MetHealth USRN - InterQual Account

MetHealth

Mendesak

2.7-5.3Kر.س[Bulanan]

Hibrid - Cebu1-3 Tahun KedaluwarsaS1Penuh waktu

Penghargaan Karyawan
Bonus Kinerja, Hadiah Ulang Tahun, Penghargaan Karyawan Terbaik Bulanan, Program Penghargaan Karyawan, Hadiah liburan
Manfaat yang Diamanatkan Pemerintah
Gaji Bulan ke-13, Pinjaman Karyawan, Dana Pag-Ibig, Liburan Berbayar, Kesehatan Phil, SSS/GSIS
Asuransi Kesehatan & Kesejahteraan
Asuransi Kesehatan, Asuransi Jiwa, Organisasi perawatan kesehatan
Pengembangan profesional
Program Bantuan Karyawan, Pengembangan profesional, Program Beasiswa

Baca lebih lanjut

Health Insurance Education & Support: Assist patients with understanding insurance coverage, claims results, and care navigation across complex medical conditions and multi-provider coordination.
Leadership & Mentorship: Act as a clinical resource for less experienced team members, provide coaching and feedback, and support professional development within the team.
Complex Problem Solving & Analysis: Solve moderately to highly complex problems by interpreting clinical data, identifying trends, and offering actionable solutions with minimal supervision.
Research & Evidence-Based Review: Conduct non-clinical research to support benefit determinations and ensure that final decisions are grounded in the latest clinical evidence and standards.
Documentation & Reporting Excellence: Maintain high standards of accuracy and timeliness in clinical review documentation, ensuring all decisions are well-supported and communicated to stakeholders.
Temporary Work-From-Home Setup

Must have At least 2 Years Hospital Experience
2 years Healthcare BPO Experience (As Utilization Management or Clinical Denial and Appeals)
Active USRN License
Must have knowledgeable with Interqual Or MCG Guidelines System
Must Be Amenable To Work On-Site For The First 2 Weeks To Get The Assets or Equipment