USRN Requests for Kochi Expansion

Company : Exl

Job Type : Full Time

India

Job Description - USRN Requests for Kochi Expansion

Description

Essential Functions:

Clinician: Works collaboratively with Regional Medical Directors to make sound, evidence based clinical decisions regarding the requested cases (treatments and procedures), performs pre-service (DME only) and retrospective clinical reviews utilizing criteria set forth by the client and Medicare (CMS-Centers for Medicare and Medicare Services) and does provider outreach via call or fax to request for clinical information or to coordinate peer to peer review if deemed required.

Responsibilities

Strong customer service skills to coordinate service delivery including attention to customers, sensitivity to issues, proactive identification and resolution of issues to promote positive outcomes for members.

Computer literacy to navigate through internal/external computer systems, including Excel and Microsoft Word.

Ability to effectively participate in a multi-disciplinary team including internal and external participants.

Familiarity with basic medical terminology and concepts used in care management.

Effective communication, telephonic and organization skills.

Understanding of end-to-end processes and appreciation of critical parameters

Effective communication and motivational skills

Qualifications

B.Sc Nursing Graduate or Post Basic Bsc Nursing

Active India Nursing license

Active USRN license

Atleast 1 year clinical experience

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USRN Requests for Kochi Expansion

Job Description - USRN Requests for Kochi Expansion

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