Clinical Nurse Case Manager – USRN
3 weeks ago
Nezda Technologies Inc. is currently hiring for Clinical Nurse Case Manager USRN.
Salary: P 50,000 P 68,000 (with Perks and benefits).
Work Set up: Work From Home
Qualifications:
Active and Non-Active USRN License.
With at least 1 Year Clinical or Hospital Experience.
USRN with RN License.
Job Description:
We are in partnership to multiple companies for this position, so you have an option and which company fits you best.
Please take note that this is a direct employment with no bond.
Primary Responsibility:
Conduct UM pre-service, concurrent, retrospective, out of network, and appropriateness of treatment setting.
Reviews service requests to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits and contracts.
Utilize client specific criteria sets (e.g., Milliman or InterQual), applicable client specific medical policy and client clinical guidelines for decision making to either approve or summarize and route to Clients nursing reviewer and/or Clients medical staff for review.
Responsible for conducting medical management review activities that require the review of clinical information against client-specific criteria as noted above but excludes denial determinations.
Ensure member access to medically necessary, quality healthcare in a cost-effective setting according to the contract.
Consult with clinical reviewers and/or U.S. licensed medical directors to ensure medically appropriate, high-quality, cost-effective care throughout the medical management process.
-
Surgical Nurse
2 weeks ago
Delhi, Delhi, India The Medical City for Military & Security Services Full timeSurgical Registered NurseMedical City for Military and Security ServicesMuscat, Sultanate of OmanThe Medical City for Military and Security Services (MCMSS) in Muscat, Oman is a Tertiary/Quaternary Care level city providing services to patients of different age groups in different specialties.MCMSS is seeking to appoint Surgical Registered Nurse, who is well...
-
Utilization Management
3 weeks ago
Delhi, Delhi, India Nezda Technologies Inc. Full timeNezda Technologies Inc. is currently hiring for Utilization Management. Salary: Up to P 68,000 with Signing Bonus Qualifications: Active PHRN AND USRN License (Mainland State) at least 1 Year Bedside experienced. Job Description: Blended account 80% back office, 20% voice outbound calls. Job Type: Full Time Job Location: NCR
-
Nursing Care Specialist
3 days ago
Delhi, Delhi, India Paulwin George (Proprietor of Angel And Genie) Full timeWe are seeking a dedicated and compassionate Nurse (GNM/B.Sc.) to provide high-quality nursing care to our patients at Paulwin George, Angel And Genie. The ideal candidate will work collaboratively with a multidisciplinary team to ensure the best patient outcomes.ResponsibilitiesProvide evidence-based nursing care to patients in accordance with established...
-
Clinical Healthcare Professional
3 days ago
Delhi, Delhi, India Paulwin George (Proprietor of Angel And Genie) Full timePaulwin George, Angel And Genie is committed to providing high-quality patient care, and we are seeking a skilled Nurse (GNM/B.Sc.) to join our team. The successful candidate will be responsible for delivering exceptional patient care and working collaboratively with our multidisciplinary team.Key ResponsibilitiesDeliver high-quality nursing care to...
-
Required Nurse(GNM/B.Sc
4 days ago
Delhi, Delhi, India Paulwin George (Proprietor of Angel And Genie) Full timeJob DescriptionDescriptionWe are seeking a dedicated and compassionate Nurse (GNM/B.Sc.) to join our team at Green Park, New Delhi. The ideal candidate will provide high-quality nursing care to our patients and work collaboratively with a multidisciplinary team to ensure the best patient outcomes.Responsibilities- Provide nursing care to patients in...
-
Dedicated Nursing Expert
3 days ago
Delhi, Delhi, India Paulwin George (Proprietor of Angel And Genie) Full timeWe are seeking an experienced Nurse (GNM/B.Sc.) to join our team at Paulwin George, Angel And Genie. As a key member of our healthcare team, you will be responsible for providing high-quality patient care and contributing to a positive work environment.Main ResponsibilitiesProvide individualized nursing care to patients, taking into account their unique...
-
staff nurse
3 weeks ago
Delhi, Delhi, India JobStars HR Solutions Pvt Ltd Full timeJob OverviewWe are seeking a highly motivated and compassionate Staff Nurse to join our team at a healthcare facility in Delhi. This is a full-time, junior-level position ideal for candidates with up to 6 years of relevant work experience in nursing. The successful candidate will play a key role in providing exceptional patient care and supporting medical...
-
Staff Nurse
2 weeks ago
Delhi, Delhi, India Sukoon Health Full timeAbout the jobAbout SukoonSukoon Health is building India's first specialized chain of hospitals to cater to acute and severe mental health conditions.We plan to set up 1000 beds across 40 units for adult, acute inpatient care across India. Additionally, we have aspirations to expand into specialized segments of de-addiction, child development disabilities,...
