About the role

  • 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.

Benefits

  • Profit-sharing (Participation in Results)
  • Medical insurance (Unimed)
  • Dental insurance (Unimed)
  • Hybrid work model
  • Private pension plan
  • Life insurance
  • Meal voucher or food allowance
  • Transportation voucher or fuel allowance
  • Happy Day
  • Wellhub

Job title

Nurse Auditor III

Job type

Experience level

Mid levelSenior

Salary

Not specified

Degree requirement

Bachelor's Degree

Location requirements

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