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Healthcare Consultant II – CCM RN (Mechanicsville)


This is a Full-time position in Mechanicsville, VA posted November 24, 2022.

Provide comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively manage healthcare costs and improve healthcare program/operational efficiency involving clinical issues

Determines medical necessity/ appropriateness Facilitates optimal outcomes Identifies and follow through with continuous quality/ compliance opportunities .

May also include identification of aberrance’s and initiation of corrective action

Educates/ empowers customers to ensure compliance, satisfaction and promote patient advocacy Optimize total costs Implementation and evaluation of policy based on usage and program directives

Educate/empower colleagues at all levels to enable decision making at most appropriate level

Associated topics: ambulatory, asn, cardiothoracic, care, care unit, infusion, intensive care, maternal, neonatal, psychiatric