24 Clinical Nurse Specialists jobs in the Philippines

WE'RE HIRING!
Ortigas Site br>Clinical Nurse Appeals Writer (For Active Pooling)

Visaya KPO is on the lookout for experienced and dedicated PHRN/USRN professionals to join our growing team!

Why Join Us?
HMO & Retirement Benefits
15% Night Differential
24 Leave Credits per Year
Holistic Wellness Programs

Qualifications:
PHRN/USRN with 3+ years of clinical experience
1–2 years of appeals writing experience (IP/OP claims) < r> Familiar with MCG/InterQual criteria
Willing to work onsite and night shifts

Apply now and start your meaningful career with a Filipino-owned company trusted since 2007!

Key Responsibilities:

• Provide direct nursing care to patients in accordance with established medical protocols and policies.
• Monitor and record patients conditions, symptoms, and responses to treatment.
• Assist physicians during examinations, procedures, and treatments.
• Administer medications and intravenous therapy safely and accurately.
• Educate patients and their families on care plans, treatments, and post-discharge instructions.
• Ensure accurate documentation and maintain updated patient records.
• Adhere to infection control standards and promote patient safety at all times.
• Collaborate with multidisciplinary teams to ensure continuity of care.

Qualifications:

• Must be a Registered Nurse (RN)
• Minimum of 6 months clinical experience in a hospital, clinic, or healthcare setting
• Strong clinical assessment and communication skills
• Ability to work effectively in a fast-paced and team-oriented environment
• Willingness to work flexible shifts if needed

Primarily attends to patients and customers in the clinic and performs a variety of tasks to ensure that services are provided in an effective and efficient manner.
br>· Candidate must be a graduate of any 4-year course br>· Preferably with at least 1 year of related experience in customer service br>· Must have excellent verbal communication skills. br>
Mandaluyong
Makati

ob Description:
The Patient Care Specialist primarily attends to patients and customers in the clinic and performs a variety of tasks to ensure that services are provided in an effective and efficient manner. br>
Requirements:
· Candidate must be a graduateof any 4-year course br>· Preferably with at least 1 year of related experience in customer service br>· Must have excellent verbal communication skills. br>
"6 days a week
Onsite
Clinic Hours: 10:00AM-5:00/7:00PM
1 Day Off (Weekday)"

Job Summary:
A Patient Care Specialist acts as a liaison between patients, medical staff, and healthcare providers. They help coordinate patient appointments, assist with medical records, address patient concerns, and ensure a smooth and efficient flow of care. The specialist also helps improve the overall patient experience by providing excellent customer service and ensuring that patients’ needs are met in a timely manner. br>
Key Responsibilities:
1. Patient Interaction & Support:
Patient Intake: Greet patients, collect personal and insurance information, and verify patient details.
Patient Communication: Answer patient inquiries via phone, email, or in person. Provide information about treatments, appointments, insurance, and policies.
Appointment Scheduling: Schedule, reschedule, and confirm patient appointments. Ensure proper coordination of appointments with physicians, specialists, or departments.
Patient Advocacy: Serve as a patient advocate, ensuring their concerns are addressed and that they understand their treatment plans, follow-up needs, and care instructions.

2. Administrative Support:
Medical Records Management: Update and maintain accurate patient records in the electronic health record (EHR) system, ensuring compliance with confidentiality and HIPAA regulations.
Insurance Verification: Verify insurance information, assist with claims, and address any billing questions or issues that may arise.
Data Entry: Enter patient data, treatment information, and other relevant records into the healthcare system for tracking and reporting purposes.
Appointment Reminders: Send reminders for upcoming appointments and follow-up visits via calls, texts, or emails.

3. Patient Education:
Care Instructions: Provide patients with pre- and post-care instructions, explaining procedures, medication regimens, and any other necessary healthcare information.
Health Resources: Direct patients to additional resources such as educational materials, support groups, or healthcare providers based on their needs.

