APremium Healthcare Solution, LLC has been serving the Conyers, GA community for over 10 years, providing exceptional healthcare services tailored to individual needs. Our commitment to quality care and innovative solutions has earned us the trust of our patients and the admiration of our dedicated employees, who thrive in a supportive and empowering work environment.
Virtual Nurse Consultant
Location
United States
Posted
2 days ago
Salary
$110K - $130K / year
Job Description
- 401(k)
- 401(k) matching
- Bonus based on performance
- Dental insurance
- Flexible schedule
- Review and evaluate clinical documentation, medical records, and patient data to ensure accuracy, quality, and regulatory compliance
- Provide expert nursing consultation and clinical guidance to internal teams, clients, and external stakeholders
- Support case management, utilization review, care coordination, and quality improvement initiatives as needed
- Conduct clinical assessments, triage, and nurse consultations via phone and virtual platforms
- Identify trends in patient outcomes, care delivery, and clinical performance to recommend improvements
- Develop clinical summaries, reports, and evidence-based recommendations
- Collaborate with physicians, nursing staff, allied health professionals, and administrative teams
- Ensure compliance with clinical standards, organizational policies, and applicable regulations
- Participate in audits, training sessions, and process improvement initiatives
- Maintain patient confidentiality and ensure full compliance with HIPAA and privacy regulations
- Active, unrestricted Registered Nurse (RN) license (state-specific or compact, as applicable)
- Minimum of 3 years of clinical nursing experience (e.g., acute care, telehealth, case management, or specialty practice)
- Strong knowledge of evidence-based practice, clinical guidelines, and healthcare regulations
- Excellent critical thinking, documentation, and communication skills
- Ability to work independently in a remote setting with strong time-management and organizational skills
- Proficiency with EHR systems, telehealth platforms, and standard office software
- Bachelor of Science in Nursing (BSN) or higher
- Experience in utilization review, quality improvement, risk management, insurance, or legal nurse consulting
- Relevant certifications (e.g., CCM, CPHQ, LNC, URAC or similar)
- Knowledge of reimbursement models, coding principles, and managed care processes
- Advanced clinical judgment and nursing expertise
- Strong analytical and problem-solving abilities
- Clear, professional written and verbal communication
- Patient-centered and ethical decision-making
- Effective collaboration across multidisciplinary teams
- Adaptability and accountability in a remote work environment
- Fully remote work environment
- Competitive compensation and comprehensive benefits
- Flexible scheduling options
- Opportunities for professional development and specialty certification
- Supportive team culture with strong clinical leadership
- Meaningful work that positively impacts patient outcomes and organizational performance
This is a remote position.
Related Guides
Related Categories
Related Job Pages
More Clinical Research Jobs
Principal Biostatistician FSP - Early Phase Clinical Development (PK)
IQVIAAccelerate innovation for a healthier world.
Le biostatisticien principal est responsable du soutien statistique apporté aux programmes de développement de médicaments en phases précoces, en particulier pour les études chez des sujets sains avec des critères d’évaluation PK et PD.
This position is responsible for assisting with the management of the pharmacy benefit and developing and delivering clinical and educational interventions designed to improve pharmaceutical use. Responsibilities include: Formulary management Assisting with management of specific...
Nurse Care Manager
Harris ComputerOur intelligence analysis software tools help analysts and investigators transform data in real-time, enabling customers to detect, disrupt, and defeat sophisticated threats. We serve global customers carrying out critical missions in public safety, defense, fraud, and financial crimes. Supporting your application Our recruitment process will comprise of interviews and, at times, a written exercise, an assessment day and/or a presentation. As an equal opportunities’ employer, we want to make sure we do all we can to make this a positive experience for you. When applying, please make us aware on your application of any adjustments or additional support we can provide you with before or on the day of an interview. Salary range The hiring range for this role is $55,000 to $80,000 USD per year. Final compensation will be based on experience, skills, market conditions, and internal equity.
Join our mission to help transform healthcare delivery from reactive, episodic care to proactively managed patient care that prevents life-changing problems before they happen for patients with two or more chronic conditions. We believe every patient with chronic disease deserves...
In-House Clinical Research Associate II
Premier ResearchPremier Research is proud to be an equal opportunity employer that is compliant with all federal guidelines. All qualified applicants will receive equitable consideration without regard to race, color, religion, sexual orientation, gender identity, national origin, disability or veteran status.
Premier Research is looking for an In-House Clinical Research Associate II to join our Functional Services Provider (FSP) team. You will help biotech, medtech, and specialty pharma companies transform life-changing ideas and breakthrough science into new medicines, devices, and d...
