Registered BSc Nurse - Kochi, India - EXL

Description

Minimum 2 years of clinical experenceBSc Nurse / Post Basic NurseWill be working for US process from Kochi Office. Good Communication skills and clinical Knowlegde

Medical record /file review expereince is an advantage.

Working hours :
US/Evening shift. Transportation will be provided within company transportation limit.

Job profileSupports identification and review of appropriate case types in compliance with the clinical guidelines.
Promotes/supports quality effectiveness of healthcare services.
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 clinical setting is a requirement to help with clinical understanding.

Accurately applies review requirements to assure case is reviewed by a practioner with clinical expertise for the issue at hand.

Protects the confidentiality of member information and adheres to company policies regardingAbility to understand and interpret clinical laboratory results and familiarity with clinical conditions and its management is required.