Clinical Nurse Case Manager – USRN

4 weeks ago


Delhi, Delhi, India Nezda Technologies Inc. Full time

At 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 compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts.
  • Utilizing client-specific criteria sets, medical policy, and clinical guidelines for decision-making.
  • Consulting with clinical reviewers and/or U.S. licensed medical directors to ensure medically appropriate, high-quality, cost-effective care.

The ideal candidate will have an active and non-active USRN license, at least 1 year of clinical or hospital experience, and a USRN with RN license.

This is a full-time position with a work setup of work from home.

We are in partnership with multiple companies for this position, offering you an option to choose the best fit.

Please note that this is a direct employment with no bond.



  • Delhi, Delhi, India Nezda Technologies Inc. Full time

    We 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,...


  • Delhi, Delhi, India Nezda Technologies Inc. Full time

    Nezda 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...


  • Delhi, Delhi, India Nezda Technologies Inc. Full time

    At 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...


  • Delhi, Delhi, India Nezda Technologies Inc. Full time

    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,...


  • Delhi, Delhi, India Nezda Technologies Inc. Full time

    At Nezda Technologies Inc., we are seeking a skilled Clinical Research Coordinator to support our team in conducting non-clinical research.Key responsibilities include:Validating case assignments and health plans for reviewIdentifying and validating non-standard codesReviewing existing clinical documentationRequirements include:Active PHRN and USRN LicenseAt...


  • Delhi, Delhi, India Nezda Technologies Inc. Full time

    At Nezda Technologies Inc., we are seeking a skilled Clinical Research Specialist to support our team in conducting non-clinical research and determining case assignments.Key Responsibilities:Validate cases/requests for services requiring additional researchReview existing clinical documentationIdentify and validate usage of non-standard...


  • Delhi, Delhi, India TCP Corps Full time

    RN Case Manager PositionAbout the RoleThe RN Case Manager plays a vital role in facilitating comprehensive healthcare coordination for patients, ensuring efficient and effective use of resources while promoting optimal patient outcomes. This position involves collaborating with multidisciplinary teams to assess, plan, implement, coordinate, monitor, and...

  • RN Case Manager

    3 weeks ago


    Delhi, Delhi, India TCP Corps Full time

    RN Case Manager - Healthcare CoordinatorJob Summary:The RN Case Manager - Healthcare Coordinator plays a vital role in facilitating comprehensive healthcare coordination for patients, ensuring efficient and effective use of resources while promoting optimal patient outcomes.Key Responsibilities:Conduct comprehensive clinical assessments of patients'...

  • RN Case Manager

    4 weeks ago


    Delhi, Delhi, India TCP Corps Full time

    Comprehensive Healthcare CoordinatorThe TCP Corps is seeking a skilled Comprehensive Healthcare Coordinator to join our team. As a key member of our healthcare team, you will play a vital role in facilitating comprehensive healthcare coordination for patients, ensuring efficient and effective use of resources while promoting optimal patient outcomes.Key...


  • Delhi, Delhi, India Nezda Technologies Inc. Full time

    At Nezda Technologies Inc., we are seeking a highly skilled Medical Research Coordinator to support our team in conducting non-clinical research and determining case assignments.Key Responsibilities:Validate cases/requests for services require additional researchReview existing clinical documentationIdentify and validate usage of non-standard...


  • Delhi, Delhi, India Nezda Technologies Inc. Full time

    Job Summary: We are looking for a Healthcare Research Coordinator to support our determination process.Key Responsibilities:Conduct non-clinical research to support determinationsDetermine the appropriate team and health plan for reviewValidate cases/requests for services require additional researchReview existing clinical documentationIdentify and validate...


  • Delhi, Delhi, India Nezda Technologies Inc. Full time

    At Nezda Technologies Inc., we are seeking a skilled Utilization Management professional to join our team.Key Responsibilities:Active PHRN and USRN licenses requiredMinimum 1 year of bedside experienceJob Details:80% back office, 20% voice outbound callsFull-time positionLocated in NCRBenefits:Up to P 68,000 salarySigning bonus availableWe are an equal...

  • Nurse Practitioner

    4 weeks ago


    Delhi, Delhi, India TCP Corps Full time

    Job Summary:We are seeking a highly skilled and compassionate Registered Nurse to join our team at TCP Corps. As a key member of our healthcare team, you will play a vital role in providing and coordinating patient care, educating patients and their families, and contributing to the delivery of high-quality patient outcomes.Key Responsibilities:Assess...

  • Nursing Manager Lead

    2 weeks ago


    Delhi, Delhi, India Yatriv Consultants Full time

    **Qualification:** B.Sc./GNM Course is required for this role.**Experience:** 2-5 years of experience in a similar field.**Job Summary:This position involves conducting patient home visits and assessments as designated. The successful candidate will also be responsible for coordinating with the team regarding staffing and recruiting and assessing nursing...

  • Nursing Team Lead

    3 weeks ago


    Delhi, Delhi, India Yatriv Consultants Full time

    Job SummaryVesta seeks a dedicated and skilled Nursing Manager to join our team and lead our nursing services to excellence. As a key member of our healthcare team, you will be responsible for coordinating patient care, recruiting and assessing nursing staff, and ensuring high-quality nursing consultation at all times.Key Responsibilities1. Conduct patient...


  • Delhi, Delhi, India Progressive Placement Services Ltd. Full time

    Job Title: Pediatric Nurse PractitionerOverview: We are seeking a highly skilled Pediatric Nurse Practitioner to join our team at Progressive Placement Services Ltd. The ideal candidate will have a strong clinical background and will practice to full scope of practice in primary care.Responsibilities:Provide exceptional, safe, and high-quality preventative...


  • Delhi, Delhi, India Progressive Placement Services Ltd. Full time

    About the Role:The Nurse Practitioner will collaborate with patients, clients, residents, and other health professionals to identify and assess trends and patterns that have implications for patients, clients, residents, and communities. They will develop and implement population and evidence-based strategies to improve health and participate in policymaking...


  • Delhi, Delhi, India Nezda Technologies Inc. Full time

    At Nezda Technologies Inc., we are seeking a highly skilled Utilization Management Specialist to join our team.As a Utilization Management Specialist, you will be responsible for 80% back office and 20% voice outbound calls in a blended account setup.Key qualifications for this role include:Active PHRN AND USRN License (Mainland State) with at least 1 Year...


  • Delhi, Delhi, India Intuitive Surgical Full time

    Key ResponsibilitiesAs a Clinical Sales Executive at Intuitive Surgical, you will be responsible for maximizing the utilization of our da Vinci Surgical System. This involves working closely with our Clinical Sales Manager to develop a sales plan tailored to your local market.You will become a clinical expert across all primary OR procedures to position...


  • Delhi, Delhi, India GLOBAL PLACEMENTS Full time

    Job Summary:At GLOBAL PLACEMENTS, we are seeking a skilled Clinical Care Specialist to join our team. As a key member of our healthcare staff, the ideal candidate will be responsible for providing high-quality patient care while adhering to strict compliance standards.Key Responsibilities:Ensure quality care by adhering to standards set by physicians.Provide...