Job Description
We are hiring experienced US Registered Nurses (NY Licensed) to support healthcare operations, including clinical review, utilization management, and patient care coordination for US-based clients.
Key Responsibilities
- Perform clinical reviews based on medical records and payer guidelines.
- Support utilization management, prior authorization, or case management processes.
- Ensure compliance with US healthcare standards and regulations.
- Analyze patient data and provide accurate documentation.
- Coordinate with healthcare providers and internal stakeholders.
- Maintain productivity and quality metrics.
Qualifications
- Active USRN License (New York State required).
- 2 years Acute hospital experience (ER, OR, ICU, Surgical Ward).
- Strong knowledge of US healthcare system and clinical processes.
- Excellent communication and documentation skills. <...
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