92 Clinical Care jobs in the Philippines

The Manager, Clinical Services will be responsible for the day-to-day leadership of the direct reports, including members of the Clinical Services team. The manager will support the core values of the company while ensuring they are supporting quality and efficiency through our Clinical Services offering. The Manager participates in driving decisions regarding best practices, plans, procedures, team growth and development. This is an exempt position.

Job Responsibilities:

 Participates in hiring, evaluating, developing, and coaching employees in

conjunction with human resources as applicable.

Participates in annual evaluations/reviews of direct report employees.

egular one to one meeting cadence with direct report employees to ensure

professional growth and development plans are determined and set steps for

progression.

anage interview and clinical queues to promote prompt turnaround time (TAT)

esponsible for day-to-day operations of all clinical services processes and

activities as assigned.

anage daily challenges of team members.

ollaboration with Clinical, Credentialing and Quality team members to maintain continual Joint Commission readiness.

rend clinical issues that yield opportunity for education/training and facilitate subsequent training development.

ollaborate with recruiters and client care managers to resolve clinical or competency requirements.

rive effective and efficient process improvements.

ollaborate with IT department to drive quality and efficiency.

bility to present to clients and drive conversations with senior client leadership.

reate education and training for team members inside and outside of the

clinical services team.

oordinates and facilitates educational opportunities for internal and external clinical team members.

oordinate and managing in conjunction with Learning and Development team the orientation schedule for new hires that is consistent, effective and eliminates redundancy.

Job Qualifications:

N degree from accredited school of nursing

ctive PRC License, USRN

even years of acute clinical care setting experience

hree years of progressive leadership experience

horough understanding of policy and procedure interpretation, writing and

teaching

nderstanding of process improvement

ust be self-directed in improving and acquiring the abilities and skills

necessary to enhance job performance

uperior organizational skills

bility to stay on task with minimal direction

bility to meet tight deadlines and handle multiple distractions

bility to handle large workload, while maintaining high level of quality work

xcellent leadership and communication skills

trong analytical skills and exceptional attention to detail

trong computer skills. Proficient utilizing Microsoft Outlook and Office

programs

bility to track/trend data utilizing Excel

bility to navigate custom designed platforms and databases

onfident with internet research capabilities and skills

bility to research and critically think to find solutions for issues

trong team player

onfident in decision making and able to make decisions at times with limited information

bility to work with others inside and outside the team.

ersonable, friendly, and upbeat personality.

Preferences:

xperience handling people

nowledge of US healthcare system, travel industry and hospital standards is an advantage

ne year of healthcare travel industry experience

Job Title: Clinical Services Manager

Location: McKinley, Taguig

Work set-up: Onsite

Company Overview:

AGS Health is more than a revenue cycle management company - we're a strategic partner for growth. With expert services complemented by AI-enabled technologies and high-touch support, AGS Health is the premier revenue cycle partner for leading health systems, physician groups, and academic medical centers in the U.S. With expert insight into modern revenue cycle practices, the company pairs cutting-edge technology with college-educated, trained RCM experts to help clients optimize workflow, maintain compliance, prevent revenue leakage, and achieve a high-performance revenue cycle. AGS health employs more than 14,000 team members globally and partners with more than 150 clients across a variety of care settings, specialties, and billing systems.

For more details, please visit

You can also visit us at

SCOPE OF WORK:

· The position will report directly to the Vice President of Coding and Clinical Service Line. This is an Individual Contributor role focusing on independent work and expertise within a specific area, rather than managing a team or having managerial responsibilities. The individual will be responsible for delivering improved performance/results through key stakeholder engagement and problem-solving skills.

· This role will support service line leadership collaboration with AGS teams including Operations, Sales, Customer Success, Marketing, Talent Development, and Quality Audit teams. Examples include:

o Drive quality improvement initiatives within the clinical service line

o Refine AGS's quality audit framework as industry trends and regulatory requirements evolve

o Create case studies from clinical projects utilizing "real time" key outcomes and data

o Participate in general go-to-market initiatives as needed

· The individual will monitor clinical pipeline to build thoughtful presentations for leadership meetings, strategic initiatives and other efforts. Navigate sales platform, quantify relevant pipeline, and assist with prioritizing pursuits.

