{"id":11627,"date":"2024-12-06T09:35:53","date_gmt":"2024-12-06T09:35:53","guid":{"rendered":"https:\/\/carkendra.com\/phemployment\/?page_id=11627"},"modified":"2024-12-06T09:35:53","modified_gmt":"2024-12-06T09:35:53","slug":"clinical-nurse-case-manager-usrn-id-3117","status":"publish","type":"page","link":"https:\/\/carkendra.com\/phemployment\/clinical-nurse-case-manager-usrn-id-3117\/","title":{"rendered":"Clinical Nurse Case Manager \u2013 USRN ID-3117"},"content":{"rendered":"<p><strong>Industry:-<\/strong> Private<\/p>\n<p><strong>Employment Type:- <\/strong>Full\u2013 Time<\/p>\n<p><strong>Work Hours:- <\/strong>8 Hours<\/p>\n<p><strong>Locations:- <\/strong>USA<\/p>\n<h5>Full Job Description:-<\/h5>\n<p>Nezda Technologies Inc. is currently looking for Clinical Nurse Case Manager \u2013 USRN.<\/p>\n<p>Earn up to P 200,000 signing bonus!<\/p>\n<p>\ud83d\udcb0 Salary: P 50,000 \u2013 P 68,000 (with perks and benefits).<br \/>\n\u2757\ufe0fWork Set Up: Work From Home<\/p>\n<p><strong>Qualifications:<\/strong><\/p>\n<p>\u2705 Active and Non-Active USRN License.<br \/>\n\u2705 With at least 1 Year Clinical or Hospital Experience.<br \/>\n\u2705 USRN with RN License.<\/p>\n<p><strong>Job Description:<\/strong><\/p>\n<p>\ud83d\udc49\ud83c\udffb We are in partnership to multiple companies for this position, so you have an option and which company fits you best.<br \/>\n\ud83d\udc49\ud83c\udffb Please take note that this is a direct employment with no bond.<\/p>\n<p><strong>Primary Responsibility:<\/strong><\/p>\n<p>\ud83d\udccc Conduct UM pre-service, concurrent, retrospective, out of network, and appropriateness of treatment setting.<br \/>\n\ud83d\udccc Reviews service requests to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits and contracts.<br \/>\n\ud83d\udccc Utilize client specific criteria sets (e.g., Milliman or InterQual), applicable client specific medical policy and client clinical guidelines for decision making to either approve or summarize and route to Client\u2019s nursing reviewer and\/or Client\u2019s medical staff for review.<br \/>\n\ud83d\udccc Responsible for conducting medical management review activities which require the review of clinical information against client specific criteria as noted above but excludes denial determinations.<br \/>\n\ud83d\udccc Ensure member access to medically necessary, quality healthcare in a cost-effective setting according to contract.<br \/>\n\ud83d\udccc Consult with clinical reviewers and\/or U.S. licensed medical directors to ensure medically appropriate, high-quality, cost-effective care throughout the medical management process.<\/p>\n<p><strong>Job Type:\u00a0<\/strong>Full Time<\/p>\n<p><strong>Job Location:\u00a0<\/strong>Anywhere in the Philippines<\/p>\n<h3 style=\"background: white; margin: 0in 0in 0.25in; text-align: center;\"><strong>Clinical Nurse Case Manager \u2013 USRN ID-3117<\/strong><\/h3>\n<p><a href=\"https:\/\/joblagii.com\/job-application\" target=\"_blank\" rel=\"noopener\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-30230 aligncenter\" src=\"https:\/\/blog.sarkarivaccancy.com\/wp-content\/uploads\/2024\/11\/Apply-Now-1-1-300x113.jpg\" alt=\"\" width=\"300\" height=\"113\" \/><\/a><\/p>\n<p><script type=\"application\/ld+json\">{\"@context\":\"https:\/\/schema.org\",\"@type\":\"JobPosting\",\"title\":\"Clinical Nurse Case Manager \u2013 USRN\",\"description\":\"<\/p>\n<p>This a Full Remote job, the offer is available from: Philippines<\/p>\n<div class=\\\"awsm-job-content\\\">\n<div class=\\\"awsm-job-entry-content entry-content\\\">\n<p>Nezda Technologies Inc. is currently looking for Clinical Nurse Case Manager \u2013 USRN.<\/p>\n<p>Earn up to P 200,000 signing bonus!<\/p>\n<p>\ud83d\udcb0 Salary: P 50,000 \u2013 P 68,000 (with perks and benefits).<br \/>\u2757\ufe0fWork Set Up: Work From Home<\/p>\n<p>Qualifications:<br \/>\u2705 Active and Non-Active USRN License.<br \/>\u2705 With at least 1 Year Clinical or Hospital Experience.<br \/>\u2705 USRN with RN License.<\/p>\n<p>Job Description:<br \/>\ud83d\udc49\ud83c\udffb We are in partnership to multiple companies for this position, so you have an option and which company fits you best.<br \/>\ud83d\udc49\ud83c\udffb Please take note that this is a direct employment with no bond.<\/p>\n<p>Primary Responsibility:<br \/>\ud83d\udccc Conduct UM pre-service, concurrent, retrospective, out of network, and appropriateness of treatment setting.<br \/>\ud83d\udccc Reviews service requests to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits and contracts.<br \/>\ud83d\udccc Utilize client specific criteria sets (e.g., Milliman or InterQual), applicable client specific medical policy and client clinical guidelines for decision making to either approve or summarize and route to Client\u2019s nursing reviewer and\/or Client\u2019s medical staff for review.