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10 дней назад

Registered Nurse Consultant

Формат работы
hybrid
Тип работы
fulltime
Грейд
senior
Английский
b2
Страна
Philippines
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Registered Nurse Consultant (Clinical Consulting/Case Management): Improving patient outcomes by guiding benefit administrators on care coordination, case management, and clinical program strategies with an accent on clinical data analysis, high-cost claimant management, and continuous quality improvement. Focus on leading case discussions, assessing clinical performance, developing action plans, and presenting data-driven recommendations to clients.

Location: Philippines; hybrid work with at least three days per week in the office

Company

A global risk, people, investments, and management consulting organization advising clients across 130 countries.

What you will do

  • Build carrier and vendor relationships across an assigned book of business.
  • Advise benefit administrators on clinical management models, care coordination, and case management strategies.
  • Manage action plans, assess accountability, and identify performance against clinical best practices.
  • Lead case discussions with clinical teams to identify strengths and opportunities in member care management.
  • Analyze claims and clinical data to manage the assigned book of business.
  • Develop reports and presentations that communicate results and support continuous process improvement.

Requirements

  • Associate or Bachelor's degree in Nursing.
  • Active, unrestricted U.S. RN or Philippine RN license required.
  • At least five years of relevant experience in case management, clinical consulting, carrier clinical functions, quality assurance, clinical auditing, clinical leadership, or stop loss.
  • Proven project management, verbal, and written communication skills with strong clinical acumen.
  • Ability to analyze clinical data and metrics.
  • Ability to work in the office at least three days per week.

Nice to have

  • Master's degree in a related field.
  • Case manager certification.
  • Experience with clinical program assessments or stop loss cases.

Culture & Benefits

  • Professional development opportunities and supportive leadership.
  • Inclusive and flexible work environment.
  • Opportunities to collaborate with colleagues, clients, and communities.
  • Career opportunities and benefits designed to support employee well-being.
  • Hybrid work combining office collaboration, remote flexibility, and professional development.

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