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Nurse, Health Consultant
Vital WorkHealth Consultant executing strategic health management projects for clients and controlling medical plan costs while promoting health culture in companies.
About the role
Key responsibilities & impact- Work on implementing strategic Health Management projects across a portfolio of clients to control medical plan costs and promote a culture of health promotion within companies.
- Monitor hospitalization authorization codes to track ongoing admissions and propose strategies for early discharge/de-hospitalization.
- Participate in the health committees of key clients to analyze the main risks related to the medical policy and to monitor implemented health actions.
- Conduct health studies, mapping major deviations and their financial impacts to prioritize key risks and define an action plan based on the findings.
- Address technical queries received from clients (analysis of medical claim denials, ROL coverage, facilitating medical transfers with the insurer).
- Discuss medical cases with the clinical/medical teams of our clients.
Requirements
What you’ll need- Degree in Nursing with active COREN registration (Regional Nursing Council).
- Intermediate knowledge of Microsoft Office (particularly intermediate Excel and PowerPoint).
- Experience in the health benefits market, medical auditing, brokerages, and health plan operators.
- Analytical and clinical-care perspective.
- Strategic thinking.
- Experience developing health indicators/KPIs.
- Ability to work effectively in a team.
- Conflict resolution skills.
- Good communication skills.
Benefits
Comp & perks- VITAL IS SYNONYMOUS WITH DIVERSITY!
- We are committed to creating more inclusive environments where our hiring processes are based on equality and mutual respect.
- We encourage applications from people with disabilities, Black people (Black and mixed-race), LGBTQIAPN+ individuals, women, Indigenous people, senior professionals, and everyone who wants to be vital.
- Join our team of vitals and embark on a journey of growth and positive impact.
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
medical auditinghealth indicatorsKPI developmenthospitalization authorization codeshealth studiesrisk analysisaction plan development
Soft Skills
strategic thinkingteamworkconflict resolutioncommunication
Certifications
Degree in NursingCOREN registration