Clinical Review Nurses - Nurse conducts clinical review of cases not meeting criteria by performing clinical intake and adjudicates (closes), requests additional clinical information or escalates to Medical Directors.
Minimum Work Experience (in months/years): At least 2 year's experience in acute care environment or At least 2 years previous UM/QM experience in a managed care or acute hospital setting
System working knowledge required: Computer proficiency required
RN, LPN/ LVN graduate from an accredited school of nursing or radiation therapy for USRN
Current, active RN, LPN/LVN license in the United Sates.
Good organizational skills preferred
Must be a US Registered Nurse
Minimum Work Experience (in months/years): At least 2 year's experience in acute care environment or At least 2 years previous UM/QM experience in a managed care or acute hospital setting
System working knowledge required: Computer proficiency required
RN, LPN/ LVN graduate from an accredited school of nursing or radiation therapy for USRN
Current, active RN, LPN/LVN license in the United Sates.
Good organizational skills preferred
Must be a US Registered Nurse
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WNS Global Services
About the company
WNS Global Services jobs
Muntinlupa, Metro Manila

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About the company
WNS Global Services jobs
Muntinlupa, Metro Manila