· The individual will work adjacent to the Sales / Customer Success teams to build compelling value propositions and customized solutions during the sales cycle. May require researching competition and updates on global market trends within the clinical RCM domain.

· This position will also support the Director – Clinical Education with development and refinement of education and training content for AGS resources within the clinical service lines (Clinical Authorizations, Clinical Denials & Appeals, Physician Advisory Services, Clinical Documentation Integrity, and Utilization Review) across global locations

· This role will also support the expansion into new clinical administrative service lines such as care management and coordination, pharmacovigilance, etc.

JOBS-TO-BE-DONE (JTBDs):

1. Serve as clinical SME in support of the following:

a. Support VP of Coding and Clinical Service Line – Drive operational excellence and collaboratively assist the VP with tasks to execute the organization's strategy for the relevant service lines.

b. Go to Market Support – Be able to communicate effectively to internally and externally with clinical domain acumen. Support AGS's thought leadership by researching and creating content for market-focused communications (e.g., white papers, collaterals, case studies, clinical sections of the website, webinars). Help ensure the content remains current with industry-leading solutions and delivery locations.

c. Clinical analytics – assist with the identification and collection of key performance indicators for the clinical service lines; utilize current project data to generate insights related to production, quality, and outcomes for both external and internal uses.

d. Education and Training – Support the Director Clinical Education to develop and refresh clinical services training content. Assist with the collaboration among AGS internal teams, including Talent Development and Operations, for a comprehensive approach. Knowledge of industry trends and regulatory compliance matters will be important.

1. Support the refinement, further development, and implementation of the company's Clinical Solutions strategy in line with AGS's long-term (5+ year) strategic plan

2. Support other clinical service line initiatives as requested.

KEY SELECTION CRITERIA:

Candidate qualifications:

1. Minimum of 5+ years combined experience in direct patient care and/or a clinical administrator role such as: utilization management, clinical authorization, clinical denials or clinical documentation integrity with a professional history in reputable companies.

a. Registered Nurse (RN) or other clinical patient care designation

b. BS/BA is required and a graduate degree in health, medicine, or nursing is preferred

c. Adjacent experience with US revenue cycle is a plus

1. Knowledge of the US healthcare industry, including a broad understanding of both the payor and provider ecosystems and how they interrelate. Grasp of clinical RCM vendors / services / trends / disruptions / service differentiators.

2. Strong understanding and experience working with revenue cycle-related technology in the clinical revenue cycle, including computer-assisted CDI, auditing, utilization management review, clinical appeal automation, etc.

3. Global Experience – preferred experience of 2+ years of working in/with global RCM business process outsourcing delivery models

4. Ability to constantly learn and synthesize – active listener with intellectual curiosity. Keep up to date on industry trends to shape the Solutions framework and intellectual property for the service line.

5. Product knowledge – broad understanding of AGS products/services and how they interplay, coupled with strong knowledge of technology solutions and platforms

6. Demonstrates initiative and strives for excellence for him/herself and his/her team.

Compliance:

Awareness and adherence to all applicable organization-wide policies and procedures, including but not limited to Information security, HIPAA, and HR policies

· Should adhere to applicable Do's & Don'ts of implemented Information Security Management System, including HIPAA, HITRUST, and NIST regulations

· Adherence to the rules and regulations as outlined by the management

KEY SUCCESS FACTORS:

· Fluent in English. Professional and polished written and verbal communication skills

· Analytical thinking

· Desire to operate in a fast-paced environment and work with a cross-functional team spread across different geographical locations

· BPO industry knowledge, including an understanding of enabling functions (quality, training, hiring, technology, pricing, etc.) and operating environment

· Ability to work seamlessly with virtual teams

Clinical Services Team Leader (Philippines)

About Interstaff

Interstaff is an international healthcare staffing company that recruits nurses from all over the world and

places them in hospitals throughout the United States. Founded in 1998, Interstaff has a strong track

record and was a pioneer of the international staffing model. As we look ahead to celebrating our 22nd

year in business we also look forward to adapting to the growing needs of the U.S. healthcare system.

Our team culture is one of passion and mutual support. You can expect to feel truly supported and

empowered to do your job well. At Interstaff, we take pride in serving our nurses and client hospitals.

