Executives-Clinicians-Nurses-PHRN

EXL Talent Acquisition Team; Pasay; On-site; PHP 240,000 - 360,000; Full time

Job summary

EXL is seeking a Registered Nurse to review and evaluate clinical information, perform fax triage and conversion, and assist provider calls. The role emphasizes applying clinical criteria and policies in line with regulatory standards while protecting patient confidentiality.

Ideal candidates hold an active PRC - RN license with at least 1 year of hospital bedside experience and are comfortable navigating multiple healthcare IT systems within a dynamic environment.

Qualifications

• Active PRC - RN License.
• Minimum 1 year hospital bedside experience.

Responsibilities

• Review and evaluate clinical information and documentation, fax triage and conversion, and provider calls.
• Review documentation and interpret data from clinical records or systems to apply clinical criteria and policies in line with regulatory and accreditation requirements.
• Protect the confidentiality of member information and adhere to company policies regarding confidentiality.
• Data gathering requires navigation through multiple system applications.

Skills

RN License

Bedside experience

Job description

• Responsible for the review and evaluation of clinical information and documentation, fax triage and conversion, and provider calls.
• Reviews documentation and interprets data obtained from clinical records or systems to apply appropriate clinical criteria and policies in line with regulatory and accreditation requirements
• Protects the confidentiality of member information and adheres to company policies regarding confidentiality
• Data gathering requires navigation through multiple system applications.

Qualifications

• Active PRC - RN License
• With at least 1 year hospital bedside experience

About Us

EXL (NASDAQ: EXLS) is a leading data analytics and digital operations and solutions company. We partner with clients using a data and AI-led approach to reinvent business models, drive better business outcomes and unlock growth with speed. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world’s leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others. EXL was founded in 1999 with the core values of innovation, collaboration, excellence, integrity and respect. We are headquartered in New York and have more than 54,000 employees spanning six continents. For more information, visit www.exlservice.com .