RN Clinical Care Management Leader

Carelon Global Solutions Philippines Inc is seeking a Manager for Medical Management in Taguig. This role involves managing a team of clinicians to ensure quality member outcomes and effective resource use.

The successful candidate must have an active RN license and at least 5 years of acute care experience. Responsibilities include overseeing medical policy adherence, authorizing services, and managing appeals. Strong communication and analytical skills are essential for this position.