Clinical Reviewer - Sagility Health

1 - 4 years

3 - 6 Lacs

Posted:10 hours ago| Platform: Naukri logo

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Work Mode

Work from Office

Job Type

Full Time

Job Description

Greetings from Sagility.

We are hiring IRN's

Role & responsibilities

  • Validate the medical records a to determine medical necessity and appropriateness of treatment for an injury performed by health care professionals to ensure accuracy of payment and avoid fraudulence
  • Relatedness - Identifying correlation between billed diagnosis with medical reports.
  • The nurse can recognize the patient's priority health problem based on the patient's information and can predict the issue of the patient through clinical decision making.
  • Compensability - Validate the injury with insured body part that can be associated with a worker's job function (illness/ injury during the course of employment)

Perks :

  • Upskill to NCLEX RN during the employment (USRN)

National Council Licensure Examination Registered Nurses (US RN). NCLEX RNs are leveraged and utilized for extreme complex decision makings

Preferred candidate profile

Ideal candidature would be BSC- Nursing/ MSC Nursing / Post Nursing with 0-4 YEARS OF OVERALL EXPERIENCE .

Location : Bangalore

Shift timing: Day shift( 9:30 - 6:30)

Work mode : Work from Office.

If your profile aligns with the above requirement, do share your resume

@kolakaluri.sanjana@sagility.com

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Sagility India logo
Sagility India

Healthcare, Business Process Management, IT Services

Mumbai

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