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Job summary
A leading healthcare recruitment agency is looking for a Health Clinical Services Senior Manager in Taguig. The ideal candidate will have over 12 years of relevant experience, including 10 years in supervisory roles, and must hold a current US RN license. This role involves overseeing team compliance with health standards, conducting treatment reviews, and managing service requests. Candidates must already reside in the Philippines and have the right to work. This position is onsite with a night shift schedule.
Qualifications
Minimum 12 years of relevant experience with 10 years in supervisory roles.
Current unrestricted US Registered Nurse license required.
Must be eligible to live and work in the Philippines.
Responsibilities
Oversee staff performance in compliance reviews.
Conduct treatment setting reviews for appropriateness.
Facilitate inbound and outbound communication for service requests.
Analyze post-service claims for medical necessity.
Skills
Supervisory experience
US RN license
BPO experience
General work background
Job description
A leading healthcare recruitment agency is looking for a Health Clinical Services Senior Manager in Taguig. The ideal candidate will have over 12 years of relevant experience, including 10 years in supervisory roles, and must hold a current US RN license. This role involves overseeing team compliance with health standards, conducting treatment reviews, and managing service requests. Candidates must already reside in the Philippines and have the right to work. This position is onsite with a night shift schedule.