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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