Remote RN Clinical Nurse Consultant I | Chart Reviews

Vatica Health, Inc.; United States; Remote; USD 45,000 - 65,000; Full time

Benefits offered by this job

Competitive salary

Bonus Potential

401k plans

Growth opportunities

Medical insurance

Dental insurance

Vision insurance

Life insurance

Disability insurance

Paid time off

Work-life balance

Supportive teams

Job summary

Vatica Health and Cozeva bring together clinical expertise and technology to support risk adjustment, quality, and value-based care. Our Clinical Nurse Consultant I role lets you apply clinical judgment to chart reviews and payer data to help providers document member conditions and identify gaps in care.

This primarily remote position requires independent workload management, with occasional travel to provider offices for training.

Qualifications

• Active, unrestricted RN license.
• Minimum of three years of recent RN clinical experience assessing complex patient conditions and interpreting clinical documentation.
• Clear, professional communication of clinical findings to providers and staff.
• Proficiency with EMRs and navigating multiple systems.

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 risk adjustment and present findings to support provider validation decisions.
• Reconcile conflicting or incomplete clinical information.
• Identify open quality-of-care gaps and communicate findings for follow-up.
• Complete chart reviews within productivity targets while meeting quality standards.
• Build relationships with providers and office staff to meet deadlines.
• Train and support providers on company technology and workflows, including onsite training as needed.
• Share clinical knowledge with colleagues to support consistent chart reviews.
• Travel occasionally to local provider offices as needed.

Skills

RN clinical judgment

Communication

Remote collaboration

Travel readiness

Education

Registered Nurse (RN) license

Tools

EMRs

Web-based applications

Job description

Vatica Health and Cozeva bring together clinical expertise and technology to support risk adjustment, quality, and value-based care. Our Clinical Nurse Consultant I role lets you apply clinical judgment to chart reviews and payer data to help providers document member conditions and identify gaps in care.

This primarily remote position requires independent workload management, with occasional travel to provider offices for training.