job description
Are you a USRN, PHRN, or NCLEX-certified professional looking for a rewarding career in healthcare? Nezda Technologies is expanding its team and offering multiple career tracks in clinical review, utilization management, denials/appeals, and bedside care. With a competitive salary package and opportunities for growth, this is your chance to make a meaningful impact in the healthcare industry.
Join a dynamic team that values expertise, innovation, and patient-centered care. Whether you're based in Bali or working remotely, we provide the flexibility and support you need to thrive. Apply now and take the next step in your healthcare career!
Responsibility
- Conduct clinical reviews and assessments to ensure compliance with healthcare standards.
- Manage utilization reviews to optimize patient care and resource allocation.
- Handle denials and appeals processes to resolve billing and insurance disputes.
- Provide bedside care and support to patients in various healthcare settings.
- Collaborate with multidisciplinary teams to improve patient outcomes.
- Maintain accurate and up-to-date patient records and documentation.
- Stay current with healthcare regulations, policies, and best practices.
- Participate in continuous training and professional development programs.
Qualifications
- Valid USRN, PHRN, or NCLEX certification.
- Minimum of 2 years of experience in clinical review, utilization management, or bedside care.
- Strong knowledge of healthcare regulations and compliance standards.
- Excellent communication and interpersonal skills.
- Ability to work independently and as part of a team.
- Proficiency in healthcare software and electronic medical records (EMR).
- Commitment to patient-centered care and continuous improvement.
- Willingness to relocate or work remotely as needed.