Job Title

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 If interested, please share your Updated Resume with below details to Name: Email & Mobile Number: Graduation: Date Of Birth: Post-Graduation: (If applicable): Total experience: Relevant experience: Current/Previous Company name: Current CTC: Expected CTC: Notice period: Current location: Thanks & Regards, Talent Acquisition Team Infosys BPM Ltd