A-Line Staffing is now hiring Health care Consultant in Norfolk, VA . The Health Consultant would be working for a Fortune 500 company and has career growth potential. This would be full time / 40 hours per week.

If you are interested in this Health Consultant , please contact Tamya Walker at 586-422-1675

Health Consultant Compensation

• The pay for this position per hour is $39.92/hr
• Benefits are available to full-time employees after 90 days of employment
• A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates

For more information please contact Tamya Walker Direct Line 586-422-1675 (call / text)

Health Consultant Highlights

• This position is a contract assignment with potential to hire on permanently based upon attendance, performance, and business needs
• The required availability for this position is Monday through Friday 8:00am - 5:00pm EST
• Willing and able to travel up to 50%-75% locally to meet members face to face in Norfolk, VA and surrounding areas/counties.

For more information please contact Tamya Walker Direct Line 586-422-1675 (call / text)

Health Consultant Responsibilities

• Responsible for the review and evaluation of clinical information and documentation.
• Reviews documentation and interprets data obtained form clinical records or systems to apply appropriate clinical criteria and policies in line with regulatory and accreditation requirements for member and/or provider issues.
• Works Potential Quality of Care cases across all lines of business Commercial and Medicare
• Independently coordinates the clinical resolution with internal/external clinician support as required.
• Reviews documentation and evaluates Potential Quality of Care issues based on clinical policies and benefit determinations.
• Considers all documented system information as well as any additional records/data presented to develop a determination or recommendation.

For more information please contact Tamya Walker Direct Line 586-422-1675 (call / text)

Health Consultant Requirements

• Associate's degree or Bachelor's degree in Nursing required
• RN Licenses in state of VA
• Care management experience required

If you think this Health Consultant position is a good fit for you, please reach out to me - feel free to call, e-mail, or apply to this posting!

If you are interested in this Health Consultant position , please contact Tamya Walker at 586-422-1675

Key words: Health Consultant, remote ,clinical, case management, clinical judgment, claims, clinical tools