Job Description Summary:

The Clinical Services Team Leader role is a full-time, Philippines based position, whose job is to facilitate

document collection and processing for registered nurse credentialing (licensing, compliance &

onboarding), and facilitate nurse support activities. The team leader communicates daily with nurses

regarding their outstanding credentialing documents and facilitates the team's continuous improvement of

the same. Great communication skills and an overwhelming sense of responsibility is critical for success

in this position.This is a fully-remote, work-from-home role.

Job Responsibilities

• Work within ISI systems (Zoho, Canvas, Basecamp, Google)

• Attain expertise in external client hospital document collection and onboarding systems

• Oversee the maintenance of working nurse compliance records in client systems

• Facilitate document review, submission, and processing of nurse documents for onboarding and

ongoing compliance

• Escalate deficiencies to Credentialing Manager for follow-up

• Document all communication with working nurses, clients, and ISI team in ISI systems

• Collaborate with the onboarding and compliance team to suggest improvements to internal

processes

• Assist the Clinical Services team in other areas when time allows as requested by leadership.

Team leadership:

• Participate in the hiring process for new Clinical Services team members.

• Provide training to new team members joining the Clinical Services team.

• Provide feedback to the team members for continuous improvement in the credentialing

processes.

• Provide feedback to the Credentialing Manager regarding team member performance during

semi-annual performance reviews, and as necessary.

• Assist with process improvement for credentialing.

Education, Training, and Experience

• Minimum of 2 years experience in a related field

• Minimum of Associate's Degree in related field

• Strong English proficiency

• Data entry and/or database experience

• High level of accountability, proven ability to take ownership and solve problems

• Demonstrated ability to work in a team-oriented, collaborative environment

• Time management skills and self-efficiency

• Analytical thinker with strong conceptual and problem-solving skills

• Meticulous attention to detail with the ability to multitask

• Ability to work under pressure and meet deadlines

• Excellent documentation, communication, and computer skills

• High level of integrity and trustworthiness.

Job Type: Full-time

Pay: Php29, Php35,000.00 per month

Benefits:

• Company events
• Health insurance
• Opportunities for promotion
• Paid training
• Work from home

Application Question(s):

• Do you have advanced proficiency in using CRM platforms? What CRM tools have you used? (answer is required)
• What internal systems or databases have you used before for data entry or tracking documents? (answer is required)
• Do you have advanced proficiency in using Google Suite- form, work, excel? (answer is required)

Experience:

• Credentialing or related: 2 years (Required)

Work Location: Remote

Expected Start Date: 10/01/2025

• ONLY THOSE APPLICANTS WHO ALREADY HAVE THE RIGHT TO LIVE AND WORK IN THIS COUNTRY ARE ELIGIBLE TO APPLY FOR THIS ROLE--- POSITION TITLE: Health Clinical Services Senior Manager WORK SETUP: RTO Responsibilities:
• Oversees staff whose teams' primary duties may include, but are not limited to:
• Conducts pre-service, concurrent, retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts.
• Service requests may be from inbound calls and facsimile.
• Outbound calls to the provider may be required to gather additional information that may be needed.
• Other staff responsibilities may be review and analysis of post service claims utilizing the member's benefit contract and health plan guidelines.

• Completes review of pended claims post service for either Medical Necessity or Contractual Reviews. OTHERS: Project Shift Schedule: Night Shift Project Rest Day: Weekends Project/Team Location: Taguig Uptown Bonifacio Tower 3
  SKILL AND QUALIFICATIONS:

• At least 12 years relevant experience and 10 years supervisory

• Holds current and unrestricted US Registered Nurse license. No state specific RN licensure required.
• BPO experience should be any account (Health account experience is only a plus, but not required)
• Work Background/Experience in General: Must be open to BPO & Non-BPO Experience

Job Post: Medical Patient Care Coordinator (ND-BS)

Position Type:
Part-Time

Work Hours:
12:00 PM – 5:00 PM EDT

Work Days:
Monday – Friday

Salary:
Starting at $5 - $6 per hour (depending on experience)

About the Role

We are seeking a
proactive, detail-oriented, and experienced Medical Patient Care Coordinator
to support a healthcare practice specializing in patient care, insurance processing, and administrative coordination.

This role combines
front desk reception, insurance verification, and patient/lead management
with a strong focus on responsiveness and professionalism.

