We are looking for fresh talents for the healthcare information management industry.
Someone who wants to make a difference, and be part of something big, something that improves lives.
If this sounds like your story, we are a match.
**What you can look forward to**:
- **100K Sign-on Bonus**.
terms & conditions apply
- **Up to 9,000** USRN Allowance.
- **Up to 2,800** non-taxable Allowance
- Temporary Work from Home.
Assets provided.
- Competitive compensation and benefits package
- Quarterly Incentive Program*, computed as % from annual gross compensation
- Premium HMO Coverage, covering employee + up to 2 dependents on Day 1 of employment
- Vacation and sick leaves with annual conversion*
- Weekends off, fixed night shift schedule for most businesses lines
- Retirement package eligibility depending on tenure of employment
*Terms and conditions apply
**Responsibilities**:
- Conducts pre-certification, continued stay review, care coordination, or discharge planning for appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts;
- Ensures member access to medical necessary, quality healthcare in a cost effective setting according to contract;
- Consult with clinical reviewers and/or medical directors to ensure medically appropriate, high quality, cost effective care throughout the medical management process;
- Collaborates with providers to assess members needs for early identification of and proactive planning for discharge planning;
- Facilitates member care transition through the healthcare continuum and refers treatment plans/plan of care to clinical reviewers as required and does not issue non-certifications; and
**Qualifications**:
- Must be an active PRC & US Mainland Board of Nursing License;
- Preferably with 1 year cumulative clinical experience in a hospital / clinical setting.
Other clinical line of work (private duty, company / school, ambulance / emergency, etc.)
may be considered;
- With or without 6 months of previous experience in a bpo / healthcare information management account experience in Utilization Management is preferred.
Background in a Prior Authorization account is also an advantage for this position;
- Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
Questions?
Chat with us via Facebook Messenger at m.me/LegatohealthPH or send an SMS at 0917-6LEGATO
**Salary**: Php40,000.00 - Php65,000.00 per month
Schedule:
- 8 hour shift
Supplemental pay types:
- 13th month salary
- Overtime pay
- Quarterly bonus
Ability to commute/relocate:
- Taguig City: Reliably commute or planning to relocate before starting work (required)
**Education**:
- Bachelor's (preferred)
**Experience**:
- Nursing: 1 year (preferred)
**Language**:
- English (preferred)
License/Certification:
- US Registered Nurse License (preferred)