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Clinical Analyst - Philippine

Clinical Analyst - Philippine
Company:

Medrisk Llc


Details of the offer

**Primary Duties & Responsibilities**- *Clinical Oversight: *- Confirming attendance of initial evaluation (IE) and receipt of IE Report- Reviews documentation and updates cases with accurate clinical information, including but not limited to ICD codes, Date of Surgery, Clinical Guidelines, ROM/Strength measurements- Initiates review for requested service upon referral- Review types include Continued Authorization and Internal Clinical Reviews- Obtains, compiles, proofs and processes information received from providers/adjusters to aid in the final determination of a clinical reviewer.- Reviews all assigned cases to provide efficient, cost-effective and quality utilization review services.- **Teleservices**:- Opens new Telerehab cases in the system and participates in scheduling injured workers for Telerehab- Manages phone calls coming into department through the** **Telerehab Queue (internal and external calls)- Participates in processing continued authorization for Telerehab cases including communication with physician offices and adjusters- Handles other Teleservices duties as assigned*Primary Duties & Responsibilities*- *Overall Duties: *- Documents all pertinent clinical patient/case information and actions into the case notes.- Complies with all established policies and procedures- Assists manager and team in quality improvement projects to provide instructive feedback to practitioners within scope- Attends meetings and trainings.- Meets quality management standards.- Performs activities within the scope of professional licensure.- Completes other duties and projects as assigned.*Qualifications**Must hold a current Philippines Physical Therapy License- Experience: 2-3 years of outpatient hospital clinic setting strongly preferred- Knowledgeable of current physical medicine treatments- Excellent verbal and written communication skills- Organizational skills, prioritization, problem-solving and decision making skills are required- Ability to multi-task in a fast paced environment- Must be computer literate and be able to use the keyboard accurately. Experience with Microsoft Office and Zoom app are desired.- Strong analytical and interpersonal skills are also required.- Not required, but desired: current US Physical Therapy license and/or Doctor of Physical Therapy degree- Experience in utilization review, case management, quality improvement and/or managed care is desired


Source: Whatjobs_Ppc

Job Function:

Requirements

Clinical Analyst - Philippine
Company:

Medrisk Llc


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