-
Academic Video Presenter-Nursing
2 weeks ago
Delhi, Delhi, India UniAthena Full timeAre you an enthusiastic nursing educator with a knack for presenting academic content? We are seeking highly qualified Nursing Academicians/Clinical Trainers/Healthcare Experts to deliver video content for our educational modules (on a contractual basis) to join our team as Academic Video Presenters. In this role, you will be responsible for delivering...
-
Academic Video Presenter-Nursing
2 weeks ago
Delhi, Delhi, India UniAthena Full timeAre you an enthusiastic nursing educator with a knack for presenting academic content? We are seeking highly qualified Nursing Academicians/Clinical Trainers/Healthcare Experts to deliver video content for our educational modules (on a contractual basis) to join our team as Academic Video Presenters. In this role, you will be responsible for delivering...
-
Clinical Application Specialist
3 weeks ago
Delhi, Delhi, India Gulmohar Health Care Private Limited Full timeJob DescriptionGulmohar Health Care Private Limited, is a leading provider of high-quality medical equipment and pharmaceutical products in India. Based in New Delhi, we specialize in the service and sales of a diverse range of medical devices, including advanced ICU ventilators, infusion pumps, and respiratory care solutions. Our commitment to excellence...
-
Healthcare Recruiter
4 hours ago
Delhi, Delhi, India Global Nurse Force Full timeAbout Global Nurse Force:Since 2000 Global Nurse Force has been connecting talented international nurses with healthcare facilities around the world. Our purpose today is the same as it always has been – placing nurses on the path to career success while providing our clients the best nursing staff available anywhere.Website://globalnurseforce.Com/Job...
-
Clinical Application Specialist
3 weeks ago
Delhi, Delhi, India Gulmohar Health Care Private Limited Full timeGulmohar Health Care Private Limited, is a leading provider of high-quality medical equipment and pharmaceutical products in India. Based in New Delhi, we specialize in the service and sales of a diverse range of medical devices, including advanced ICU ventilators, infusion pumps, and respiratory care solutions. Our commitment to excellence ensures that...
-
Global Healthcare Recruitment Specialist
1 day ago
Delhi, Delhi, India Global Nurse Force Full timeAbout Global Nurse ForceEstablished in 2000, Global Nurse Force has been connecting skilled international nurses with healthcare facilities worldwide. Our mission remains the same – placing nurses on the path to career success while providing our clients with exceptional nursing staff.Job Summary:We are seeking a dedicated Healthcare Recruiter to find...
-
Registered Nurse
2 weeks ago
Delhi, Delhi, India Magic Billion Full timeJob Title: Free Recruitment - Exciting Opportunity for Nurses to Work in GERMANYCompany: Magic Billion – Global Talent Mobility ExpertsAbout Us:Greetings from Magic Billion We are a Noida-based global talent mobility company licensed by the Ministry of External Affairs, Govt. of India (License No: B-1979/UP/COM/100/5/10147/2022). At Magic Billion, we...
-
Clinical Marketing Manager
3 weeks ago
Delhi, Delhi, India Intuitive Surgical Full timeCompany DescriptionAt Intuitive, we are united behind our mission: we believe that minimally invasive care is life-enhancing care. Through ingenuity and intelligent technology, we expand the potential of physicians to heal without constraints. As a pioneer and market leader in robotic-assisted surgery, we strive to foster an inclusive and diverse team,...
-
Clinical Marketing Manager
3 weeks ago
Delhi, Delhi, India Intuitive Full timeCompany Description At Intuitive, we are united behind our mission: we believe that minimally invasive care is life-enhancing care. Through ingenuity and intelligent technology, we expand the potential of physicians to heal without constraints. As a pioneer and market leader in robotic-assisted surgery, we strive to foster an inclusive and diverse...
-
Case owner
14 hours ago
Delhi, Delhi, India Veremark Full timeVeremark is a remote-first HR tech scale-up on a mission to help the world trust faster.We started with background and reference checking, pioneering an entirely new approach through Verepass - a blockchain solution which facilitates instant verification by enabling candidates to own, manage, and share their securely-held and verified career credentials.We...
-
Clinical Medical Manager
3 weeks ago
Delhi, Delhi, India Novo Nordisk Full timeThe position As a Clinical Medical Manager, you will be responsible for : Facilitate the execution of clinical trials related to New Therapy Areas (including CVD, CKD, NASH) by providing medical/scientific expertise and advice. Identify and map KOLs, investigators, and research centres within the relevant therapy areas. Collect early scientific insights...
-
Finance and Accounts Manager
2 weeks ago
Delhi, Delhi, India MS CLINICAL RESEARCH Full timeAbout Us:MS Clinical Research Pvt Ltd (MSCR) is a pioneering clinical research organization committed to advancing healthcare and life sciences through innovative research and collaborations. We are expanding our team and are seeking motivated individuals to help us grow our business footprint.Job SummaryWe are seeking an experienced and...