Infosys BPM is Hiring - US Registered Nurse - clinical EXP - Mangalore

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Infosys BPM


Infosys BPM is Hiring - US Registered Nurse - clinical EXP - Mangalore
Infosys BPM • Mangaluru, Karnataka • via LinkedIn
23 hours ago
Full–time
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Job description
Job description

Greetings from Infosys BPM Ltd.,

We are hiring for US Registered Nurse - clinical experience at Mangalore.

Please find below Job Description for your reference:
• Job Location: Mangalore
• Qualification: BSc/MSc nursing with NCLEX certification and active US RN license
• Designation: Associate Consultant
• Experience: 5+ Years
• Shift: US Shift/ Night shift
• Employment Type: Full-Time.
• Notice Period: Looking for Immediate Joining Or 15 Days

Job Description:

1. - Senior SME Skillset: Training, Data Management and reporting, Quality Tools, Descriptive Analysis, New project Implementation

2. - Perform medical necessity and clinical reviews of authorization requests to determine medical appropriateness of care in accordance with regulatory guidelines and Standard Operating procedures

3. - Clinical knowledge and ability to analyze authorization requests and determine medical necessity of service preferred.

4. - Good understanding of US healthcare business

5. - Knowledge of utilization management processes (preferred)

6. - Ability to understand Milliman guidelines (preferred)

7. - Knowledge of managed care, acute care, emergency room, cardiology, radiology, etc.

8. - Understanding of ICD and CPT codes

Technical Skill Set: Microsoft Word, Excel, Computer navigation, typing skills, effective communication skills, both verbal and written