Immediate Opening For BSc Nursing Fresher

1 - 3 years

2 Lacs

Posted:None| Platform: Naukri logo

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Skills Required

Work Mode

Work from Office

Job Type

Full Time

Job Description


We are hiring!!!

Nursing Graduates for Utilization Management Specialist/Prior Authorization Specialist

Job Title:

Preferred Skills

  • Familiarity with MCG/Inter Qual Guidelines is a plus.
  • Keep up-to-date with regulations and maintain organized records of all activities.
  • Experience with Medicaid, Medicare, and Managed Care is helpful.
  • Strong knowledge of anatomy, physiology, and medical terminology.
  • Proficient in MS Office applications.
  • Excellent communication skills and ability to work both independently and in a team.
  • Strong analytical and problem-solving skills.

Key Functions:

  • Review outpatient procedures, inpatient admissions, home health, and behavioral health services to check if they are necessary.
  • Work with providers and medical directors to get prior authorization and plan for case reviews when needed.
  • Collaborate with clinical staff to ensure appropriate care and resource use.
  • Participate in quality improvement projects and help develop clinical guidelines.
  • Monitor and report on utilization trends to management.

Qualifications :

Freshers with a Bachelor's Degree in Nursing are eligible to apply

work experience in Hospital Field

Willing to work in Night Shift.

Perks and Benefits

Five Days of working

Rotational Week off

Double Wages (If working on Saturday/Sunday)

Both 2 way Cab facility Available for Night Shift.

hr@shai.health.

(Mail subject line: Applying for UM - Fresher For any queries call or WhatsApp this

78457 77499)

Thanks & Regards

HR Team

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Shai Health

Hospitals and Health Care

Lewes Delaware

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