Clinical Nurse Consultant I (Remote)

Vatica Health

19h•$68,640 - $97,760•Remote

About The Position

Vatica Health and Cozeva bring together clinical expertise and technology to support risk adjustment, quality, and value-based care. The Clinical Nurse Consultant I uses clinical judgment to turn information from medical records and payer data into findings that help providers accurately document member conditions and identify care gaps. The role combines detailed chart review, relationship building, and technology support, working directly with providers and practice teams. This is a clinical production role requiring independent workload management and consistent performance against chart-completion and quality standards. Work is primarily remote, with travel to provider offices for training as needed.

Requirements

Active, unrestricted Registered Nurse (RN) license.
Minimum of three years of recent RN clinical experience assessing complex patient conditions and interpreting clinical documentation.
Demonstrated clinical judgment in evaluating conflicting information and identifying documentation gaps.
Clear, professional communication of clinical findings and documentation questions to providers and practice staff.
Proficiency with EMRs and web-based applications, including navigating multiple systems and learning new technology independently.
Demonstrated success managing detailed clinical work against productivity, accuracy, and deadline expectations.
Effective independent workload management and collaboration in a remote team environment.
Ability to travel occasionally to local provider offices, with access to a personal vehicle or other reliable transportation.

Nice To Haves

RN experience in acute care, critical care, or an emergency department.
Clinical Documentation Improvement (CDI) experience strongly preferred.
Knowledge of diagnosis coding, billing concepts, quality measures, and risk adjustment models.

Responsibilities

Review and synthesize information from electronic medical records (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 the applicable risk adjustment model and present findings to support provider condition validation decisions.
Reconcile conflicting or incomplete clinical information.
Identify open quality-of-care gaps and communicate findings to practice teams for follow-up.
Complete chart reviews within established productivity targets and deadlines while meeting quality assurance standards for accuracy and compliance.
Build effective relationships with providers and office staff and follow up on outstanding items to meet deadlines.
Train and support providers and practice staff on company technology and workflows, including onsite training as needed.
Share clinical knowledge and best practices with colleagues to support consistent, accurate chart reviews.