Travel Healthcare Consultant
3 days ago
Client Job Ref ID : 140352
Shift Description : Day shifts - 36 hours (weekends rotating)
Travel Healthcare Consultant
Woonsocket, Rhode Island, United States - 02895
Job Title: Travel Nurse - Healthcare Consultant
Number of positions: 1
Shift: Day shifts- 36 hours (weekends rotating)
Duration: 13 weeks
Start Date: 06/28/2023
JOB DESCRIPTION
- This position reports to the Potential Quality of Care (PQOC) nurse investigator team manager.
- This position is responsible for the follow up outreach of requested protected clinical information.
- Training will be provided prior to the start of the assignment.
- Independently coordinates the clinical outreach as required.
- Data gathering requires navigation through multiple system applications.
- Staff will be required to contact the providers of record, vendors, or internal company departments to obtain additional information.
- This position commands a comprehensive knowledge of complex delegation arrangements, contracts (member and provider), clinical criteria, benefit plan structure, regulatory requirements, company policy and other processes which are required to support the retrieval and review of the clinical documentation/information.
- Pro-actively and consistently applies regulatory and accreditation standards to assure that activities are reviewed and processed within guidelines.
- Condenses complex information into a clear and precise clinical picture while working independently.
- Reports audit or clinical findings to appropriate staff or others in order to ensure appropriate outcome and/or follow-up for improvement as indicated.
- The incumbent must demonstrate strong knowledge of internal systems.
- Ensures accurate and complete documentation of required information to meet risk management, regulatory, and accreditation requirements.
- The candidate must be proficient with databases and with conducting 100% of work activities on the computer.
- Prior experience in performing data collection is preferred.
- Candidate must commit to attend all required training and conference calls assigned for the project.
- Candidate must return all equipment that is supplied to them in good working condition and in a timely manner at the end of the project.
- Medical knowledge/terminology is required.
- Ability to read and interpret medical records.
- Professional demeanor and good work ethic.
- Computer savvy: Microsoft Word, Excel, email, and Adobe reader required. Know how to save a file to a folder.
- Excellent verbal and written communication skills - clear, concise and appropriate.
- Conscientious problem solver, willing to learn, and take personal pride in their work performance/accuracy.
- Exceptional attention to detail and excellent analytical, investigation, and problem-solving skills.
- Proven organizational and time management skills including the ability to meet required deadlines.
- Must keep all information collected in a safe, organized and confidential manner while maintaining confidentiality of PHI, HIPAA Privacy and Security Rules".
- Workspace able to accommodate laptop and up to 2 monitors.
- Reliable internet connection.
- Private uninterrupted workspace to maintain HIPAA Privacy and Security Rules".
- Auditing of information entered into the software system for abstraction and data entry based on the QM 63 Process.
- Prioritize and accurately complete tasks within established times.
- Maintaining project productivity levels while maintaining accuracy requirements for abstraction and data entry activities"
- Clinical experience/background is preferred but not required. Successful data gathering provider outreach experience may be substituted for clinical experience.
- COVID vaccine with 2 Shots & Booster.
- Maintains and updates clinical knowledge and skills.
- Participates in relevant continuing education programs.
- Knowledge of and dedication to the highest patient care and provide the utmost service excellence to all patients.
- Ability to take initiative and to exercise independent judgment, decision-making and problem-solving expertise.
- A can-do, team oriented attitude is essential, as the ability to work independently and to interact easily with physicians, other managers and staff throughout the department and hospital.
- Effective interpersonal/communication, organizational, and the flexibility to handle multiple tasks.
ABOUT HEALTHCARE STAFFING PLUS
Healthcare Staffing Plus is a US based national per diem, local contract, and locum tenens agency. We are located in the beautiful rolling hills of southern Indiana just outside of Louisville, KY.
With close to 24 years of non-clinical healthcare experience that includes 16 years of solid medical staffing and recruiting experience, we deliver on our promise of adhering to strict and ethical recruiting standards handled with the utmost professionalism. Never resting on our laurels of sourcing candidates thoroughly and presenting our clients only the cream of the crop.
Required Skills
Excellent communication skils, Critical thinking skills, Reference Code
140352 Job Category
Registered Nurse Facility Type
Agency, Pharmacy Pay Rate
31 - 31USDPer Hour Specialty
Administration-management, Pharmacy Geographical Setting
Urban,Metropolitan On Call
Yes Board Certification
Yes
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