Remote RN: Clinical Documentation & Care Gap Expert

Vatica Health; Oregon; Hybrid; USD 45,000 - 65,000; Full time

Benefits offered by this job

Competitive salary

Bonus potential

401k plan

Growth opportunities

Medical, dental & vision insurance

PTO

Work-life balance

Job summary

Vatica Health in the United States is seeking a Clinical Nurse Consultant I to turn medical record and payer data into clear findings that help providers document member conditions and identify care gaps. This remote role may require occasional travel to local provider offices for training.

You will review EMRs and payer data, evaluate evidence for active conditions, and communicate findings to support risk-adjustment and quality initiatives while collaborating with practice teams and leveraging

Qualifications

• 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.

Responsibilities

• Review and synthesize information from 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.

Skills

RN license

RN experience

Clinical judgment

Communication

EMR proficiency

Job description

Vatica Health in the United States is seeking a Clinical Nurse Consultant I to turn medical record and payer data into clear findings that help providers document member conditions and identify care gaps. This remote role may require occasional travel to local provider offices for training.

You will review EMRs and payer data, evaluate evidence for active conditions, and communicate findings to support risk-adjustment and quality initiatives while collaborating with practice teams and leveraging