PT experience

Utilization review

Telerehab/Telehealth

Microsoft Office/Zoom

Education

Philippines Physical Therapy License

US PT license or DPT (desirable)

Tools

Zoom

Microsoft Office

Job description

• Confirming attendance of initial evaluation (IE) and receipt of IE Report
• Reviews documentation and updates cases with accurate clinical information, including but not limited to ICD codes, Date of Surgery, Clinical Guidelines, ROM/Strength measurements
• Initiates review for requested service upon referral
• Review types include Continued Authorizationand Internal Clinical Reviews
• Obtains, compiles, proofs and processes information received from providers/adjusters to aid in the 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 in the system and participates in scheduling injured workers for Telerehab
• Manages phone calls coming into department through the Telerehab Queue (internal and external calls)
• Monitors and handles Telerehab inbox including email, voicemail and fax communications for Teleservices team
• Participates in processing continued authorization for Telerehab cases including communication with physician offices and adjusters
• Handles other Teleservices duties as assigned

Overall Duties

Primary Duties & Responsibilities

• Documents all pertinent clinical patient/case information and actions into the case notes.
• Complies with all established policies and procedures
• Assists manager and team in quality improvement projects to provide instructive feedback to practitioners within scope
• Attends meetings and trainings.
• Performs activities within the scope of professional licensure.
• Completes other duties and projects as assigned.

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
• Must be computer literate and be able to use the keyboard accurately. Experience with Microsoft Office and Zoom app are desired.

Strong Analytical And Interpersonal Skills Are Also Required.

• 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