GBSC - Subject Matter Expert - Clinical
Crawford and Company
Welcome page Returning Candidate? Log back in! GBSC - Subject Matter Expert - Clinical Job Locations PH-Manila Posted Date 1 day ago(7/11/2024 6:51 AM) Requisition ID 2024-26244 # of Openings 1 Category Medical Case Management Summary
Responsible for reviewing medical information to determine if requested treatment is medically necessary and appropriate according to the given standards. Assists leads and managers when it comes to training, dealing with escalated calls, and helping transfer knowledge to other team members.
Job Scope Analyzes and reviews case records, evaluates client’s medical status, and defines their needs and problemsUtilizes experience and medical resources to interpret medical records and test results, and provide appropriate assistance to team membersReviews cases with team members to evaluate files and provide directions. Documenting processes and disseminating information to all relevant team members.Answers and document escalated calls for appropriate handling. Functional Knowledge Bachelor’s degree in Nursing.Must be a Philippine Registered Nurse; has an active US Registered Nurse license in any state if required by the process.At least one (1) year equivalent work experience as SME (external) or 1 year tenure in current process (internal).Excellent communication and interpersonal skills with people at all levels.Proficiency of the English language, both in verbal and written.Strong customer orientation, active listening, and excellent phone handling skills.Keen attention to details with regards to own work and of team members.Demonstrates analytical thinking and effective conflict resolution skills. Options Apply for this job onlineApplyShareEmail this job to a friendRefer Sorry the Share function is not working properly at this moment. Please refresh the page and try again later. Share on your newsfeed Need help finding the right job? We can recommend jobs specifically for you! Click here to get started. Application FAQs
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