Nurse Optimization Consultant

About Us

Xsolis is an AI-driven technology company with a human-centered approach, fostering collaboration between healthcare providers and payers through real-time transparency, objective data for increased accuracy and alignment of medical necessity decisions, and more efficient outcomes. Dragonfly®, its AI-driven proprietary platform, is the first and only solution to use real-time predictive analytics to continuously assign an objective medical necessity score and assess the anticipated level of care for every patient, enabling more efficiency across the healthcare system. Xsolis is headquartered in Franklin, Tennessee.

Our Values:

• Team First
• Client Passionate
• Always Curious
• Deliver Excellence
  
  

Xsolis has been ranked on the Inc. 5000 and Deloitte Technology Fast 500 lists in both 2022 and 2023 as a fastest-growing private company, and was named 2022 Best in Business among private companies by the Nashville Business Journal. Xsolis executives have been featured in Becker’s Hospital Review, Becker’s Payer Issues, Chief Healthcare Executive, CIO Review, Managed Healthcare Executive, Medical Economics, HIT Consultant, Healthcare IT Today, among other leading publications.

For more information, visit www.xsolis.com .

Position Summary Details

Nurse Optimization Consultants will align with the Client Success team to create a business and clinical operations. This structure will benefit our customers in a proactive relationship that promotes revenue retention, clinical excellence, growth, and customer satisfaction across the customer’s engagement with XSOLIS.

Essential Duties & Responsibilities

The essential functions include, but are not limited to the following:

• Collaborate with implementation team to receive an in-depth handoff to promote seamless transition.
• Collaborate with Client Success to align business and clinical structure provided to customer.
• Assess and monitor current workflow to ensure hardwiring of processes established during implementation that align with agreed upon goals/metrics and ROI opportunities.
• Assessment/monitoring of metrics (KPI, LOS, Denials) to proactively identify opportunities for improvement and ensuring processes are in place to identify negative trends. Recommend solutions that remediate any negative trends.
• Auditing to identify opportunities to enhance/change workflow to meet agreed upon goals and metrics
• Attend clinical rounds.
• Routinely monitor Cortex work queue dashboard to determine appropriate utilization for red accounts, pilot accounts, and hypercare accounts
• Weekly meeting with AM to strategize and develop aligned action plans for red accounts, pilot accounts, and hypercare accounts.
• Identify and introduce ad hoc reports when appropriate for success.
• Collaborate with Client Success and clinically lead all QBR meetings.
  
  

Minimum Qualifications (Knowledge, Skills, And Abilities)

Education:

• Nursing Baccalaureate degree (BSN) from an accredited school of nursing preferred; Associate of Applied Science (AAS) in Nursing required
  
  

Experience:

• 5 years’ experience as a nurse with at least 3 years’ experience in Case Management and Utilization Review, preferably in a hospital setting
• ACM or CCM preferred
• Strong knowledge of Medicare rules and regulatory standards
  
  

Other:

• Outstanding communication and presentation skills
• Executive level interpersonal skills
• Knowledge of technology/software implementation and customer support
• Proficient in Microsoft Office Suite and computer skills
• Ability to work in fast paced, rapidly growing company
• Entrepreneurial spirit
• Attention detail, strong sense of professionalism and strong work ethic
• Must be able to travel 25 – 35% of the time
  
  

Supervisory Responsibilities

This role does not have any direct reports and is a single contributor role.

Working Environment And Travel Requirements

• Work is typically in a normal office administrative environment involving minimal exposure to physical risks.
• Position requires little to moderate physical activity. Mostly sedentary work exerting up to 10 pounds of force occasionally or a negligible amount of force to lift, carry, push, pull, or otherwise move objects. Work involves sitting most of the time, but may involve walking or standing for brief periods of time. No significant stooping is usually required.
  
  

Physical Demands & Work Environment

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position.

Reasonable accommodations may be made to enable individuals with disabilities to perform the functions.

Where We’ll Go Together

Our company is shaping intelligent decision-making for healthcare. As a part of our team, you’ll be a key player in realizing that vision as well as a valued contributor to the culture and climate we wish to create. Our wins are your wins, and we’re dedicated to making you feel your work matters (it truly does).

If any of this speaks to you, let’s get in touch.

Candidates must successfully pass a background check and drug screen prior to beginning employment with XSOLIS.

XSOLIS is an equal opportunity employer that is committed to hiring based upon merit, skills, experience, and qualifications. We recognize the importance of an inclusive and diverse workforce that celebrates all individuals from all walks of life. We encourage everyone to apply regardless of gender identity, race, veteran status, age, sexual orientation, or any other protected class.

All employees of XSOLIS fall under the same security role, which includes access to sensitive information, including proprietary data and PHI.