EXL Service Philippines, Inc. – Metro Manila – JOB DESCRIPTION Job responsibilities: The Initial Clinical Reviewer will be responsible for evaluating the appropriateness of health care and health services provided to patients covered under the plan ensuring that the quality for such care and services meets or exceeds medically accepted standards. Health care and services subject to review may include but are not limited to treatment, hospitalization, office visits, and ancillary services. Appropriate qualifications: BS Nursing Graduate with active PRC license Must have an ACTIVE USRN license from a Mainland State 2 years of practice in Hospital, OPD, Clinic or Private Duty. Must be amenable to start ASAP advantages: Competitive Compensation Package with Retention Program incentives, Performance Incentives Fixed Weekends Off HMO can cover up to 3 dependents up to 80 years of age Dental coverage for employees Skills enhancement through Trainings and Personal Development Programs Enjoy In-house Gym and Recreation Area…
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