Excellent job opening for Clinical Reviewer-Urgent opening "A"

Excellent job opening for Clinical Reviewer-Urgent opening

ITNONITJOBS

• Experience 0 to 3 yrs
• Salary Rs 4.00 - 5.00 Lacs p.a.
• Location Bengaluru / Bangalore
• Key Skills "Nursing Gradaute" "NCLEX Certification""Clinical experience of 2 yrs in a hospital"
• Job Function Bio Tech / R & D / Scientist
• Industry Biotechnology / Pharmaceutical / Medicine , Healthcare
• Specialization Clinical Research
• Qualification: 
  • Any Graduate

  • Job Description

    Registered Nurse– Job Description
    Review medical records and follow stringent protocols to determine whether patients meet the standards for insurance reimbursement.
    Clinical review for medical necessity of identified claims.
    Documentation of clinical rationale supporting findings of the review.
    Apply clinical judgment, honed over years in acute care settings, to make responsible decisions that promote appropriate records review and applications usage while keeping resources available to those most in need.
    Have understanding of ICD-9, CPT and HCPCS codes and their application in the US Health insurance domain.
    Review and validate all information pertaining to the claim.
    Comply with procedures, regulations, and rules in maintaining medical records.
    Interacts on a continuous basis with other departments by directing activities towards positive outcomes.
    
    
    Registered Nurse– Hiring Profile
    Desirable skillsets
    • NCLEX certification (Mandatory)
    • Nursing Graduate (Bachelors or Masters in Nursing) from registered nursing college in India
    • Clinical experience of minimum 2 years for working in a hospital
    • Proficiency in English grammar & good writing skills
    Preferable Skillsets
  • Minimum experience of 1 year working in US Healthcare organization
  • Proficiency in MS Office tools
  • Good verbal and written communication skills

  • About Hiring Company

    • Company:ITNONITJOBS
    ITNONITJOBS is an emerging staffing solutions company working for Cross Verticals viz. IT (Technologies-.Net, Java, C++, Testing, Hardware and Networking, Network Admin & ERP,CRM) , BPO, ITES, MANUFACTURING, Health care, Education, FMCG, Telecom, Logistics etc. We act as a gateway to provide a wide range of top of the line executive search and selection services to companies. Our range of client services includes Executive Search & Selection, Junior, Middle & Senior Management Hiring, Project Based Hiring & Recruitment Process Outsourcing. Our selection for staffing is carried out through one of the following ways: Selection through references and network. Established a direct connect with many channels to get the right candidate. Selection from our own internal database Selection, from database: Monster / Naukri etc. Selection through advertisements & business networking website Selection through Linkedin, Twitter & Facebook etc.
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