26 Oct
|
White Horse Manpower Consultancy Private
|
Mangalore
26 Oct
White Horse Manpower Consultancy Private
Mangalore
Conduct medical necessity clinical reviews of healthcare authorization requests in accordance with regulatory requirements, established guidelines, SOPs
Assess the clinical appropriateness of requested healthcare services using clinical knowledge
Required Candidate profile
Apply Utilization Mgt (UM) processes Milliman Care Guidelines (MCG) in clinical reviews
Support training, knowledge sharing, quality mgt, SME-level
Understanding of US healthcare ops managed care
Perks and perks
Plus Incentives and Bonuses
📌 SME US Healthcare Clinical Review & Utilization Mgt NCLEX/USRN Qualifi (Mangalore)
🏢 White Horse Manpower Consultancy Private
📍 Mangalore