Sr. Specialist - AAGI A&H Case Management - UR

Job description

Job Summary:

Being responsible for concurrent process or case management team in accordance with Medical necessity and Utilization Management policies and procedures. Concurrent process is a middle process between admission case was approved and discharged process. Daily concurrent review and long stay admission (more than 3 days) case and complex case which has to be concurrent reviewed and cost containment by case management team.

 

Qualifications:

Bachelor degree in Nursing Science

Minimum 3 years in nursing expirience.
Nurse in critical units such as ER, ICU, OR will be an advantage.
Able to work in commercial environment and fast moving business.
Excellent interpersonal and communication skills.

AAGI A&H