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121 Medical Documentation Jobs - Page 4

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0.0 - 3.0 years

0 - 3 Lacs

Kannur, Kerala, India

On-site

Role Responsibilities: Order and interpret labs and imaging to assess acute medical conditions. Deliver immediate care for life-threatening emergencies. Document all interventions per hospital and regulatory standards. Participate in quality improvement and readmission reduction efforts. Job Requirements: MBBS with postgraduate qualification in Emergency Medicine. Strong grasp of emergency care standards and clinical protocols. Excellent decision-making and crisis management skills. Familiarity with EMR systems and regulatory compliance norms.

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0.0 - 3.0 years

0 - 3 Lacs

Kozhikode, Kerala, India

On-site

Role Responsibilities: Conduct patient assessments, diagnose and treat illnesses. Review patient records, including allergies, medications, and immunization status. Analyze reports and findings to diagnose patient conditions. Administer or prescribe treatments based on diagnoses. Advise patients on health promotion, diet, hygiene, and disease prevention. Job Requirements: Graduate/Postgraduate in Medicine (Specialization in Family Medicine). Strong communication skills for patient interaction and follow-ups. Problem-solving skills for diagnosing and managing a variety of conditions. Ability to handle high-risk or emergency cases.

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1.0 - 5.0 years

0 Lacs

karnataka

On-site

About Clinikk Clinikk is dedicated to democratizing healthcare through technology, ensuring that families receive high-quality healthcare whenever they require it. Backed by prominent investors like Rajan Anandan, 500 Startups, Times Internet, WEH Ventures, EMVC, First Principles, Clinikk is revolutionizing healthcare for Middle India by merging primary care and comprehensive health insurance into an affordable subscription for the 600 million uninsured individuals in the country. The Role of the Medical Team At Clinikk, the Medical team plays a crucial role in ensuring care quality and the implementation of care protocols. The primary objective is to leverage upcoming technologies in medical science to establish protocol-based, standardized care, thereby enhancing the accessibility, affordability, and quality of medical services. The Medical team engages with subscribers through telemedicine and in-person consultations at Clinikk clinics. Collaboration with product, design, and engineering teams is essential to develop core technology that supports diagnostic evaluation, protocol-based treatment implementation, screenings, chronic disease care, and medical awareness initiatives within the community. Requirements Clinikk is seeking MBBS qualified doctors located in or willing to relocate to Bangalore, specifically for the Kammanhalli location. The ideal candidate should be multilingual (proficient in Kannada, English, and Hindi), registered with MCI/state medical council, possess excellent communication and listening skills, exhibit empathy towards patient service, prioritize patient safety and healthcare quality, and align with the organization's values and vision. Role and Responsibilities The responsibilities of the Medical team member include providing in-person clinical consultations and teleconsultations at a primary health center. This involves diagnosing, treating based on standard protocols, providing counseling, and making referrals when necessary. Evaluating patients, administering appropriate medical treatments, explaining procedures or prescribed treatments, maintaining confidentiality and impartiality, documenting patient information, staying updated on medical developments, treatments, and medications, and communicating with patients through online modes are vital aspects of the role. Additionally, organizing Health Camps at the community and corporate level may be required. Benefits The job type is full-time and permanent, offering benefits such as health insurance, leave encashment, paid sick time, paid time off, and Provident Fund. Application Questions Applicants are required to work both shifts (9:30 AM to 1:00 PM and 4:00 PM to 8:30 PM). Proficiency in Kannada, an MBBS degree from India, post-internship experience, proximity to or willingness to relocate to Kammanahalli, and NEET plans for the current year are among the application questions. Experience A minimum of 1 year post-MBBS Internship experience is preferred. Work Location The role requires in-person presence at the designated work location.,

