Clinical Analyst Level I

MedRisk; Philippines; On-site; PHP 450,000 - 650,000; Full time

Job summary

MedRisk in the Philippines is seeking a licensed Physical Therapist to support clinical reviews and telerehabilitation operations. The role involves documenting case details, reviewing medical information, and coordinating authorizations for telerehab cases.

Strong communication, multi-tasking, and organizational skills are essential. Preferred candidates have 2–3 years in outpatient clinics and may have a Doctor of Physical Therapy or US PT license in addition to the Philippine license.

Qualifications

• Must hold a current Philippines Physical Therapy License.
• 2–3 years of outpatient hospital clinic setting strongly preferred.
• Knowledgeable of current physical medicine treatments.
• Excellent verbal and written communication skills.
• Organizational, prioritization, problem-solving and decision making skills are required.
• Ability to multi-task in a fast paced environment.
• Must be computer literate; experience with Microsoft Office and Zoom preferred.
• Strong analytical and interpersonal skills are required.
• Not required, but desired: 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

• Documents all pertinent clinical patient/case information and actions into the case notes.
• Review documentation and update cases with accurate clinical information (ICD codes, surgery dates, ROM/Strength).
• Initiates review for requested service upon referral.
• Reviews case types including Continued Authorization and Internal Clinical Reviews.
• Opens Telerehab cases and schedules injured workers for Telerehab.
• Manages Telerehab phone and inbox communications (phone, email, fax).
• Participates in processing continued authorization for Telerehab cases with physicians and adjusters.
• Performs duties within professional licensure scope and attends trainings.
• Completes other duties and projects as assigned.

Skills

Verbal communication

Written communication

Organizational skills

Multitasking

Problem-solving

Decision making

Analytical skills

Interpersonal skills

Attention to detail

Teamwork

Education

Philippines Physical Therapy License

Doctor of Physical Therapy

Tools

Microsoft Office

Zoom app

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

Primary Duties & Responsibilities

• Overall Duties:
• 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