Nurse Consultant - NCLEX RN (US RN) (India)

Nurse Consultant - NCLEX RN (US RN) (India)

14 Sep
|
Nameless
|
India

14 Sep

Nameless

India

Nurse Consultant - NCLEX RN



Industry: BPO (Healthcare)



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



Requirement: Valid NCLEX -RN (USRN) Certification(Manadatory)


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



Salary: 6LPA Rs.15 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 (US RN) (India)
🏢 Nameless
📍 India

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