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2.0 - 6.0 years

0 Lacs

maharashtra

On-site

The doctor will be responsible for providing primary healthcare services to rural communities in the selected Villages of Byadagi Taluk, Haveri district in Karnataka ensuring quality medical care and improved health outcomes. You will conduct OPD consultations and diagnose/treat common illnesses. Additionally, you will provide medical care for children, pregnant & lactating women, and adults. Your role will involve leading and participating in specialist health camps to enhance healthcare access. It will be important for you to identify and refer critical cases (e.g., severe malnutrition, pregnancy complications, critical illnesses) to appropriate healthcare facilities. Collaboration with ASHAs, ANMs, AWWs, and local NGOs/CBOs and key decision-makers will be crucial to ensure effective patient referrals. Conducting nutrition and health education sessions to promote preventive healthcare will also be a part of your responsibilities. Furthermore, maintaining medical records and documenting patient progress for reporting and evaluation will be essential. This role aims to enhance community health access, reduce morbidity, and promote preventive healthcare practices in underserved areas. Key Deliverables: - Conduct regular OPD consultations, diagnose, and treat common illnesses. - Provide comprehensive medical care for children, pregnant & lactating women, and adults. - Lead and participate in specialist health camps to enhance healthcare access. - Identify and refer critical cases to appropriate healthcare facilities. - Collaborate with healthcare personnel and local organizations for effective patient referrals. - Conduct nutrition and health education sessions. - Maintain accurate medical records and document patient progress. - Prepare medicine indents and verify medicine stocks regularly. Qualifications and Experience: - A Registered Medical Practitioner (MBBS/MD/BAMS/BHMS) with Medical Council of India / National Medical Commission / State Medical Council. - Networking with other medical professionals for special health camps. - Relevant experience in Gynecology/Pediatrics/Dermatology/General Medicine/BDS/Orthopedics as needed. Key Competencies: - Medical Expertise & Clinical Decision-Making. - Emergency Care & Referrals. - Community Health & Preventive Care. - Collaboration & Coordination. - Medical Documentation & Inventory Management. You will also be responsible for any other duties as per the timely requirements by the project. Equal Opportunities and Child Safeguarding: Background checks will be conducted to ensure the protection of children from abuse. The post holder is required to follow the BRBs anti-harassment policy to safeguard staff. Save the Children India is dedicated to helping children affected by crises and advocating for their rights. As an organization, we aim for significant breakthroughs in child welfare by 2030. We value our employees and offer a collaborative and inclusive environment where ambition, creativity, and integrity are highly valued. Job Identification: 13497 Job Category: Business Transformation Posting Date: 07/10/2025, 01:18 PM Apply Before: 07/16/2025, 07:48 AM Job Schedule: Part-time Location: SC IND - South - Karnataka,

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0.0 - 3.0 years

0 Lacs

ahmedabad, gujarat

On-site

As a Quality Assurance professional in the Healthcare/Insurance industry, you will be responsible for conducting quality checks on Medical Examination Reports (MER). Your key tasks will include cross-verifying lab values and insurance-specific medical parameters, ensuring the completeness and accuracy of reports before final submission, and minimizing operational delays to support grievance resolution. It will be crucial for you to maintain documentation standards and adhere to quality control procedures throughout the process. To excel in this role, you must hold a degree in MBBS, BAMS, or BHMS. While freshers are welcome to apply, having at least 1 year of experience in a medical/insurance QA role will be advantageous. Your success in this position will be driven by your strong attention to detail, analytical thinking skills, and ability to interpret lab results effectively. Basic computer proficiency and familiarity with medical documentation are essential, along with good verbal and written communication skills. The ideal candidate for this role will be comfortable working both independently and as part of a team. Candidates with a background in Third Party Administration (TPA) are not preferred for this position. Your skills in documentation, quality control, independent work, basic computer proficiency, attention to detail, written and verbal communication, and medical report auditing will be essential. Your ability to apply analytical thinking to medical examination reports and collaborate effectively with colleagues will ensure the quality and accuracy of the reports produced. If you are seeking an opportunity to contribute to the quality assurance processes in the healthcare/insurance sector, possess the required qualifications and skills outlined above, and are enthusiastic about maintaining high standards of accuracy and completeness in medical documentation, we encourage you to apply for this position.,

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0.0 - 3.0 years

0 Lacs

ahmedabad, gujarat

On-site

The role in Quality Assurance within the Healthcare/Insurance industry involves conducting quality checks on Medical Examination Reports (MER). Your responsibilities will include cross-verifying lab values and insurance-specific medical parameters, ensuring the completeness and accuracy of reports before their final submission, and minimizing operational delays to support grievance resolution. It is crucial to maintain documentation standards and adhere to QC procedures to uphold the quality of the reports. To excel in this role, you are required to have an MBBS, BAMS, or BHMS degree. Freshers or individuals with up to a year of experience in a medical/insurance QA role are welcome to apply. Strong attention to detail and analytical thinking are essential traits for this position. Additionally, basic computer skills and familiarity with medical documentation are necessary. Good verbal and written communication skills are important for effective collaboration within the team. Candidates with a background in Third-Party Administration (TPA) are not preferred for this role. Key skills for success in this role include proficiency in documentation, lab result interpretation, quality control, the ability to work independently, and a good understanding of Medical Examination Reports (MER). Basic computer proficiency, attention to detail, written and verbal communication skills, and the ability to audit medical reports are also crucial. A teamwork mindset, analytical thinking, and a solid grasp of medical documentation are highly valued in this position.,

