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PHRN Clinical Reviewer - Skilled Nursing Facility (WFH) UPT

IPS

Location
Philippines
ISTA Personnel Solutions

Job Description

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Clinical Reviewer to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize employee satisfaction and work-life balance. At ISTA Solutions, we pride ourselves on creating a culture focused on long-term success and life-long learning. We're looking for a team player who is ready to contribute to our mission, just like you!

Account specific roles and responsibilities:

  • Reviewing Medical Records: Thoroughly review and evaluate patient records, including therapy notes, discharge summaries, clinical notes, and progress notes, to ensure completeness and accuracy.
  • Clinical Packet Preparation: Prepare and send clinical packets to SNFs in accordance with required guidelines, ensuring all relevant documentation is included.
  • Clinical Note Evaluation: Assess and verify the clinical validity of therapy notes, progress notes, and other patient-related documentation to ensure that all records reflect appropriate care and treatment plans.
  • Compliance & Quality Assurance: Ensure all patient records meet regulatory and facility standards for accuracy, completeness, and compliance with healthcare regulations.
  • Collaboration: Work closely with medical and administrative staff to resolve any issues with patient documentation and to facilitate the timely submission of clinical records.
  • Data Entry & Recordkeeping: Maintain detailed and accurate records of the clinical review process, tracking any discrepancies or issues that need to be addressed.

Requirements

  • Current and valid PHRN license
  • Good working knowledge with US Healthcare Insurance
  • Strong knowledge of prehospital patient care protocols, standards, and regulatory requirements.
  • Excellent attention to detail and analytical skills.
  • Good verbal and written English skills
  • Ability to work independently and collaboratively in a team-oriented environment.
  • Commitment to continuous learning and professional development.
  • Must be residing within GMA (Greater Manila Area)
  • Willing to work on shifting schedule (weekdays and weekends)

Benefits

What can we offer you?

  • Competitive salary and benefits
  • Health Insurance with free dependents*
  • 10%-night differential
  • Attendance Bonus
  • Paid time off
  • Convertible to cash leave credits
  • Performance Appraisal
  • Work-life balance
  • A focus on growing your career path with us
  • We encourage you to follow your passions and learn new skills

Our commitment to you

  • Strong culture and values-driven leadership
  • We create opportunities for you to learn and grow at any stage of your career
  • Continuous learning and innovation
  • We foster an all inclusive environment where everyone thrives

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About the job

Feb 28, 2025

Full-time

  1. PH Philippines

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