4. Coordination of Care:
Referral Coordination: Assist patients in coordinating referrals to specialists or follow-up appointments as recommended by the healthcare provider.
Test Results & Follow-ups: Help ensure patients receive test results and follow-up instructions promptly. Communicate results to patients as directed by healthcare providers.
Team Collaboration: Work closely with physicians, nurses, medical assistants, and other healthcare professionals to ensure that patients receive comprehensive care and that all aspects of their treatment are coordinated.

5. Billing & Payment Assistance:
Insurance Verification: Confirm patient insurance eligibility, coverage, and benefits before appointments.
Billing Support: Assist patients with billing questions, provide cost estimates for procedures, and help them understand their financial responsibilities for services rendered.

6. Patient Advocacy & Experience:
Patient Comfort: Ensure patients are comfortable and informed during their visits, addressing any concerns or anxieties they may have about their care.
Feedback Collection: Gather patient feedback about their experiences and escalate any unresolved issues or complaints to appropriate staff or management.

7. Compliance & Record-Keeping:
Confidentiality & HIPAA Compliance: Ensure all patient data is kept confidential and handled according to HIPAA regulations.
Health Regulations: Stay updated on health regulations, medical office protocols, and best practices for patient care.

Skills & Qualifications:
Education:
Candidate must be a graduate of any 4-year course
Preferably with at least 1 year of related experience in customer service

Key Skills:
Excellent Communication: Ability to communicate clearly and compassionately with patients, families, and healthcare teams.
Empathy & Compassion: A caring attitude and ability to build rapport with patients and help ease their concerns.
Attention to Detail: Ensure accurate data entry, billing information, and patient records are maintained.
Problem-Solving: Ability to troubleshoot patient concerns, resolve scheduling conflicts, and manage billing issues efficiently.
Organizational Skills: Strong ability to juggle multiple tasks, manage appointments, and ensure smooth operations in a busy healthcare environment.
Knowledge of Healthcare Terminology: Understanding of medical terms, insurance policies, and healthcare practices.
Multitasking: Ability to handle multiple tasks simultaneously, including answering phones, assisting patients, and updating records.

Location: Bridgetowne, Quezon City
For Allied Graduates (with or without license) br>Are you a graduate of Allied Sciences, Social Sciences, Social Work, or Human Services? This is your opportunity to join a healthcare team that values your background and experience.
Qualifications:
Bachelor’s Degree in Allied Sciences, Social Sciences, Social Work, or Human Services < r>

At least 1 year of direct patient care experience in any of the following:


Long-term care


Home or community-based services


Hospital or facility-based care


Case management or managed care organizations


BPO healthcare – member services via phone < r>

Not qualified if experience is limited to:
Pediatric or provider-only care


Email or chat-only interactions


Roles with no direct contact with patients


Compensation and Benefits:
28000 basic salary


1000 flex fund allowance


20 percent night differential


HMO coverage starting on Day 1


HMO coverage for dependents upon certification


Life and accident insurance


13th and 14th month pay


Annual performance-based increase


Apply Now
Send your resume or tag someone who fits the qualifications. This is your chance to be part of a professional and rewarding team in Quezon City.

Job Description
br>The Patient Care Quality Officer is responsible for overseeing and improving the quality of patient care provided within the home care setting. The role includes conducting audits, analyzing data, implementing quality improvement initiatives, ensuring compliance with regulatory standards, and collaborating with the clinical service staff to improve patient outcomes.

QUALITY ASSURANCE AUDITS AND REVIEWS

Conduct regular audits remote or on-site, of documentation, patient care, and clinical procedures.
Review patient records to ensure compliance with home care policies, patient care standards, and regulatory requirements.
Monitor and evaluate infection control practices and patient safety protocols.
DATA COLLECTION AND ANALYSIS

Collect and analyze data related to patient outcomes, clinical staff performance, and service quality.
Identify trends, gaps, and areas for improvement in patient care practices.
Prepare reports and present findings to leadership for action planning.
COMPLIANCE MONITORING

Ensure adherence to national and local regulatory requirements.
Assist in preparing the company for accreditation surveys and inspections.
Develop and implement corrective action plans when deficiencies are identified.
STAFF TRAINING AND DEVELOPMENT