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3.0 - 8.0 years

10 - 12 Lacs

Bengaluru

Work from Office

Proactively manage claims Develop and document Strategic Case Plans that focus on the future direction of the claim using a holistic viewpoint Find customer eligibility by reviewing contractual language and medical documentation interpret information and make decisions based on facts presented Leverage claim dashboard to manage claim inventory to find which claims to focus efforts on for maximum impact Manage claims from initial medical requests to reviewing and evaluating ongoing medical information Execute on all client performance guarantees Contact Person : Gayathri B Contact Number : 7358150054 Email: gayathri@gojobs.biz

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1.0 - 2.0 years

8 - 13 Lacs

Pune

Work from Office

Responsibilities: Conduct Indoor Patient Rounds to Monitor Patient progress and Provide Care. Examine and Prescribe medications to outpatients. Assist in Operating Theaters (OT) as needed. Provide emergency care and respond to medical emergencies. Document Patient information and maintain accurate records. Collaborate with other healthcare professionals to ensure comprehensive patient care. Desired profile of the candidate: Strong Clinical Skills and Knowledge. Excellent Communication and interpersonal skills. Ability to Work in a Fast-paced environment. Compassionate and patient centered approach.

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2.0 - 5.0 years

2 - 5 Lacs

Pune, Maharashtra, India

On-site

Key Deliverables: Provide first aid and basic medical care to students and staff during school hours Monitor and document health conditions and maintain medical records Coordinate with parents and staff for administering prescribed medications Respond effectively to on-campus medical emergencies Role Responsibilities: Identify and address students medical needs with compassion Ensure compliance with school health policies and safety protocols Assist in routine health screenings and physical check-ups Work collaboratively with faculty and administrative staff

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1.0 - 4.0 years

1 - 4 Lacs

Aurangabad, West Bengal, India

On-site

BVG India Ltd. is looking for Nurses (GNM) to join our dynamic team and embark on a rewarding career journey. Responsibilities : Assess and record patient symptoms, medical histories, and vital signs, and develop care plans based on this information. Administer medications, treatments, and diagnostic tests as prescribed by physicians and other healthcare professionals. Monitor and record patient progress, and adjust care plans as needed. Provide emotional support to patients and their families, and facilitate communication with other healthcare professionals. Ensure patient safety by following established protocols and safety procedures. Maintain accurate and up- to- date medical records and documentation. Requirements : Clinical experience in a healthcare setting, such as a hospital or clinic. Excellent communication and interpersonal skills, including the ability to work effectively with patients, families, and other healthcare professionals. Ability to work under pressure and in a fast- paced environment. Strong critical thinking and problem- solving skills. Familiarity with electronic health records and other healthcare technology systems.

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1.0 - 4.0 years

1 - 4 Lacs

Pune, Maharashtra, India

On-site

BVG India Ltd. is looking for Nurses (GNM) to join our dynamic team and embark on a rewarding career journey. Responsibilities : Assess and record patient symptoms, medical histories, and vital signs, and develop care plans based on this information. Administer medications, treatments, and diagnostic tests as prescribed by physicians and other healthcare professionals. Monitor and record patient progress, and adjust care plans as needed. Provide emotional support to patients and their families, and facilitate communication with other healthcare professionals. Ensure patient safety by following established protocols and safety procedures. Maintain accurate and up- to- date medical records and documentation. Requirements : Clinical experience in a healthcare setting, such as a hospital or clinic. Excellent communication and interpersonal skills, including the ability to work effectively with patients, families, and other healthcare professionals. Ability to work under pressure and in a fast- paced environment. Strong critical thinking and problem- solving skills. Familiarity with electronic health records and other healthcare technology systems.

