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JOB
USRN Voice Sr Analyst
Date Posted: 2017-05-24 20:14:15
Visitors have accessed this post : 6540 times.
Job Title

Care Management US RNVoice Sr Analyst

Basic Salary

PHP35,000.00

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Job Description

- Responsible tocollaborate 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.

https://philjobs.accenture.com/App_Themes/IJPDefault/images/b.gif

Qualification

BS Nursing graduatewith active local and USRN license. A minimum of 2 years clinical nursing experience is preferred 1 year of customer service or call-center experience, preferred Working knowledge and experience with computers and internet Related outsourcing operations experience preferred Claim reviews/audit experience a plus Data entry experience preferred

https://philjobs.accenture.com/App_Themes/IJPDefault/images/b.gif

Location

Manila

https://philjobs.accenture.com/App_Themes/IJPDefault/images/b.gif

Assigned Role

Nurses-Clinicians


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Job Title

Care Management US RNVoice Sr Analyst

Basic Salary

PHP35,000.00

https://philjobs.accenture.com/App_Themes/IJPDefault/images/b.gif

Job Description

- Responsible tocollaborate 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.

https://philjobs.accenture.com/App_Themes/IJPDefault/images/b.gif

Qualification

BS Nursing graduatewith active local and USRN license. A minimum of 2 years clinical nursing experience is preferred 1 year of customer service or call-center experience, preferred Working knowledge and experience with computers and internet Related outsourcing operations experience preferred Claim reviews/audit experience a plus Data entry experience preferred

https://philjobs.accenture.com/App_Themes/IJPDefault/images/b.gif

Location

Manila

https://philjobs.accenture.com/App_Themes/IJPDefault/images/b.gif

Assigned Role

Nurses-Clinicians

Interested applicants may send their most updated CV to [email protected]

FileName: "Position applying for" - "Full Name"

**NO FEES TO BE COLLECTED**


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Labels :healthcare, nurse, clinical, bpo, care management, data entry, USRN, healthcare jobs
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