Educate clinical service staff on quality assurance standards, patient safety initiatives, and best practices.
Assist in the development of training programs to enhance clinical service competencies and compliance with quality standards.
Provide coaching and mentoring to clinical service staff to improve performance in areas identified through audits and evaluations.
ROCESS IMPROVEMENT

Collaborate with clinical service staff and management to develop and implement quality improvement initiatives.
Lead or participate in multidisciplinary quality improvement teams to improve patient care processes.
Facilitate the implementation of evidence-based practices and protocols to enhance patient outcomes.
PATIENT CARE EVALUATION

Evaluate patient care delivery and outcomes to ensure highquality, patient-centered care.
Address patient and family concerns regarding patient care quality, and work to resolve issues through continuous quality improvement.
DOCUMENTATION AND REPORTING

Maintain comprehensive records of quality assurance activities, audits, and outcomes.
Develop and submit detailed reports on quality assurance findings to nursing leadership and the quality assurance committee.
RISK MANAGEMENT

Identify potential risks to patient safety and implement measures to mitigate those risks.
Collaborate with risk management teams to reduce incidents and improve patient safety.
QUALIFICATIONS

Graduate of any Allied Health Course
Good people skills.
BLS Certified is a plus
Excellent verbal and written communication skills
Willing to work in shifting schedule or extended hours
In-depth knowledge of all procedures used in the management of hospitals or home care organizations
Has the compassion to serve and help patients
Strong MS 365 knowledge.
Job Type: Full-time

Benefits:


Opportunities for promotion
Paid training

Location: Bridgetowne, Quezon City
For Non-Allied Graduates or Associate Degree Holders br>Do you have real-world patient care experience but a non-allied degree? We’re looking for dedicated professionals ready to support patients and providers in a healthcare setting. < r>Qualifications:
Associate Graduate or College Graduate from any course


At least 2 years of direct patient care experience in any of the following:


Long-term care


Home or community-based services


Hospital or facility-based care


Case management or managed care organizations


BPO healthcare – member services via phone < r>

Not qualified if experience is limited to:
Pediatric or provider-only services


Email or chat-only work


Roles without direct patient contact


Compensation and Benefits:
28000 basic pay


1000 flex fund allowance


20 percent night differential


HMO coverage starting on Day 1


HMO for dependents after certification


Life and accident insurance


13th and 14th month pay


Annual salary increase based on performance

This is a remote position.

Virtual Rockstar is hiring a reliable and detail-oriented Patient Care Coordinator to support our client's growing physical therapy clinic based in Seattle, Washington (Pacific Time). In this fully remote role, you will manage the clinic’s front office workflow—ensuring patients receive excellent support and a welcoming experience from their first interaction through ongoing care.  About the Practice  The clinic is committed to providing personalized, patient-centered physical therapy services in a collaborative and supportive environment. With a focus on community care and building strong client relationships, they value professionalism, empathy, and reliability in every patient interaction.  Why Join This Team?  Mission-driven environment focused on patient care  Opportunity to support a community-focused physical therapy practice  Collaborative and compassionate team culture  Direct impact on patient experience and satisfaction  Responsibilities  Answer phone calls, emails, and SMS patient inquiries  Schedule and confirm appointments, follow-ups, and referrals  Process intake forms and maintain patient records in EMR  Verify insurance and coordinate with billing staff as needed  Provide polite and professional customer service to patients  Support front desk workflow, including reminders, forms, and general inquiries  Collaborate with in-person staff to ensure smooth operations  Tools & Platforms  EMR: Prompt EMR  Communication: Gmail  Phones: Weave  File Management: Google Drive  Scheduling: Prompt EMR Scheduler  Requirements 1+ year experience in healthcare admin, receptionist, or VA role  Familiarity with U.S. insurance verification workflows preferred  Strong communication and organizational skills  Fluent spoken and written English  Comfortable working U.S. business hours (Pacific Time)  Benefits Competitive salary commensurate with experience  Opportunities for professional development and growth  Work in a dynamic and supportive team environment  Make a meaningful impact by helping to build and strengthen families in the Philippines