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1.0 - 4.0 years

1 - 4 Lacs

Thane, Maharashtra, India

On-site

BVG India Ltd. is looking for Nurses (GNM) to join our dynamic team and embark on a rewarding career journey. Responsibilities : Assess and record patient symptoms, medical histories, and vital signs, and develop care plans based on this information. Administer medications, treatments, and diagnostic tests as prescribed by physicians and other healthcare professionals. Monitor and record patient progress, and adjust care plans as needed. Provide emotional support to patients and their families, and facilitate communication with other healthcare professionals. Ensure patient safety by following established protocols and safety procedures. Maintain accurate and up- to- date medical records and documentation. Requirements : Clinical experience in a healthcare setting, such as a hospital or clinic. Excellent communication and interpersonal skills, including the ability to work effectively with patients, families, and other healthcare professionals. Ability to work under pressure and in a fast- paced environment. Strong critical thinking and problem- solving skills. Familiarity with electronic health records and other healthcare technology systems.

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0.0 - 5.0 years

3 - 6 Lacs

Mohali

Work from Office

Job Title: Medical Coding Professional Location: Mohali (Onsite) Training Period: 2-3 months (based on candidates performance) Job Summary: We are seeking Medical Coding Professionals to join our team. He/she would be responsible to assign accurate diagnoses, proofread medical notes, and ensure compliance with UK healthcare regulations. Full training will be provided. The role requires meeting daily productivity targets while maintaining high-quality documentation standards. The candidate will also be expected to clear regular audits, ensuring the accuracy and consistency of their work. Key Responsibilities: Assign precise diagnoses based on medical notes/letters from healthcare professionals. Proofread medical notes to ensure clarity and accuracy, identifying and correcting errors. Take appropriate action based on the content of medical letters. Collaborate with hospital staff to ensure effective healthcare management and communication. Maintain patient confidentiality in accordance with UK healthcare regulations. Meet daily productivity goals while upholding accuracy and quality standards. Successfully clear regular audits to ensure compliance and documentation accuracy. Qualifications: Fresh graduates with a degree in BAMS, BDS, BHMS, BUMS, B.Pharm, M.Pharm, BSc Nursing, Pharm D, or other relevant medical backgrounds. Experience in medical documentation or related fields is preferred, though training will be provided. Required Skills: Strong knowledge of symptoms, diagnoses, medical abbreviations, and medications. Typing proficiency (30-40 WPM) with excellent proofreading skills. Good communication skills for effective collaboration. Ability to meet daily targets while maintaining high accuracy. Attention to detail to ensure the successful clearance of audits.

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5.0 - 10.0 years

3 - 13 Lacs

Mumbai, Maharashtra, India

On-site

To provide medical cover, routine and emergency, during hours of duty and work in conjunction with the other specialties to serve the institute. Follow all Clinical safety, hygiene, infection control protocols to be adhered to (e.g. wearing gloves when required, aprons, hand hygiene, etc). Should be willing and available to see patients when required or when requested. Should actively participate and contribute to in Classroom and bedside teaching programs for postgraduate students and RMOs. Should be in position to identify the complex health problems and report immediately to the concerned doctor. Required to supervise Post graduate students; however, the attending physician is ultimately responsible for the care of the patient. Supervise daily clinical management of all patients in conjunction with the PG students, nurse team leaders and under the guidance of Consultants. Should be able to prescribe pain management medicines if need be. Effective communication with patients, family, colleagues and other health care workers. Treatment orders are to be written in capital letters. Each treatment sheet should be dated, named and signed by the writing doctor. Doctors should refer to the progress notes while writing treatment sheets. Clinical Assistants/Associates/Associate Consultants are responsible to do Pre-Anaesthesia Check, induce Pediatric patients and monitor the patients during anaesthesia under supervision They can manage areas requiring moderate procedural sedation like Endoscopy department or sedation for restraint or pain management. They can perform procedures like Lumbar puncture, epidural catheter, central lines, arterial lines. They should be trained in PALS Are required to follow on-call and duty rota based on the department s requirement. To be part of the Quality Improvement Initiative and protocols of the organization

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0.0 - 1.0 years

1 - 2 Lacs

Thane

Work from Office

Were looking for candidates with ANM, GNM, or B.Sc. in Nursing. Please remember, having a Registration Certificate is crucial, and it must be registered with the Maharashtra Council. Certificates from Private Institutions or NGOs wont be considered. We have openings in Kalyan, Dombivali, Thane, Ulhasnagar, Navi Mumbai, Mira Bhayandar, and Nashik. Freshers Can Also Apply Location - Kalyan, Thane, Dombivali, Ulhasnagar, Navi Mumbai, Mirabhyandar

