RN Healthcare Clinical Consultant

The Healthcare Clinical Consultant works as an integral part of the Healthcare Consulting Services team and finds solutions for our clients related to regulatory compliance, operations, education/training, data analysis, processes, reimbursement and surveys. They provide best practice advice to healthcare providers.

Success Factors

Responsibilities

• Collaborate with clients with a focus on client satisfaction and retention

• Keep clients up to date and advice on current industry regulations, best practices and market intelligence

• Work with client leadership to develop more efficient processes and ensure compliance with industry regulations

• Ability to incorporate best practice guidelines into client presentations including up-selling opportunities

• Provide approved training curriculum and education tools to operational staff ensuring successful training (webinars, in-person training, educational programs, speaking engagements, conferences, etc.)

• Perform operational assessments through staff interviews, clinical record reviews, electronic health records reviews, data analysis and present assessment/findings to client

• Assist in revenue cycle analyses, allowing client to find ways to increase reimbursement while maintaining compliance

• Perform Medicare, Insurance and Medicaid analysis, clearly communicate results and complete reports for clients

• Regular contact with client and key partners to ensure engagement is on track

• Assist with proactive as well as focused compliance analyses to ensure regulatory and billing compliance

• Participate in learning opportunities to keep up with industry trends and regulatory updates and work collaboratively with all team members

People Management/Relationships

• Take initiative to be a team player (seeks out opportunities to help others)
• Treat everyone with respect
• Develop loyalty and trust with team
• Successfully adapt to different personalities and working styles
• Proactively and effectively communicate information regarding status issues to team members
• Hold self accountable for assigned work; seek continuous feedback to learn and develop in role; open to new ideas and suggestions

Required Skills

• Excellent organization skills and strong attention to detail
• Multitasker with the ability to prioritize work accordingly
• Excellent verbal and written communication skills with strong client service focus
• Driven, strong interpersonal skills with ability to gain client trust
• Ability to work autonomously under the pressure of tight deadlines and multiple priorities

Education, Experience and Certifications

• Bachelor of Science in Nursing preferred; current RN licensure required
• Certified Professional Coder (CPC), Certified HIPAA Professional (CHP), Certified in Healthcare Compliance (CHC), Certified in Healthcare Privacy Compliance (CHPC) or Certified Compliance and Ethics Professional (CCEP) designations preferred, but not required.
• 5+ years' experience in physician office or post-acute care facility required
• Prior consulting experience preferred with ability to research and analyze data and resolve issues; read and interpret regulations
• Strong knowledge/background in regulatory compliance and reimbursement guidelines
• Strong analytical skills and knowledge of health care industry with ability to provide solutions to meet client needs and maximize value of deliverables
• Competency with Microsoft Office suite including Outlook, Word, Excel and PowerPoint
• Ability to adapt and utilize clients electronic health record (EHR)
• Demonstrated strategic thinking, planning and change management skills with a high level of energy, drive and enthusiasm
• Ability to work out of the office, which can be as high as 75-100% for periods of time, overnight travel is required

Essential Functions

• Must be able to remain in a stationary position as needed
• The person in this position needs to occasionally move about inside the office and at client offices to access file cabinets, office machinery etc.
• Constantly operates a computer and other office productivity machinery, such as a calculator, copy machine, and computer printer
• Ability to communicate in a professional manner and exchange information with internal and external actors as needed
• Ability to lift/carry up to 20 pounds
• Ability to work outside of normal business hours and weekends as needed
• Ability to travel to local and non-local clients as needed, overnight travel may be required
• This job description is subject to change at any time and employee will be given additional responsibilities as assigned.

Salary Range:

$80,0000 - $90,000