Skilled Nursing Consultant II

Location: Remote

Compensation: To Be Discussed

Reviewed: Fri, Mar 27, 2026

This job expires in: 1 days

Job Category: Healthcare

Employer Type: Employer

Career Level: Experienced

Education Level: Bachelors, Masters

Job Summary

A company is looking for a Consultant II Ideation & Analytics Skilled Nursing.

Key Responsibilities:

Review medical records using appropriate guidelines and document findings
Audit claims for medically appropriate services in inpatient and outpatient settings
Identify and develop new methods to improve productivity, quality, and client savings

Required Qualifications:

Bachelor's degree in Nursing and Midwifery/General Nursing and Midwifery
5+ years of experience in the healthcare industry (payer)
2+ years of experience in auditing skilled nursing facility claims
2+ years of clinical nursing experience in an inpatient setting
Experience in performing medical records review/auditing claims is preferred

COMPLETE JOB DESCRIPTION

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