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APremium Healthcare Solution, LLC has been serving the Conyers, GA community for over 10 years, providing exceptional healthcare services tailored to individual needs. Our commitment to quality care and innovative solutions has earned us the trust of our patients and the admiration of our dedicated employees, who thrive in a supportive and empowering work environment.
Virtual Nurse Consultant
Location
United States
Posted
129 days ago
Salary
0
Job Description
Virtual Nurse Consultant
APremium Healthcare Solution, LLC
This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description We are seeking an experienced and highly skilled Nurse Consultant to provide clinical expertise, strategic guidance, and professional insight across our healthcare programs and services. In this fully remote role, you will leverage your nursing knowledge to evaluate clinical information, enhance patient care processes, support data-driven decision-making, and collaborate with multidisciplinary teams. The ideal candidate is analytical, detail-oriented, and an effective communicator who thrives in an independent, fast-paced virtual environment. - Review and evaluate clinical documentation, medical records, and patient data to ensure accuracy, quality, and regulatory compliance - Provide expert nursing consultation and clinical guidance to internal teams, clients, and external stakeholders - Support case management, utilization review, care coordination, and quality improvement initiatives as needed - Conduct clinical assessments, triage, and nurse consultations via phone and virtual platforms - Identify trends in patient outcomes, care delivery, and clinical performance to recommend improvements - Develop clinical summaries, reports, and evidence-based recommendations - Collaborate with physicians, nursing staff, allied health professionals, and administrative teams - Ensure compliance with clinical standards, organizational policies, and applicable regulations - Participate in audits, training sessions, and process improvement initiatives - Maintain patient confidentiality and ensure full compliance with HIPAA and privacy regulations Qualifications - Active, unrestricted Registered Nurse (RN) license (state-specific or compact, as applicable) - Minimum of 3 years of clinical nursing experience (e.g., acute care, telehealth, case management, or specialty practice) - Strong knowledge of evidence-based practice, clinical guidelines, and healthcare regulations - Excellent critical thinking, documentation, and communication skills - Ability to work independently in a remote setting with strong time-management and organizational skills - Proficiency with EHR systems, telehealth platforms, and standard office software Requirements - Bachelor of Science in Nursing (BSN) or higher - Experience in utilization review, quality improvement, risk management, insurance, or legal nurse consulting - Relevant certifications (e.g., CCM, CPHQ, LNC, URAC or similar) - Knowledge of reimbursement models, coding principles, and managed care processes Core Competencies - Advanced clinical judgment and nursing expertise - Strong analytical and problem-solving abilities - Clear, professional written and verbal communication - Patient-centered and ethical decision-making - Effective collaboration across multidisciplinary teams - Adaptability and accountability in a remote work environment Benefits - 401(k) - 401(k) matching - Bonus based on performance - Dental insurance - Flexible schedule Company Description This is a remote position.
Job Requirements
- Active, unrestricted Registered Nurse (RN) license (state-specific or compact, as applicable)
- Minimum of 3 years of clinical nursing experience (e.g., acute care, telehealth, case management, or specialty practice)
- Strong knowledge of evidence-based practice, clinical guidelines, and healthcare regulations
- Excellent critical thinking, documentation, and communication skills
- Ability to work independently in a remote setting with strong time-management and organizational skills
- Proficiency with EHR systems, telehealth platforms, and standard office software
- Bachelor of Science in Nursing (BSN) or higher
- Experience in utilization review, quality improvement, risk management, insurance, or legal nurse consulting
- Relevant certifications (e.g., CCM, CPHQ, LNC, URAC or similar)
- Knowledge of reimbursement models, coding principles, and managed care processes
- Core Competencies
- Advanced clinical judgment and nursing expertise
- Strong analytical and problem-solving abilities
- Clear, professional written and verbal communication
- Patient-centered and ethical decision-making
- Effective collaboration across multidisciplinary teams
- Adaptability and accountability in a remote work environment
Benefits
- 401(k)
- 401(k) matching
- Bonus based on performance
- Dental insurance
- Flexible schedule
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