Clinical Program Nurse III

Crawford & Company; Iloilo; On-site; PHP 446,000 - 670,000; Full time

Job summary

Crawford & Company is seeking a nursing professional to provide proactive case management by reviewing medical records and coordinating care. The role requires an active Philippine RN license in good standing and an additional US RN license from any mainland state.

Candidates should have at least two years of clinical experience or prior Medical Bill Review exposure. Ideal candidates show excellent communication, strong analytical skills, and a customer-focused approach.

Qualifications

• Bachelor’s degree in Nursing.
• Active Philippine RN license in good standing; US RN license from any mainland state is also required in good standing.
• Minimum of two years diverse clinical experience or prior Medical Bill Review experience.
• Excellent verbal communication and customer orientation.
• Proficient in word processing software applications.
• Analytical skills and ability to perform bill review according to SOP.
• Ability to deliver excellent customer service.
• Active listening and phone handling skills.
• Critical thinking and sound judgment.
• Maintains confidentiality and professionalism.
• Ability to multi-task, prioritize, and manage time effectively.
• Able to work independently and as part of a team.
• Keen attention to detail.

Responsibilities

• Responsible for providing proactive case management services by assessing existing medical records.

Skills

Verbal communication

Customer orientation

Word processing

Analytical skills

Customer service

Active listening

Phone handling

Critical thinking

Time management

Interpersonal skills

Attention to detail

Education

Bachelor's degree in Nursing

Tools

MS Word

Job description

Responsible for providing proactive case management services by assessing existing medical records.

• Bachelor's degree in Nursing.
• Must have an active and in good standing without restriction Philippine RN license; Has an active and in good standing without restriction US RN license from any mainland state.
• Minimum of two (2) years diverse clinical experience or prior experience in Medical Bill Review.
• Excellent verbal communication skills and customer orientation.
• Proficient in word processing software applications.
• Analytical skills - Ability to perform basic and complex bill review according to standard operating procedures (SOP).
• Ability to deliver excellent customer service.
• Active listening and phone handling skills.
• Critical thinking skills - Ability to make judgements and recommendations.
• Maintains high degree of professionalism and confidentiality.
• Ability to multi-task, prioritize and manage time effectively.
• Interpersonal skills - Able to work independently and as a team member.
• Keen attention to details.