Healthcare Specialist (USRN) - Quezon City
Core
Clinical Review Nurse conducting clinical intake, adjudicating cases, and escalating to Medical Directors for cases not meeting criteria.
Role type
Clinical Review Nurse (Adjudication)
Builds
Clinical case resolutions and adjudication decisions
Domain
Healthcare / Medical Records
Deliverable
client delivery
Required skills
Clinical review, case adjudication, clinical intake, medical records management, escalation to Medical Directors
Preferred skills
Healthcare domain knowledge, night/shift work availability, weekend/holiday availability
Responsibilities
Conduct clinical review of cases not meeting criteria, perform clinical intake, adjudicate (close) cases, request additional clinical information, escalate to Medical Directors
Seniority
Mid-level, hands-on IC
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