- 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.
Our strength is built on highly qualified and seasoned staff with over thirteen years of experience providing Home Care Services to Georgia senior citizens/older communities and convalescent children who would otherwise be unable to care adequately for themselves because of difficulty with certain instrumental activities of daily living.




