Qureos Mentor

Core Clinical Servuces

CORE CLINICAL SERVICES is a Pune-based Health care IT company &amp; for our expansion, we are looking for Medical Summarizers.Qualification:Fresher (2025 Graduates) from well-known college/ university - B.Pharm Need Pune Based Candidates Only.Requirements:&middot; Must have excellent English (reading &amp; writing both).&middot; Should understand medical terminologies very well.&middot; Computer handling, MS Office (WORD/ EXCEL very well)Responsibilities and Duties:. Accurately entering medical data.. Applying knowledge of medical terminology to correctly interpret and enter complex medical information.. Updating and maintaining patient records and medical databases, including adding new information, editing existing records, and removing outdated data.. Collaborating with health care professionals, doctors, and administrative staff to resolve data-related issues and clarify medical information.. Keeping detailed records of data entry tasks, changes made, and any issues encountered for audit and reference purposes.. Generating reports or summaries of medical data as required by health care providers or regulatory bodies.. Staying updated with changes in medical terminology, health care procedures, and EHR systems as they evolve.Schedule: (09:am-06:pm) (Mon-Sat) (WFO Only) Mode of selection: Offline InterviewWork location: 1st floor, Tilak Bhavan, Lal Bahadur Shastri Road, Near Alka Talkies, Pune-411030.Mail: hr@coreclinicals.comWebsite: https://coreclinicals.com/Job Types: Full-time, Permanent, FresherPay: ₹11,000.00 - ₹13,000.00 per monthApplication Question(s):<ul><li>Have you completed any course after Graduation?</li></ul>Work Location: In person

Medical Summarizer- Fresher

Job Title: Clinical Utilization Review Specialist (US Healthcare &ndash; India Based)Company: CORE OBJECTIVE SOLUTIONS, LLC / CORE CLINICAL SERVICES Location: Pune, IndiaShift: Flexible Industry: US Healthcare &ndash; Utilization Management Salary: Excellent Package with IncentivesAt CORE OBJECTIVE SOLUTIONS, LLC / CORE CLINICAL SERVICES, we are expanding our clinical operations team in India to support leading healthcare organizations in the US. We are seeking qualified and experienced Doctors (BAMS, BHMS) and Nursing Graduates (B.Sc Nursing) who have at least 1 year of experience in Utilization Review (UR).DescriptionThis role involves reviewing patient cases for medical necessity, treatment appropriateness, and quality of care using InterQual and/or MCG guidelines. This is a non-patient-facing clinical role, ideal for professionals who want to leverage their medical knowledge in a global setting.Key Responsibilities<ul><li>Perform pre-authorization, concurrent, and retrospective reviews for medical services</li><li>Use InterQual or MCG guidelines to assess treatment appropriateness</li><li>Escalate complex cases to physician reviewers as per protocol</li><li>Accurately document case reviews in the Utilization Management (UM) system</li><li>Adhere to client-specific policies, timelines, and HIPAA compliance</li><li>Participate in training, quality audits, and team collaboration</li></ul>Candidate ProfileEducation<ul><li>BAMS /BHMS / B.Sc Nursing from a recognized university</li></ul>Experience<ul><li>Minimum 1 year of experience in Utilization Review / Utilization Management</li><li>Mandatory: Hands-on experience with InterQual and/or MCG tools</li></ul>Skills<ul><li>Strong clinical understanding and judgment</li><li>Familiarity with US healthcare processes and terminology</li><li>Good written and spoken English communication skills</li><li>Comfortable with documentation and healthcare software tools</li><li>Ability to work independently and manage priorities in a fast-paced environment</li></ul>Why Join CORE CLINICAL SERVICES?<ul><li>Work with leading US healthcare clients from India</li><li>Attractive salary with performance-linked incentives</li><li>Continuous learning and upskilling in global healthcare standards</li><li>Supportive work environment with opportunities for growth in clinical operations, training, or leadership</li></ul>Apply NowIf you&rsquo;re passionate about making a difference in global healthcare and have the experience we're looking for, we want to hear from you!Send your resume to: hr@coreclinicals.comVisit us: www.coreobjectivesolutions.comJob Types: Full-time, PermanentApplication Question(s):<ul><li>How many years of experience you have in UM?</li></ul>Work Location: In person

Clinical Utilization Review Specialist (US Healthcare)

Join Core Clinical Servuces and explore 2   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Core Clinical Servuces

About Company

Medical Summarizer- Fresher

Clinical Utilization Review Specialist (US Healthcare)