Care Management US RN Data Sr Analyst - Viventis Search Asia | New Day Jobs (Yangon, Myanmar)

Easy Apply (Viventis Search Asia) Care Management US RN Data Sr Analyst job. View job description, responsibilities and qualifications. See if you qualify!

Viventis Search Asia
Remote (Asia Time Zone Permitted)

Care Management US RN Data Sr Analyst

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Care Management US RN Data Sr Analyst

Viventis Search Asia
  • Remote (Asia Time Zone Permitted)
  • -
Salary : Login to view salary Apply from Source
Job Type : Full-Time
Education Requirement : Bachelor Degree
Skills :
Experience : 3 to 5 years
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Job Detail

Industry: Outsourcing/Offshoring

Job function: Health Care Provider

Seniority: Associate

Job Details:

  • Multinational professional services company
  • Graveyard Shift
  • Full-time Employment
  • Voice-based operations
  • Temporary WFH Setup for 2021
  • Competitive Salary Package
  • HMO Coverage
  • Remote/Virtual Recruitment Process

  • Responsibilities:

    Responsible to collaborate with healthcare providers and members to promote quality member outcomes, to optimize member benefits, and to promote effective use of resources.

  • Responsible in collaborating with healthcare providers and members to promote quality member outcomes, to optimize members’ benefits, and to promote effective use of resources
  • Ensures medically appropriate, high quality, cost effective care through assessing the medical necessity of inpatient admissions, outpatient services, focused surgical and diagnostic procedures, out of network services, and appropriateness of treatment setting by utilizing the applicable medical policy and industry standards, accurately interpreting benefits and managed care products, and may steer members to appropriate providers, programs or community resources
  • Work with medical directors in interpreting appropriateness of care

  • Qualifications:

  • BS Nursing (BSN) Degree
  • Active US State License holder
  • A minimum of three (3) months’ of prior working experience as a Registered Nurse in a clinical setting required:
  • Three months is equivalent to 480 hours of working experience as an RN
  • Working experience as a Registered Nurse means holding an active RN license and providing direct patient care
  • Clinical setting includes inpatient hospital or clinic

  • The interview process will be remotely. This position is open to all US Registered Nurse only.

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