<br \/>\ud83d\udccc Responsible for conducting medical management review activities which require the review of clinical information against client specific criteria as noted above but excludes denial determinations.<br \/>\ud83d\udccc Ensure member access to medically necessary, quality healthcare in a cost-effective setting according to contract.<br \/>\ud83d\udccc Consult with clinical reviewers and\/or U.S. licensed medical directors to ensure medically appropriate, high-quality, cost-effective care throughout the medical management process.<\/p>\n<\/div>\n<div class=\\\"awsm-job-specifications-container awsm_job_spec_below_content\\\">\n<div class=\\\"awsm-job-specifications-row\\\">\n<div class=\\\"awsm-job-specification-wrapper\\\">\n<div class=\\\"awsm-job-specification-item awsm-job-specification-job-type\\\"><span class=\\\"awsm-job-specification-label\\\"><strong>Job Type: <\/strong><\/span><span class=\\\"awsm-job-specification-term\\\">Full Time<\/span><\/div>\n<div class=\\\"awsm-job-specification-item awsm-job-specification-job-location\\\"><span class=\\\"awsm-job-specification-label\\\"><strong>Job Location: <\/strong><\/span><span class=\\\"awsm-job-specification-term\\\">Anywhere in the Philippines<\/span><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>This offer from \\\"Nezda Technologies Inc.\\\" has been enriched by <a title=\\\"Find ideal remote jobs at Jobgether\\\" href=\\\"\/\\\">Jobgether.com<\/a> and got a 72% flex score.<\/p>\n<p>\",\"identifier\":{\"@type\":\"PropertyValue\",\"name\":\"Nezda Technologies Inc.\",\"value\":\"65f0df9f6af944c5594fb3b8\"},\"hiringOrganization\":{\"@type\":\"Organization\",\"name\":\"Nezda Technologies Inc.\",\"sameAs\":\"https:\/\/www.nezdaglobal.com\/\",\"logo\":\"https:\/\/cdn-s3.jobgether.com\/nezdatechnologiesinc65f0d%2Fprofile.webp\"},\"datePosted\":\"Fri Mar 15 2024 14:05:45 GMT+0000 (Coordinated Universal Time)\",\"employmentType\":[\"FULL_TIME\"],\"jobLocationType\":\"TELECOMMUTE\",\"applicantLocationRequirements\":[{\"@type\":\"Country\",\"name\":\"PH\"}],\"jobLocation\":[{\"@type\":\"Place\",\"address\":{\"@type\":\"PostalAddress\",\"addressLocality\":\"Antipolo\",\"addressCountry\":\"PH\"}},{\"@type\":\"Place\",\"address\":{\"@type\":\"PostalAddress\",\"addressLocality\":\"Bacoor\",\"addressCountry\":\"PH\"}},{\"@type\":\"Place\",\"address\":{\"@type\":\"PostalAddress\",\"addressLocality\":\"Imus\",\"addressCountry\":\"PH\"}},{\"@type\":\"Place\",\"address\":{\"@type\":\"PostalAddress\",\"addressLocality\":\"Dasmarinas\",\"addressCountry\":\"PH\"}},{\"@type\":\"Place\",\"address\":{\"@type\":\"PostalAddress\",\"addressLocality\":\"Calamba\",\"addressCountry\":\"PH\"}},{\"@type\":\"Place\",\"address\":{\"@type\":\"PostalAddress\",\"addressLocality\":\"San Jose del Monte\",\"addressCountry\":\"PH\"}},{\"@type\":\"Place\",\"address\":{\"@type\":\"PostalAddress\",\"addressLocality\":\"Cebu City\",\"addressCountry\":\"PH\"}},{\"@type\":\"Place\",\"address\":{\"@type\":\"PostalAddress\",\"addressLocality\":\"Davao City\",\"addressCountry\":\"PH\"}},{\"@type\":\"Place\",\"address\":{\"@type\":\"PostalAddress\",\"addressLocality\":\"Manila\",\"addressCountry\":\"PH\"}},{\"@type\":\"Place\",\"address\":{\"@type\":\"PostalAddress\",\"addressLocality\":\"Zamboanga City\",\"addressCountry\":\"PH\"}}],\"validThrough\":\"2025-03-15T14:05:45.909Z\"}<\/script><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Industry:- Private Employment Type:- Full\u2013 Time Work Hours:- 8 Hours Locations:- USA Full Job Description:- Nezda Technologies Inc. is currently looking for Clinical Nurse Case Manager \u2013 USRN. Earn up to P 200,000 signing bonus! \ud83d\udcb0 Salary: P 50,000 \u2013 P 68,000 (with perks and benefits). \u2757\ufe0fWork Set Up: Work From Home Qualifications: \u2705 Active &#8230; <a title=\"Clinical Nurse Case Manager \u2013 USRN ID-3117\" class=\"read-more\" href=\"https:\/\/carkendra.com\/phemployment\/clinical-nurse-case-manager-usrn-id-3117\/\" aria-label=\"Read more about Clinical Nurse Case Manager \u2013 USRN ID-3117\">Read more<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-11627","page","type-page","status-publish"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/carkendra.com\/phemployment\/wp-json\/wp\/v2\/pages\/11627","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/carkendra.com\/phemployment\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/carkendra.com\/phemployment\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/carkendra.com\/phemployment\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/carkendra.com\/phemployment\/wp-json\/wp\/v2\/comments?post=11627"}],"version-history":[{"count":2,"href":"https:\/\/carkendra.com\/phemployment\/wp-json\/wp\/v2\/pages\/11627\/revisions"}],"predecessor-version":[{"id":11629,"href":"https:\/\/carkendra.com\/phemployment\/wp-json\/wp\/v2\/pages\/11627\/revisions\/11629"}],"wp:attachment":[{"href":"https:\/\/carkendra.com\/phemployment\/wp-json\/wp\/v2\/media?parent=11627"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}