Offer: Senior USRN Clinical Specialist

Job Position: Offer: Senior USRN Clinical Specialist
Job Description: Kalibrr - Metro Manila - Senior USRN Clinical Specialist Kalibrr - Taguig, Metro Manila Job Description » Perform Utilization Management reviews in conformity with federal state mandated regulations. » Utilizes the member's contract to determine coverage eligibility. » Works with providers and take action while exhibiting judgment and a realistic knowledge of the issues. » contact with research team in order to accurately collect and record data. » Independently facilitates design of clinical workflow in collaboration with clinicians. Minimum Qualifications » FILIPINO with active PHRN and USRN licenses (unrestricted U.S. Registered Nurse license from any Mainland US State) » Bachelor of Science Nursing (BSN) » Willing to work on rotating shifts and to be assigned in Taguig (Fort Bonifacio McKinley) » With at least 2 years of clinical practice » With at least 2 years practice handling utilization review for healthcare account in a BPO setting » Knowledgeable about nursing principles, techniques, ... - Permanent - Full-time
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