News
  • 1.) With or without crisis, HireMe.ph is always FREE! Keep safe everyone.

  • 2.) All job openings are welcome here! From JANITORIAL to CEO position as long as you're a legitimate company or organization.

  • 3.) HireMe.ph Merchandise is now available on Teespring! More designs to come!

  • 4.) With the prominence of the so-called Big Data; we make sure you're not left behind. Visit our beta JOB TRENDING page. More statistics coming soon!

  • 6.) There are only (2) types of Job Posting Website: PAID and FREE. We proudly belong to the latter! :)

  • 7.) Want to talk about anything related to office productivity? Introducing HireMe.ph Forums, simply register to join the chitchat!

  • 8.) Want to impress your superiors and colleagues with your increased productivity in the workplace? Equip yourself by visiting our PRODUCTIVITY SHOP!

  • 9.) Visit and Like our new HireME.ph - Facebook Page!

Sharing is Caring

Full-time Email Us Care Management Associate/nurse

at Aspiree, Inc. (Anywhere)

This job post has already expired...

Expired
Job Post

Responsibilities:
To provide support to the clinical team and client team to assist in the promotion of quality member outcomes, to optimize member benefits, and to promote effective use of resources. Supports the procedures that ensure adherence to medical policy and member benefits in providing service that is medically appropriate, high quality, and cost effective.

• Determine customer eligibility by reviewing contractual language and medical documentation, interpret information and make decisions based on facts presented.
• Assess medical appropriateness of claims submitted, and adjust claims as needed.
• Pay all covered claims accurately and timely.
• Manage both new claims and open claims equally and maintains decision turnaround times.
• Understand the client’s operations and corporate compliance, policies and procedures and best practices.

Qualifications:
• BS Nursing (BSN) Degree
• Active PH RN License holder
• A minimum of three (3) months of prior working experience as a Registered Nurse in a clinical setting required, three months is equivalent to 480 hours of working experience as an RN
•Working experience as a Registered Nurse means holding an active RN license and providing direct patient care
•Clinical setting includes inpatient hospital, outpatient hospital or clinic
•1 year of customer service or call-center experience and minimum of work experience is a plus


We know that resume is a must to apply for a job. If you don't have one or yours is already obsolete. HireMe.ph gives you free editable resume templates here.


Recent jobs at Aspiree, Inc.
Full-time Auto Auditor (makati City) at Aspiree, Inc. in Metro Manila Mar 30, 2020
Full-time Business Development Executive at Aspiree, Inc. in Metro Manila Mar 04, 2020
Full-time Digital Content Creator at Aspiree, Inc. in Metro Manila Mar 04, 2020
Full-time Office Staff at Aspiree, Inc. in Metro Manila Mar 04, 2020
Full-time Trade Marketing Specialist (iloilo) at Aspiree, Inc. in Western Visayas Mar 04, 2020

« Go back to category
Is this job ad fake? Report it!   
Recommend to a friend
Published at Nov 11, 2019
Viewed: 675 times

Sharing is Caring