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 perks

📌 Nurse Consultant Nclex Rn Kerala (India)
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📍 India