We are hiring Registered Nurses for the position of Clinical Reviewer. This is a corporate/office-based healthcare role and not a hospital job.
The role involves reviewing and validating medical records to assess medical necessity, treatment appropriateness, relatedness, and compensability.
Key Responsibilities
- Review and validate medical records.
- Assess medical necessity and appropriateness of treatment.
- Identify correlation between billed diagnosis and medical reports (Relatedness).
- Apply clinical knowledge and decision-making to identify the patient's priority health problem.
- Validate whether an injury/illness is associated with the insured's job function (Compensability).
- Ensure accuracy in claim/payment review and help identify inappropriate or fraudulent claims.
Eligibility
- B.Sc. Nursing / Bachelor of Nursing – Mandatory
- Valid Indian Registered Nurse (RN) License – Mandatory
- Freshers can apply
- ❌ Diploma/GNM candidates are NOT eligible
- Good communication and clinical decision-making skills.
- Basic knowledge of medical terminology and clinical documentation.
Benefits
- Night Shift
- Two-way Cab Facility
- Corporate Office Job – Not a Hospital Role
- Freshers Welcome
Interested candidates can apply with their updated resume.
Pay: ₹15,000.00 - ₹22,000.00 per month
Benefits:
- Commuter assistance
- Flexible schedule
- Food provided
- Health insurance
- Leave encashment
- Life insurance
- Paid sick time
- Paid time off
- Provident Fund
Work Location: In person
