Clinical Reviewer

**Role Overview:** You will be working for a health insurance organization in the role of a Clinical Reviewer. Your main responsibility will be to ensure that healthcare services are in alignment with evidence, standards, and guidelines. Your focus will be on enhancing quality, safety, and efficiency while also working towards reducing unnecessary costs. To excel in this position, you should have a good understanding of anatomy and clinical practices, as well as possess strong language and comprehension skills. It is essential to be committed to continuous learning and staying updated on new medical practices to succeed in this role. **Key Responsibilities:** - Verify that healthcare services meet evidence-based standards and guidelines - Focus on improving quality, safety, and efficiency in healthcare delivery - Work towards reducing unnecessary costs in healthcare services **Qualifications Required:** - Must be a Nursing graduate - Previous experience in clinical review is preferred - Willingness to work in U.S Shift (1.30 pm to 10.30 pm / 3.00 pm to 12.00 am) Please note that this position requires a dedication to continuous learning and a commitment to upholding the highest standards of healthcare services.,