Nurse Consultant - NCLEX RN

Job Description

Nurse Consultant - NCLEX RN

Industry: BPO (Healthcare)

Location:  Infopark, Kakkanad, Kochi Qualification: BSC Nursing/ Post BSC

Requirement: Valid NCLEX-RN Certification(Manadatory)

Shift:  6PM to 3AM (Monday-Friday)

Salary:  Upto Rs . 18 LPA

Should have excellent fluency in English.
Responsibilities

• Review and analyze medical claims, provider appeals, and dispute cases within the US healthcare insurance process.
  
• Evaluate clinical documentation, medical records, and supporting evidence to determine medical necessity and appropriateness of care.
  
• Assess healthcare claims using clinical guidelines, payer policies, and utilization management criteria.
  
• Process appeals, grievances, pre-authorizations, and utilization review cases accurately and within defined timelines.
  

Requirements

• Qualification: Bachelor of Science in Nursing (B.Sc Nursing) / Post Basic B.Sc Nursing

•  Valid NCLEX-RN Certification(Manadatory)

• Excellent verbal and written English communication skills

• Willingness to work in the night shift (6:00 PM – 3:00 AM)

Benefits

• Cab facility (Pick-up & Drop)

• ESI, PF, and Health Insurance coverage

• Basket of allowances and additional employee benefits

Requirements
BSC Nursing,18 months of clinical experience