- Reviews documentation and interprets data obtained from clinical records or systems to apply appropriate clinical criteria and policies in line with regulatory and accreditation requirements
- Protects the confidentiality of member information and adheres to company policies regarding confidentiality
- Data gathering requires navigation through multiple system applications
- Work requires visual acuity to perform close inspection of written and computer generated documents as well as a PC monitor
- Above average knowledge and skills on MS Applications
- Pro-actively and consistently applies the regulatory and accreditation standards to assure that activities are reviewed and processed within guidelines
- B.S. Nursing Graduate
- India Registered Nurse
- Philippines Registered Nurse with 1-2 years clinical experience
Executives EXL/E/1000810 - Kochi, India - exl
Description
Job Description
Position Title, Responsibility Level
Executive, Senior Executive
Nurse Level 1 or 2A
Function
Nurse Abstractor
Reports to
Assistant Manager
Permanent/ Temporary
Permanent
Span of Control
None
Location
Kochi
Basic Function
Responsible for the review and evaluation of clinical information and documentation.
Essential Functions
Primary Internal Interactions
Executives
Senior Executives
Assistant Managers
Primary External Interactions
None
Organizational Relationships
Reports To : Assistant Manager Supervises : None
Skills
Technical Skills
Process Specific Skills
Soft skills (Desired)
B1
Soft Skills (Minimum)
A1
Education Requirements
Work Experience Requirements
Annexure:
Acknowledgement (acknowledge that the information contained in this document is factual and complete)
___________________________________ ___________________________________________ ____________________________
Candidate Supervisor/Manager Date