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Nurse Consultant

Advenxa Pvt.ltd

Experience

1-3 Years

Salary

3-6 Lakhs

Location

Kerala- Kakkanad

Posted - 142 days ago

Applications - 2

Vacancies- 7

Join the Advenxa Pvt.Ltd team as a Full Time Nurse Consultant on Erekrut, specializing in Nurse Consultant in the BPO industry. We are seeking talented individuals with a passion for Healthcare Management and educational qualifications ranging from 1-3 Years. Apply now on Erekrut to take the next step in your career with a leading global company.

Job Description

We Are Looking For Nurse consultants

Industry: BPO (Healthcare)
Job Title: Nurse Consultant
Location: Infopark, Kakkanad,Kochi
Exp: min. of 18 months clinical experience mandatory
Shift: Night Shift (6PM to 3AM)
Salary: 30,000/- to 40,000/- Per Month
Should have excellent fluency in English.

Job Role

Provide comprehensive clinical review of complaints and appeals filed by providers with the use of appropriate resources and guidelines to ensure cost effective delivery of health services.
Supports identification and review of appropriate case types in compliance with the clinical guidelines
Promotes/supports quality effectiveness of Healthcare Services.

Fundamental Components & Physical Requirements (include but are not limited to)

Reviews documentation and evaluates potential quality of care issues based on clinical policies and benefit determinations
Considers all documented system information as well as any additional records/data presented to develop a determination or recommendation.
Condenses complex information into a clear and precise clinical picture while working independently.
Data gathering requires navigation through multiple system applications.
Utilizes client systems to build, research and enter member information.
Applies clinical guidelines in determining clinical decisions
Experience in patient management in a clinical setting is a requirement to help with clinical understanding
Accurately applies review requirements to assure case is reviewed by a practitioner with clinical expertise for the issue at hand.
Promotes communication, both internally and externally to enhance effectiveness of medical management services (e.g. Claim Administrators,
Plan Sponsors, and 3rd party payers as well as Member, Family, and Healthcare Team Members respectively)
Protects the confidentiality of member information and adheres to company policies regarding
Ability to understand and interpret clinical laboratory results and familiarity with clinical conditions and its management is required

Requirements

Qualification: Bachelor of Science in Nursing
Experience: Min. of 18 months clinical exp.
Should have excellent fluency in English
will to work in shifts / Night Shift (6PM to 3AM)

Benefits

Cab (pickup & Drop)
ES, PF, Health insurance
Basket of allowances

Designation

Nurse Consultant

Key Skills

English ProficiencyHealthcareHealthcare ManagementHealthcare MonitoringHealthcare RegulationsHealthcare StandardsMedical AnalysisMedical CounselorMedical DocumentationMedical KnowledgeMedical RecordsMedical RepresentativeMedical ResearchNurseNurse ConsultantNurse CoordinatorNursingNursing Skills