Hybrid Health Consultant Nurse

Posted 21 minutes ago

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About the role

  • Execute strategic health management projects for the client portfolio aimed at controlling medical plan costs and promoting a culture of health and prevention within companies;
  • Monitor hospitalization authorizations to track ongoing admissions and propose strategies for discharge and reduction of unnecessary hospital stays;
  • Participate in health committees for key clients to analyze major risks in the health insurance policy and monitor implemented health actions;
  • Conduct health studies, mapping major variances and their financial impacts to prioritize key risks and define action plans based on identified deviations;
  • Provide technical support (analysis of medical claim denials, coverage under the ROL, and facilitating medical transfers with the insurer) requested by our clients;
  • Discuss medical cases with the clients' medical teams.

Requirements

  • Required qualifications:
  • Degree in Nursing with active COREN registration;
  • Intermediate knowledge of Microsoft Office (particularly intermediate Excel and PowerPoint);
  • Experience in the health benefits market, medical auditing, brokerages, or health insurers/operators;
  • Required skills:
  • Analytical and clinical insight;
  • Strategic thinking;
  • Development of health indicators/KPIs;
  • Ideal behavioral profile:
  • Teamwork orientation;
  • Conflict resolution skills;
  • Good communication.

Benefits

  • VITAL IS SYNONYMOUS WITH DIVERSITY!
  • Inclusive environment
  • Support for diversity

Job title

Health Consultant Nurse

Job type

Experience level

Mid levelSenior

Salary

Not specified

Degree requirement

Bachelor's Degree

Location requirements

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