USRN/ PHRN Team Leader

Gratitude Inc

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17 hours ago

USRN/ PHRN Team Leader

5-7 Year(s)

75 - 120 Thousand p.m

Manila (Bridgetown quezon City)

Job Description

Key Skills

Team Leader Supervisor Skills Utilization Management Excellent Communication Bedside/Hospital setting InterQual Process US based insurance or hospital Strong clinical knowledge

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QUALIFICATIONS:

• Bachelor's Degree in Nursing with an active and valid license in PHRN or USRN

• Minimum of 1 year InterQual criteria experience

• Minimum of 2 years bedside experience as an ER or ICU nurse (Acure Care bedside experience)

• Must have experience in utilization management with a US-based insurance company or hospital (or equivalent)

• Experience as a Team Lead or Supervisor for at least 1 year, in a similar support environment - other related roles exposed to related functions are also considered.

• Experience in a hospital setting or other clinical environment/ contact center setting

• Excellent verbal and written communication skills

• Strong attention to detail and case documentation practices

• Ability to manage multiple cases and meet regulatory turnaround time under pressure

• Proficient in basic Microsoft Office applications such as Word, Excel, and Outlook

• Strong clinical knowledge, particularly in medical necessity review and interpretation of clinical documentation

• Good knowledge and understanding of different healthcare insurance processes, appeals, grievances, and utilization management is preferred

• Willingness to work on-site with flexible schedules, including US hours and holidays

• Must not be a current or former employee of Concentrix

Role

Nursing - Critical Care & ICU

Timings

Night Shift (Permanent)

Industry

Health/Fitness/Wellness

Work Mode

Work from office

Functional Area

Medical Professional / Healthcare Practitioner / Technician

Note: Myglit doesn't charge any money from candidates. If you have been asked to pay money to get this job then report to us immediately at support@myglit.com.

Joshua Sunday

Recruiter - Gratitude Inc

NA, nigeria

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70 - 120 Thousand p.m

Manila, Philippines

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