Healthcare Consultant II

Duration: 03+ Months

Job Overview:

• Provide comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively manage healthcare costs and improve healthcare program/operational efficiency involving clinical issues.
• Determines medical necessity/ appropriateness Facilitates optimal outcomes Identifies and follow through with continuous quality/ compliance opportunities. May also include identification of aberrances and initiation of corrective action Educates/ empowers customers to ensure compliance, satisfaction and promote patient advocacy Optimize total costs Implementation and evaluation of policy based on usage and program directives Educate/empower colleagues at all levels to enable decision making at most appropriate level.

Experience:

• RN with current unrestricted Virginia state licensure required.
• 03 years clinical experience (for example med surg or behavioral health).
• Ability to multitask, prioritize and effectively adapt to a fast-paced changing environment.
• Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding.
• Effective communication skills, both verbal and written.

Professional Qualification: Required

• Associate's or Bachelor's in Nursing.

Professional Qualification: Required

• Associate's or Bachelor's in Nursing.

Experience Required: 02-03 Years.

Shift: M-F 8-5