USRN (Voice)
Manila, Philippines
This job has already expired. These job details are for viewing purposes only.
Vacancies 36
Apply Until: Nov 12, 2015
CORINTHIANS PLACEMENT SERVICES, INC.
DMW License No: POEA-134-LB-070519-R
Address
2F EMC BLDG, EMC DRIVE, ALABANG-ZAPOTE, PAMPLONA 3, LAN PINSA, LAS PINAS, Metro Manila, Philippines
Contact Number(s)
7-751-1487
Company Profile
https://corinthians.workabroad.ph/profile/agency/383/corinthians
Principal / Employer
Accenture, Inc
Qualifications
Male or Female25 Years Old and AboveMinimum of 3 Years ExperienceAt Least Bachelor's / College Degree
For manpower pooling only. No fees in any form and/or purpose will be collected from the applicants. Beware of illegal recruiters and human traffickers.
Qualification:
- Bachelor of Science Nursing (BSN) degree or General Nursing & Midwifery (GNM) Diploma or Bachelor of Science (BS) in Nursing degree or Associate Nursing Degree or Nursing Diploma
- Holds current and unrestricted US Registered Nurse license. Holds state specific RN licensure as required.
- Proficient analysis and problem solving capabilities
- A minimum of 3 months of prior working experience in a clinical setting required
- Excellent written and verbal communication skills in English, required
- Basic computer knowledge with the ability to learn additional computer programs, required
- Claim reviews/audit experience, preferred
- A minimum of 2 years clinical nursing experience is plus but not required
- with 2 yrs hospital experience; NCLEX passer or inactive US license
Job Description:
- Responsible to collaborate 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.