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0.0 - 1.0 years

0 - 1 Lacs

Bengaluru / Bangalore, Karnataka, India

On-site

We are seeking a dedicated and skilled Senior Resident in Genecology to join our team. The ideal candidate will be responsible for providing high-quality medical care to patients, performing surgical procedures, and contributing to the education of junior staff. This position is suitable for candidates with 0-1 years of experience in the field. Responsibilities Conduct thorough examinations and assessments of patients with gynecological issues. Perform surgical procedures related to gynecology as needed. Participate in outpatient clinics and manage patient follow-ups. Assist in teaching junior residents and medical students. Collaborate with multidisciplinary teams for comprehensive patient care. Stay updated with the latest advancements in gynecology and contribute to research initiatives. Skills and Qualifications Master of Surgery (MS) or Diplomate of National Board (DNB) in Obstetrics and Gynecology. Strong clinical skills in gynecology and obstetrics. Ability to perform various gynecological surgeries and procedures. Excellent communication and interpersonal skills. Strong analytical and problem-solving abilities. Knowledge of current medical practices and technologies in gynecology.

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1.0 - 4.0 years

1 - 4 Lacs

Chennai, Tamil Nadu, India

On-site

We are seeking a skilled Consultant General Physician to join our healthcare team. The ideal candidate will have a strong background in general medicine and will be responsible for providing comprehensive patient care, including diagnosis, treatment, and follow-up. This role requires a commitment to excellence in patient care and the ability to work collaboratively within a multidisciplinary team. Responsibilities Conduct thorough physical examinations and assess patient health. Diagnose a variety of medical conditions and provide appropriate treatment plans. Perform routine check-ups and preventive health screenings. Order and interpret diagnostic tests and procedures. Maintain accurate and detailed patient records. Advise patients on health maintenance and disease prevention. Collaborate with other healthcare professionals to provide comprehensive care. Stay updated with the latest medical research and advancements. Skills and Qualifications MD or DNB in General Medicine from a recognized institution. 1-4 years of experience in a clinical setting. Strong clinical assessment and diagnostic skills. Excellent communication and interpersonal skills. Ability to work effectively in a team-oriented environment. Familiarity with electronic medical records (EMR) systems. Compassionate patient care and strong ethical standards. Current medical license to practice in India.

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0.0 - 5.0 years

2 - 8 Lacs

Bhatinda, Punjab, India

On-site

We are seeking a Consultant Pulmonary to join our healthcare team in India. The ideal candidate will have 0-5 years of experience in pulmonary medicine and will be responsible for diagnosing and treating patients with respiratory conditions, ensuring high-quality patient care. Responsibilities Conduct thorough assessments of patients with respiratory issues. Develop and implement treatment plans for pulmonary diseases. Perform diagnostic procedures such as bronchoscopy and pulmonary function tests. Collaborate with other healthcare professionals to ensure comprehensive patient care. Educate patients and their families about respiratory conditions and treatment options. Stay updated on the latest research and advancements in pulmonary medicine. Skills and Qualifications MBBS degree from a recognized institution. MD in Pulmonary Medicine or equivalent. Strong understanding of respiratory diseases and treatments. Experience with diagnostic procedures related to pulmonary care. Excellent communication and interpersonal skills. Ability to work collaboratively in a multidisciplinary team.

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2.0 - 3.0 years

2 - 11 Lacs

Bhatinda, Punjab, India

On-site

We are seeking a Consultant General Medicine to join our healthcare team in India. The ideal candidate will be responsible for providing high-quality medical care to patients, including diagnosing and treating a variety of health conditions. This role requires a compassionate approach and a commitment to patient well-being. Responsibilities Conduct thorough medical assessments and diagnose patients conditions. Create and implement effective treatment plans for patients. Monitor patient progress and adjust treatments as necessary. Collaborate with other healthcare professionals to provide comprehensive care. Educate patients about their conditions and preventative measures. Document patient history and treatment plans accurately. Skills and Qualifications MBBS degree from a recognized medical institution. Registration with the Medical Council of India (MCI). Strong clinical assessment and diagnostic skills. Excellent communication and interpersonal skills. Ability to work collaboratively in a multidisciplinary team. Proficiency in using electronic health records and medical software.

