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USRN - Clinical Services - Taguig

Job Category:

BPO / KPO / Shared Services

Job Level:

Professional

Open Date:

03-Feb-2020

Location:

TAGUIG CITY

Close date:

04-Mar-2020

Client Industry:

SHARED SERVICES

Job Description and Qualification:

Responsibilities and Duties
  • Responsible for reviewing patient medical records to determine medical necessity and when necessary will communicate directly with patient’s insurance provider.
  • Performing Pre-Admission, Admission, Pay or Notification, Continued Stay, and/or Retro-Authorization reviews per policy and procedure
  • Responsible for promptly communicating with the team and leaders as requested regarding projects or cases assigned.
  • Addressing and rectifying any client complaints as assigned.
  • Staying abreast of relevant diagnostics, interventions, and pharmacological advances in medicine. As well as completing assigned education modules and training.

Required and Preferred Qualifications
  • Three (3) years of experience in the relevant clinical specialty. (Emergency Nursing and Case Management preferred.)
  • Graduate of BS Nursing or any related course
  • Should be US Registered Nurse license (USRN) or Licensed Practical Nurse (LPN) is required.
  • Working knowledge of and basic skills with computers
  • Willing to work on a Night Shift schedule


Salary:

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