USRN Clinical Analyst
Addforce HR Solutions Inc
- Quezon, PhilippinesGateway, 59 Aurora Blvd Araneta Center, Cubao, Quezon City, 1109 Metro Manila, PhilippinesQuezonMetro ManilaPhilippinesPhilippines
- Penuh waktuFULL_TIME
Berakhir 7 years ago
2017-01-19T16:00:00+00:00Ditutup.
Deskripsi Pekerjaan
- Responsible for collaborating with healthcare providers and members to promote quality member outcomes, to optimize member benefits, and to promote effective use of resources.
- Ensures medically appropriate, high quality, cost effective care through assessing the medical necessity of inpatient admissions, outpatient services, focused surgical and diagnostic procedures, out of network services, and appropriateness of treatment setting by utilizing the applicable medical policy and industry standards, accurately interpreting benefits and managed care products, and may steer members to appropriate providers, programs or community resources.
- Works with medical directors in interpreting appropriateness of care.
Kualifikasi Minimum
- Graduate of BS Nursing or any equivalent course
- With at least 3 months clinical or hospital experience
- Holds an active/inactive and unrestricted US Registered Nurse license
- Must be Philippines Registered Nurse
- Excellent written and verbal communication skills
- BPO experience is a plus!
Ringkasan Perkerjaan
- Tingkat Posisi
- Lulusan Baru / Junior
- Spesialisasi
- Customer Service
- Persyaratan tingkat pendidikan
- Lulus program Sarjana (S1)
- Respon rekruter ke lamaran
- Sometimes
- Alamat Kantor
- Gateway, 59 Aurora Blvd Araneta Center, Cubao, Quezon City, 1109 Metro Manila, Philippines
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Tentang Addforce HR Solutions Inc
ADDFORCE Human Resources Solutions Inc. is a Total Human Resource Provider, offering full wide-ranging and affordable services.
We specialize in Placement Services for rank-and-file positions, as well as Executive Search Services for Managerial and Top-level posts.