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Full-time Email Us Up To 50k - Us Registered Nurse Data Analyst Ghsicm

at Global Headstart Specialist Inc. in Metro Manila

Job Descriptions:
• Responsible in collaborating with healthcare providers and members
• 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

Job Qualifications:
• BS Nursing Degree
• Active US State License
• A minimum of 3 months of prior working experience as a Registered Nurse in a clinical setting required



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Published at Jan 14, 2020
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