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PHRN and USRN

Remote: 
Full Remote
Contract: 
Work from: 

Offer summary

Qualifications:

Active RN and USRN License required., Minimum of 1 year bedside experience needed., Ability to start as soon as possible is essential..

Key responsabilities:

  • Conduct non-clinical research to support determinations.
  • Assign cases to the appropriate team and health plan for review.
  • Validate cases/requests for services that require additional research.
  • Review existing clinical documentation and identify non-standard codes.

Nezda Technologies Inc. logo
Nezda Technologies Inc. Human Resources, Staffing & Recruiting Scaleup https://www.nezdaglobal.com/
201 - 500 Employees
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Job description

Nezda Technologies Inc. is currently hiring for PHRN and USRN Roles – Virtual Process Only.

💰 Salary: Up to 68,000 + Sign on bonus

Qualifications:

✅ Active RN and USRN License.
✅ Must have 1 year Bedside experience.
✅ Can start ASAP.

Job Description:
📌 Conduct Non-Clinical Research to Support Determinations.
📌 Determine that the case is assigned to the appropriate team and health plan for review (e.g., Medicare, Medicaid, Commercial, Dual Special Needs Plan).
📌 Validate that cases/requests for services require additional research.
📌Review Existing Clinical Documentation.
📌 Identify and validate usage of non-standard codes, as necessary (e.g., generic codes).

Job Type: Full Time
Job Location: Alabang Cebu Iloilo Pasig Quezon City Taguig

Required profile

Experience

Industry :
Human Resources, Staffing & Recruiting
Spoken language(s):
English
Check out the description to know which languages are mandatory.

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