USRN Clinical Analyst
Addforce HR Solutions Inc
- Quezon, PhilippinesGateway, 59 Aurora Blvd Araneta Center, Cubao, Quezon City, 1109 Metro Manila, PhilippinesQuezonMetro ManilaPhilippinesPhilippines
- Toàn thời gianFULL_TIME
Đã hết hạn 7 years ago
2017-01-19T16:00:00+00:00Công việc đã đóng.
Miêu Tả Về Công Việc
- 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.
Trình độ tối thiểu
- 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!
Tóm tắt công việc
- Trình Độ Công Việc
- Mới Tốt Nghiệp/ Trình Độ Tập Sự
- Ngành Nghề
- Customer Service
- Yêu cầu học vấn
- Tốt nghiệp Cử nhân
- Nhà tuyển dụng trả lời hồ sơ
- Sometimes
- Địa chỉ văn phòng
- Gateway, 59 Aurora Blvd Araneta Center, Cubao, Quezon City, 1109 Metro Manila, Philippines
- Ngành nghề
- Staffing / Recruiting
- Vị trí đang tuyển
- 34 vị trí tuyển dụng mới
- Trang web
- http://add-force.com/
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Về 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.