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Clinical Nurse Consultant I
Vatica Health. Review and synthesize information from electronic medical records (EMRs), payer files, and other clinical sources to build an accurate view of each member’s documented clinical status.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in clinical documentation improvement, risk adjustment models, and effective communication with healthcare providers. Proficient in managing clinical workloads while ensuring accuracy and compliance with established standards.
Highest-signal resume keywords
Active Registered Nurse (RN) LicenseClinical Documentation Improvement (CDI) ExperienceProficiency With EMRsClinical Judgment In Evaluating InformationKnowledge Of Diagnosis Coding
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Clinical DocumentationRisk Adjustment ModelsQuality MeasuresChart ReviewsClinical AssessmentDocumentation Gap IdentificationClinical Evidence EvaluationProductivity ManagementDeadline ManagementNavigating Multiple Systems
Soft Skills
Clear CommunicationRelationship BuildingIndependent Work ManagementCollaborationTraining And Support
Tools & Technologies
Electronic Medical Records (EMRs)Web-Based Applications
Certifications & Qualifications
Registered Nurse (RN) License
Industry Keywords
Acute CareCritical CareEmergency DepartmentBilling ConceptsQuality Of Care Gaps
About the role
Key responsibilities & impact- Review and synthesize information from electronic medical records (EMRs), payer files, and other clinical sources to build an accurate view of each member’s documented clinical status.
- Evaluate clinical evidence for active conditions relevant to the applicable risk adjustment model and present findings to support provider condition validation decisions.
- Reconcile conflicting or incomplete clinical information.
- Identify open quality-of-care gaps and communicate findings to practice teams for follow-up.
- Complete chart reviews within established productivity targets and deadlines while meeting quality assurance standards for accuracy and compliance.
- Build effective relationships with providers and office staff and follow up on outstanding items to meet deadlines.
- Train and support providers and practice staff on company technology and workflows, including onsite training as needed.
- Share clinical knowledge and best practices with colleagues to support consistent, accurate chart reviews.
Requirements
What you’ll need- Active, unrestricted Registered Nurse (RN) license.
- Minimum of three years of recent RN clinical experience assessing complex patient conditions and interpreting clinical documentation.
- Demonstrated clinical judgment in evaluating conflicting information and identifying documentation gaps.
- Clear, professional communication of clinical findings and documentation questions to providers and practice staff.
- Proficiency with EMRs and web-based applications, including navigating multiple systems and learning new technology independently.
- Demonstrated success managing detailed clinical work against productivity, accuracy, and deadline expectations.
- Effective independent workload management and collaboration in a remote team environment.
- Ability to travel occasionally to local provider offices, with access to a personal vehicle or other reliable transportation.
- RN experience in acute care, critical care, or an emergency department.
- Clinical Documentation Improvement (CDI) experience strongly preferred.
- Knowledge of diagnosis coding, billing concepts, quality measures, and risk adjustment models.
Benefits
Comp & perks- Competitive salary based on your experience and skills
- Bonus Potential (based on role and is discretionary)
- 401k plans
- Room for growth and advancement
- Comprehensive Medical, Dental, and Vision insurance plans
- Tax-free Dependent Care Account
- Life insurance, short-term, and long-term disability
- Excellent PTO policy
- Great work-life balance environment
- Strong supportive teams