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Daily Tasks:
- Performs admission, continued stay, and transitional care reviews.
- Engages in clinical collaboration with attending physicians to obtain information.
- Escalates cases as needed.
Responsibilities:
- Maintains documentation according to policy.
- Applies InterQual criteria and medical policies to inpatient review determinations.
- Complies with regulations, standards, and requirements.
Qualifications:
- RN graduate with BSN preferred with active RN license.
- Two years of experience in an acute care setting required.
- Proficient technical skills in Microsoft Office required.
WNS Healthhelp
WNS Healthhelp, part of Capgemini, is an Agentic AI-powered leader in intelligent operations and transformation, serving more than 700 clients across 10 industries. They bring together deep domain excellence with AI-powered platforms and analytics to help businesses innovate, scale, adapt and build resilience. With more than 66,000 employees, WNS combines scale, expertise and execution to create meaningful, measurable impact.