Key Responsibilities

Patient Interaction & Scheduling

• Manage inbound and outbound calls, IVR placement, and patient inquiries.
• Schedule, reschedule, and send reminders for patient appointments.
• Handle inbound/outbound lead management with prompt responsiveness.

Administrative & Documentation Support

• Maintain and organize patient records, reports, and correspondence.
• Prepare documents including reports, presentations, and spreadsheets.
• Manage email/text communications, including prioritization and newsletters.
• Calendar management and coordination of provider schedules.

Insurance & Claims Management

• Process claims and verify insurance coverage.
• Assist with pre-authorization, insurance certifications, and related tasks.
• Ensure accuracy and efficiency in all insurance-related activities.

Operational Support

• Provide provider and patient support as a Medical Receptionist/Medical Admin Assistant.
• Support clinical and administrative workflows, ensuring smooth operations.
• Think independently and handle tasks without requiring micromanagement.

Qualifications

Experience & Skills

• Prior work as a Medical Receptionist, Medical Administrative Assistant, Patient Care Coordinator, or related role.
• Strong background in healthcare administration and office work.
• Familiarity with insurance processes, claims handling, and verification.
• Experience in phone management and receptionist duties.
• Document management and organizational expertise.
• Proficiency with Go High Level; willingness to learn Tebra.
• Healthcare or medical assisting background is highly preferred, especially in management/admin roles.

Core Attributes

• Clear and professional English communication (written and spoken).
• Proactive, independent, and detail-oriented with strong problem-solving skills.
• Reliable, responsive, and able to prioritize leads and patient needs.

Requirements

• Must submit an NBI clearance or Local Police Clearance (if requested).
• Must be available for video meetings with camera on.
• Must have no other clients during scheduled work hours.
• Ability to submit a short video introduction as part of the application.

Technical Requirements

• Reliable laptop or desktop computer.
• High-speed internet (minimum 15 Mbps).
• Noise-canceling headset.
• Webcam for virtual meetings.
• Quiet, professional workspace.

Company Description:

Marine Benefits Inc. provides medical insurance services to seafarers and their families. Established in 2007 with the purpose of developing truly global insurance solutions for international seafarers and their families, providing them medical, disability, and life insurance.

This is the perfect career move for someone looking for a friendly working environment, extremely attractive benefits, and a fulfilling role with a dynamic work culture that fosters collaboration and opportunities for professional growth and development.

4 times higher nighttime differential – 40% nighttime differential instead of the 10% standard. Shifting schedule (roughly 50% dayshift, 25% midshift, 25% nightshift) with attractive compensation package that includes additional pay when working midshift and night shift.

Top Benefits or Perks:

· The countries best medical coverage for you and your family, with an annual limit of 100,000 USD (almost 6,000,000 PHP) per insured member.

· 13th month.

· 40% nighttime differential (on average 4,000 PHP extra per month depending on schedule)

· Profit sharing (0-4 months extra salary per year – Performance based – Potential of 100K).

· Flexible hybrid work set-up (7-10 days in the office per month).

· Retirement plan.

· Company paid training programs.

· Free office lunch.

· Globe mobile plan (1,000 PHP).

· Internet allowance (1,000 PHP).

· 1-time 20,000 PHP allowance for home-office set-up.

Job Description:

· Provide 24/7 quality customer service to global clients and members. Close coordination with providers for claims evaluation and case management.

· Frontline representative.

· Claims adjudication based on the procedure and medical plan coverage.

· Handle calls and chats from clients, members and providers.

· Establish a good rapport and assist members with their queries/concerns from all communication platforms.

· Ensure all emails and concerns are attended timely.

· Extract claims utilization reports.

Requirements:

· Bachelor's degree in nursing (Registered Nurse is a plus).

· Structured and organised.

· Good oral and written English communication skills.

· Familiar with MS office and Outlook.

· Customer-oriented with good interpersonal skills.

Job Type: Full-Time | Long-Term | Permanent Position (9:00 AM – 6:00 PM PST)

About Us

A List Therapy Group partners with home health agencies across the U.S. to deliver high-quality therapy services and virtual support. We are looking for a proactive and detail-oriented Care coordinator to join our remote team. This role is crucial to ensuring patient care coordination, maintaining agency relationships, and keeping operations running smoothly.

