10 дней назад
Registered Nurse Consultant
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
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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