Nurse Case Manager – Medical Professional
2 weeks ago
We are seeking a skilled and experienced Clinical Nurse Case Manager to join our team at Nezda Technologies Inc. in the USRN role.
Responsibilities include:
Key Responsibilities:
- Conduct medical management reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts.
- Utilize client-specific criteria sets, applicable client-specific medical policy, and client clinical guidelines for decision-making.
- Collaborate with clinical reviewers and U.S. licensed medical directors to ensure medically appropriate, high-quality, cost-effective care throughout the medical management process.
- Ensure member access to medically necessary, quality healthcare in a cost-effective setting according to the contract.
Requirements:
- Active and non-active USRN license.
- At least 1 year of clinical or hospital experience.
- USRN with RN license.
Work Details:
- Full-time employment.
- Work-from-home setup.
Salary and Perks:
- P 50,000 - P 68,000 (with perks and benefits).
Job Type and Location:
- Full-time employment.
- NCR.
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Delhi, Delhi, India Nezda Technologies Inc. Full timeAt Nezda Technologies Inc., we are seeking a highly skilled Clinical Nurse Case Manager to join our team.### Qualifications and Requirements* Active and Non-Active USRN License* At least 1 Year Clinical or Hospital Experience* USRN with RN License### Job DescriptionAs a Clinical Nurse Case Manager, you will be responsible for conducting medical management...
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Clinical Nurse Case Manager
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Delhi, Delhi, India Nezda Technologies Inc. Full timeWe are seeking a skilled Clinical Nurse Case Manager to join our team at Nezda Technologies Inc.Job Summary:The Clinical Nurse Case Manager will be responsible for conducting medical management reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts.Key Responsibilities:Conduct UM pre-service,...
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Clinical Nurse Case Manager – USRN
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Delhi, Delhi, India Nezda Technologies Inc. Full timeAt Nezda Technologies Inc., we are seeking a skilled Clinical Nurse Case Manager to join our team.As a Clinical Nurse Case Manager, you will be responsible for conducting medical management review activities, ensuring member access to medically necessary healthcare in a cost-effective setting.Key responsibilities include:Reviewing service requests to ensure...
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Clinical Nurse Case Manager
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Delhi, Delhi, India Nezda Technologies Inc. Full timeNezda Technologies Inc. is currently hiring for a Clinical Nurse Case Manager USRN.Salary: P 50,000 - P 68,000 (with Perks and benefits).Work Set up: Work From HomeQualifications: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 with multiple companies for this...
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