Nurse Consultant - NCLEX RN

Industry: BPO (Healthcare)

Location: Infopark, Kakkanad, Kochi Qualification: BSC Nursing/ Post BSC

Requirement: Valid NCLEX-RN Certification(Manadatory)

Shift: 6PM to 3AM (Monday-Friday)

Salary: Upto Rs.18 LPA

Should have excellent fluency in English.

Responsibilities

- Review and analyze medical claims, provider appeals, and dispute cases within the US healthcare insurance process.

- Evaluate clinical documentation, medical records, and supporting evidence to determine medical necessity and appropriateness of care.

- Assess healthcare claims using clinical guidelines, payer policies, and utilization management criteria.

- Process appeals, grievances, pre-authorizations, and utilization review cases accurately and within defined timelines.

Requirements

• Qualification: Bachelor of Science in Nursing (B.Sc Nursing) / Post Basic B.Sc Nursing
- Valid NCLEX-RN Certification(Manadatory)
- Excellent verbal and written English communication skills
- Willingness to work in the night shift (6:00 PM – 3:00 AM)

Perks

• Cab facility (Pick-up & Drop)
- ESI, PF, and Health Insurance coverage
- Basket of allowances and additional employee benefits

📌 Nurse Consultant - NCLEX RN (Kerala)
🏢 advenxa
📍 Kerala