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Nurse Practitioner
6 months ago
**Nurse Practitioner**
Industry: BPO (Healthcare)
Location**:Infopark, Kakkanad,Kochi**
Exp**:min. of 18 months clinical experience mandatory**
Shift**:Night Shift (6PM to 3AM)**
**Salary**: 30,000/- to 35,000/- Per Month
**Should have excellent fluency in English**.
**Requirements**:
- Qualification: Bachelor of Science in Nursing
- Experience: Min. of 18 months clinical exp.
- Should have excellent fluency in English
- will to work in shifts / Night Shift (6PM to 3AM)
**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.
- 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
**Benefits**
- Cab (pickup & Drop)
- ES, PF, Health insurance
- Basket of allowances
**Job Types**: Full-time, Permanent
Pay: ₹30,000.00 - ₹35,000.00 per month
**Benefits**:
- Commuter assistance
- Health insurance
- Provident Fund
Schedule:
- Fixed shift
- Monday to Friday
- Night shift
- US shift
**Education**:
- Bachelor's (required)
**Experience**:
- Nursing: 2 years (required)
Shift availability:
- Night Shift (required)
Work Location: In person
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