Staff Nurse Job Vacancies in Bavdhan

Identify cases eligible for medical reviews and assign these to appropriate reviewers.Reach out to the client for any problems identified in the cases for review.Adhere to Utilization Review Accreditation Commission (URAC), jurisdictional, and/or established MediCall best practice UM time frames, as appropriate.Adhere to federal, state, URAC, client, and established MediCall best practice WCUM time frames, as appropriate.Develop a complete understanding of the Medical management Procedures.Perform medical review assessment (MRA) on utilization of health services (eg healthcare plans, workers compensation products etc) in an accurate, efficient and timely manner while ensuring compliance with utilization management regulations and adherence to state and federal mandates.Provide succinct negotiable points based on the submitted medical records that identify necessary medical treatment, casually related care, response or lack of response to treatment, etc.Identify missing records and information that are necessary in the completion of the medical review assessment.Adhere to Department of Labor, state and company timeframe requirements.Coordinates physician reviewer referral as needed and follows up timely to obtain and deliver those results.Track status of all utilization management reviews in progress and follow up on all pending cases.Work closely with management team in the ongoing development and implementation of utilization management programs.Respond to inbound telephone calls pertaining to medical reviews in a timely manner, following client a established protocols.Process customer calls consistent with program specified strategies and customer satisfaction measurements to include but not limited to proper answering procedure, eg opening and closing remarks.Learn new methods and services as the job requires.Ct:HR BHAVANI9566284629

Responsibilities:- Providing high-quality patient care in a variety of healthcare settings- Administering medications and treatments as prescribed by healthcare providers- Monitoring patient health and vital signs- Collaborating with other healthcare professionals to develop and implement patient care plans- Educating patients and their families on health conditions and treatments- Maintaining accurate patient records and documentation- Ensuring a safe and clean environment for patients- Following all healthcare regulations and protocols

We are looking for a dedicated and compassionate Staff Nurse to join our team in Kalewadi, Pune. The ideal candidate will possess 4 to 5 years of experience and hold a nursing diploma. This full-time position is office-based and is open only to female applicants.Key Responsibilities:1. **Patient Care:** Provide direct care to patients, including monitoring vital signs, administering medication, and assisting with daily living activities.2. **Documentation:** Keep accurate records of patient health information, treatments, and responses to care, ensuring that all data is up to date and organized.3. **Collaboration:** Work closely with doctors and other healthcare staff to develop and implement patient care plans, sharing important information and updates as needed.4. **Education:** Educate patients and their families about health management, treatment plans, and medication protocols, empowering them to take an active role in their care.5. **Infection Control:** Adhere to strict hygiene and sanitation protocols to prevent infections and maintain a safe environment for patients and staff.Required Skills and Expectations:The successful candidate must have excellent communication and interpersonal skills, enabling them to provide compassionate patient care and work effectively in a team. Strong organizational abilities, attention to detail, and the capability to thrive in a fast-paced environment are essential. A thorough understanding of nursing procedures and protocols, along with a commitment to professional integrity and continuous learning, is expected.

Medical Coding is the fastest-growing profession in the healthcare industry today. IT is a niche specialization and the demand for trained and certified medical coders is increasing exponentially and bound to increase in upcoming years, especially in India.You have at least a Diploma/Degree in any field.This role is open to fresh graduates with excellent English communication skills.You pay strong attention to details and are capable of delivering top-quality workYou are goal-oriented and thrive in fast-paced environmentsMaintains a working knowledge of CPT-4, ICD-10-CM, and ICD-10-PCS coding principles, governmental regulations, UHDDS (Uniform Hospital Discharge Data Set) guidelines, AHA coding clinic updates, and third-party requirements regarding coding and documentation guidelinesCt Us:HR Shanmuga priya