We are searching for an expert Nurse Consultant to join our growing team at ADVENXA in Kakkanad.
Growing your career as a Full Time Nurse Consultant is an awesome opportunity to develop productive skills.
If you are strong in critical thinking, presentation and have the right personality for the job, then apply for the position of Nurse Consultant at ADVENXA today!
We Are Looking For Nurses with One year Exp
- Industry: Healthcare
- Job Title: Nurse Consultant
- Location: Infopark, Kakkanad,Kochi
- Exp: 1 to 3 years
- Shift: Night Shift
- Salary: 30,000/- to 50,000/- 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: One Year
Should have excellent fluency in English
Qualification: Bachelor of Science in Nursing Open to work in Nighy Shift (US process/US Shift) Bachelor of Science in Nursing
Benefits of working as a Nurse Consultant in Kakkanad:
● Learning opportunities
● Opportunities to grow
● Attractive package