BPO Medical Case Manager
Job Description
Key Skills
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Key Skills
PHRN
Medical Claims processing
Medical Assistance
Required Qualifications:
• Bachelor’s degree in nursing (BSN)
• Active unrestricted RN license that can be validated thru PRC website
• 1-2 years of relevant Clinical experience in any medical/surgical department, Orthopedic, Medical/Surgical ICU, Coronary Care Unit (CCU), Rehabilitation, Emergency department
• Written and verbal fluency in English
• Candidate should be willing to work onsite (BGC)
• Candidate should be willing to work in US operation hours
Preferred:
• Proficiency in all Microsoft Office products including Project, Word, Excel, PowerPoint, Visio, and SharePoint
• Knowledge of workers’ compensation laws and regulations, behavioral health, case management practice, URAC standards, ODG, Utilization review, pharmaceuticals to treat pain, pain management process, drug rehabilitation, state workers compensation guidelines, periods of disability, and treatment needed
• Leadership/management/motivational skills as well as analytic and strong organizational skills
• Ability to work in a team environment and to meet or exceed Performance Competencies
Role
Philippines Registered Nurse
Timings
Night Shift (Permanent)
Industry
BPO
Work Mode
Work from office
Process
Voice
Functional Area
ITES / BPO / Customer Service
Note: Myglit doesn't charge any money from candidates. If you have been asked to pay money to get this job then report to us immediately at support@myglit.com.
Interview Tips
- Giving the VNA round?
- What are the most important skills you acquired as a Soft Skills/VNA trainer?
- How would you handle an irate customer?
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