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Nurse - Clinical Review

WNS Global Services · Houston, TX, United States · All 6 WNS Global Services jobs

Work pattern
Remote
Employment
Permanent
Level
Junior
Posted
25 Aug 2026

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Required skills, as the advert states them

  • Compliance
  • Care Coordination
  • Microsoft Office
  • Excel

Nice to have

  • Leadership
  • Customer Service
  • Teamwork
  • Time Management
  • Communication Skills

About this opportunity

• Performs utilization review of cases to determine if the request meets medical necessity criteria in accordance with medical policies agreed upon with the Client and any applicable governing body. • Facilitates resolution of escalated cases that may require special handling. • Performs clinical reviews according to the policies and procedures of HealthHelp within the identified State and Federal or Client agreed upon timeframes.

Read the full advert and apply on WNS Global Services's site →

Collected from WNS Global Services's own careers site (SmartRecruiters). Posted 25 Aug 2026. TUNAI shows an excerpt and the facts it read from the advert; the employer's page has the full description and the application.