Job Description

It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.

Summary

As a Nurse Consultant at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions. Here are the details on this position.

Your role in our mission

• This position is a contractual required position for the Medi-Cal MMIS account for the Department of Healthcare Service.
• The Nurse Consultant is responsible for responding to referrals from DHCS within 4 hours of notification.
• Reviewing policy and attending meetings with DHCS
• Process claims requiring Medical Review expertise from a Medical Specialist and responding to referrals from internal departments.

What we're looking for

• Experienced Registered Nurse with strong background in direct patient care.
• Experienced in the healthcare industry in insurance, provider support, as well as experienced in business analysis.
• Attention to detail and strong organization skills.
• Ability to work independently, create and/or follow project schedules, and adhere to internal timelines, client deadlines, and delivery deadlines.
• Strong computer skills. Comfortable with Word, Outlook, Excel, Teams.
• Strong typing skills.

What you should expect in this role

• Must be a resident of the state of California.
• Primarily remote work. May occasionally report onsite for meetings, special training requests, or other business needs. The office is in West Sacramento.
• Reliable high-speed internet connectivity is required.
• Highly collaborative and interactive team and role.
• Accountability for individual work assignments and projects.

This position is for pipeline purposes, and we welcome applications on an ongoing basis.

The pay range for this position is $92,900.00 - $132,700.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits , and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

Gainwell Technologies  is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. 

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