Key Responsibilities

• Manage and monitor a caseload of patients, ensuring continuity of care and timely completion of visits.
• Follow up with therapists daily to confirm they meet prescribed visit frequencies and complete documentation/notes on time.
• Address all emails and respond to all phone calls within 30 minutes during the shift.
• Build and maintain strong relationships with home health agencies to ensure patient referrals and caseload growth.
• Track patient schedules, visit frequencies, and outstanding tasks.
• Identify and resolve problems quickly, ensuring issues are escalated and resolved in a timely manner.
• Multitask effectively while balancing communication, documentation, and coordination responsibilities.

Requirements

• Prior experience in healthcare coordination, or case management (home health experience preferred but not required).
• Excellent English communication skills (written and verbal).
• Exceptional problem-solving, follow-up, and multitasking abilities.
• Stable high-speed internet connection and reliable power source.
• Must have a computer, noise-cancelling headset, and functional camera.
• Must use Webwork time tracker throughout shift.
• Must remain active on Discord with camera on for the full shift.
• Ability to work 9:00 AM – 6:00 PM PST (night shift in the Philippines).

Why Join Us

• Fully remote, work-from-home position.
• Stable, long-term career opportunity with growth potential.
• Supportive team and professional company culture.
• Ongoing training and development opportunities.

How to Apply

Submit your resume along with a short audio recording introducing yourself and highlighting your experience in healthcare coordination, staffing, or case management.

After applying, you will receive a message on Indeed with a Google Form link where you must:

• Answer a series of questions.
• Submit your audio recording and resume.
• Important: Applications without a completed Google Form will not be considered.

Job Types: Full-time, Permanent

Pay: Php Php286.00 per hour

Expected hours: 40 per week

Benefits:

• Paid training
• Pay raise
• Work from home

Experience:

• Home Health Case management: 1 year (Preferred)

Language:

• English fluently (Required)

Work Location: Remote

Customer Service Representative – Cebu IT Park

Location: Cebu IT Park

Work Setup: Onsite

Start Date: ASAP

We are looking for enthusiastic and customer-focused individuals to join our team If you have strong communication skills and the ability to deliver excellent customer service, this opportunity is for you.

Qualifications:

• Senior High School Graduate OR completed at least 2 years in college (no back subjects) with minimum of 6 months BPO experience
• College Graduate – with or without work experience (must have good communication skills)
• Willing to work on shifting schedules
• Amenable to work onsite in Cebu IT Park

Compensation & Benefits:

• Up to ₱20,610 basic salary + ₱,000 non-taxable allowance ( ,610 max package depending on BPO experience)
• Additional account allowances (to be discussed during the offer process)
• 20% Night Differential
• HMO coverage on Day 1
• Career growth opportunities in a global company

What You'll Do:

• Handle customer inquiries and concerns with professionalism
• Provide accurate and efficient solutions through phone, chat, or email support
• Ensure excellent customer experience while meeting performance targets

If you are ready to take the next step in your BPO career, apply now and start immediately

Viber:

Job Types: Full-time, Permanent, Fresh graduate

Pay: Up to Php22,600.00 per month

Benefits:

• Company events
• Flexible schedule
• Life insurance
• Paid training

Work Location: In person

About the role

We are looking for a dedicated and caring Patient Care Associate to join our team at the Kaiser Medical Center in Makati City, Metro Manila. This position will involve providing high-quality patient care and support as part of a critical project-based role. As a Patient Care Associate, you will be an integral part of our mission to deliver exceptional healthcare services to our patients.

What you'll be doing

• Greeting and welcoming patients, and assisting them with check-in and check-out procedures
• Monitoring and recording patient vital signs, symptoms, and progress
• Providing compassionate and attentive patient care, including assistance with daily living activities
• Collaborating with the medical team to ensure seamless coordination of patient care
• Maintaining accurate and detailed patient records and documentation
• Adhering to all hospital policies, procedures, and safety protocols
• Contributing to a positive and professional healthcare environment

What we're looking for

• A minimum of 1 year of experience in a patient care or healthcare support role
• Strong communication and interpersonal skills, with the ability to interact compassionately with patients and their families
• Excellent attention to detail and the ability to accurately record and maintain patient information
• A team-oriented mindset and the flexibility to adapt to a fast-paced healthcare environment
• Certification or training in patient care, medical administration, or a related field is preferred

If you are ready to join our team and make a meaningful impact, apply now for this exciting opportunity.