Medical Professional Wanted
18 hours ago
At our esteemed organization, we are seeking a diligent medical professional to join our team.
We are looking for an individual who possesses exceptional skills and qualifications to excel in this role. The ideal candidate will have a strong background in healthcare, with experience working in hospital settings. They will be responsible for managing patient care, providing high-quality services, and ensuring the best possible outcomes.
The successful candidate will have the following qualifications:
- A valid NCLEX certification is required.
- USRN Mainland license and NMI License with at least one year of hospital experience.
Key Responsibilities:
- Active PHRN and USRN Mainland License.
- Preferably with one year of clinical bedside experience.
- Conduct Utilization Management reviews (Prospective/Concurrent/Retrospective) for Inpatient/Outpatient services according to URAC standards and client requirements.
- Manage Healthcare Utilization Management Provider Appeals reviews (Prospective/Concurrent/Retrospective) for Inpatient/Outpatient services according to URAC standards and client requirements.
- Open to SME's with team management and people management background.
Benefits and Work Setup:
- Work From Home.
- Fixed weekends off.
- Night Shift schedule.
- Willing to work on shifting schedule.
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