Hybrid Health Auditor I – Nurse Auditor

Posted 3 days ago

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About the role

  • Auditor de Saúde I na Unimed, responsável por auditar práticas de saúde e garantir conformidade com normas. Valorização da diversidade e cuidado com as pessoas são essenciais.

Responsibilities

  • Check requests against ANS time limits, monitoring authorization and deadline releases;
  • Audit OPMEs (orthoses, prostheses and special materials) using basic tools: contracts, agreed price tables, mathematical calculations for correct billing, and current ANS regulations;
  • Contact the attending physician to adjust requests according to good clinical practices, analyzing and advising the involved areas;
  • Verify general information and deny the procedure/OPME when the request is not justified;
  • Comply with internal regulations and quality management system requirements, observe and follow ANS regulations, as well as applicable health, hygiene and occupational safety standards and procedures; use PPE/CPE (personal protective equipment/collective protective equipment) when the activity requires it.

Requirements

  • Bachelor’s degree in Nursing with active COREN registration (Regional Nursing Council)
  • Specialization in Audit
  • Prior experience working as a Nurse Auditor

Benefits

  • Respect and value diversity
  • Show empathy for all people
  • Have the courage to take initiative
  • Be proactive and enjoy caring for people
  • Enjoy doing, changing and transforming

Job title

Health Auditor I – Nurse Auditor

Job type

Experience level

Mid levelSenior

Salary

Not specified

Degree requirement

Bachelor's Degree

Location requirements

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