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1.0 - 5.0 years

1 - 5 Lacs

Kannur, Kerala, India

On-site

Examining and diagnosing patients, and determining appropriate treatment plans Prescribing medications and therapies, and monitoring patient progress Ordering and interpreting diagnostic tests and medical images Providing first aid and stabilizing patients in emergency situations Documenting patient histories, diagnoses, treatments, and progress in medical records Collaborating with other healthcare professionals, such as specialists and nurses, to provide comprehensive care to patients Ensuring that patient confidentiality and privacy are maintained at all times

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1.0 - 4.0 years

1 - 4 Lacs

Kozhikode / Calicut, Kerala, India

On-site

Provide specialized care in women's reproductive health and maternity services Diagnose, treat, and monitor obstetric and gynecological conditions Collaborate with multidisciplinary teams for holistic patient care Maintain patient records and support educational outreach activities

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1.0 - 4.0 years

1 - 4 Lacs

Cochin / Kochi / Ernakulam, Kerala, India

On-site

Assist in surgeries and post-operative patient care Conduct rounds and manage emergency procedures Collaborate with surgeons in clinical research Maintain patient records and ensure medical accuracy The candidate should have above mentioned skills.

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0.0 - 2.0 years

2 - 9 Lacs

Cochin / Kochi / Ernakulam, Kerala, India

On-site

ASTER DM HEALTHCARE LIMITED is looking for Registrar.Orthopedic to join our dynamic team and embark on a rewarding career journey. A Registrar is responsible for managing student records and overseeing enrollment processes at an educational institution They ensure the accuracy and completeness of student records, and provide support to students, faculty, and staff regarding enrollment and record-keeping Here is a detailed job description for a Registrar:Job duties and responsibilities: Oversee enrollment processes, including course registration, add/drop periods, and student scheduling Maintain accurate and up-to-date student records, including transcripts, enrollment verifications, and degree audits Respond to requests for student records from internal and external sources Collaborate with academic departments to ensure course offerings and scheduling meet institutional standards Administer and interpret institutional policies related to enrollment and student records Requirements: Strong organizational and record-keeping skills Excellent customer service and interpersonal skills Proficiency in Microsoft Office Ability to analyze and interpret data Excellent written and verbal communication skills

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1.0 - 4.0 years

1 - 4 Lacs

Bengaluru / Bangalore, Karnataka, India

On-site

Assess patients nutritional needs and develop personalized diet plans Provide nutritional counseling and education to patients and their families Monitor and evaluate patients progress and make adjustments to diet plans as needed Collaborate with healthcare providers to develop comprehensive care plans Conduct research and stay updated on the latest developments in nutrition and dietetics Develop and implement nutrition education programs for the community Maintain accurate records of patient assessments and interventions

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1.0 - 5.0 years

1 - 5 Lacs

Kozhikode / Calicut, Kerala, India

On-site

The ideal candidate will be experienced in a broad range of surgical procedures and possess excellent diagnostic and patient care skills The General Surgeon will be responsible for assessing and treating patients, collaborating with multidisciplinary teams, and providing surgical interventions with a commitment to delivering high-quality healthcare Responsibilities: Patient Care :Conduct comprehensive patient consultations, examinations, and assessments Develop and implement appropriate treatment plans, including surgical interventions when necessary Surgical Procedures: Perform a variety of general surgical procedures, including but not limited to appendectomies, cholecystectomies, hernia repairs, and bowel surgeries Utilize advanced surgical techniques and stay abreast of the latest developments in the field Diagnostic Expertise: Order and interpret diagnostic tests, such as imaging studies and laboratory tests Collaborate with radiologists and other specialists to obtain accurate and timely diagnostic information Multidisciplinary Collaboration: Work closely with other healthcare professionals, including anesthesiologists, nurses, and specialists, to ensure comprehensive patient care Participate in multidisciplinary meetings to discuss complex cases and treatment plans Patient Education: Educate patients and their families on surgical procedures, potential risks, and postoperative care Provide information to help patients make informed decisions about their treatment Record Keeping: Maintain detailed and accurate medical records, including patient histories, examination findings, and treatment plans Ensure compliance with legal and regulatory requirements

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