Enfermeiro Auditor III providing technical consulting and audit services in healthcare regulation for Unimed in Brazil. Responsible for training and evaluating healthcare units.
Responsibilities
Provide technical advice and consulting to system units on health regulation matters.
Represent the department at events, technical working groups and national/state committees.
Conduct audits of hospital accounts, analyze claim denials (glosas) and evaluate home care services.
Contribute to authorization processes, nursing audits and provide technical responses via corporate systems.
Deliver trainings, lectures and capacity-building sessions for auditors and technical teams.
Participate in scientific committees and support the development of technical content for specialized events.
Assess and validate care packages in the internal system.
Support the implementation and monitoring of the DRG model.
Perform other activities related to auditing and health regulation.
Requirements
Bachelor's degree in Nursing.
Availability to travel required.
Experience with DRG.
Postgraduate degree in Health Auditing preferred.
Clinical nursing practice and/or experience in nursing audit.
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