Registered Nurse Consultant

To support a growing clinical operations team, the full-time Nurse Consultant II will provide professional nursing care remotely, focusing on member assessment, planning, evaluation, and evidence-based practice to enhance member experiences and ensure cost-effective services across the healthcare continuum.

Key responsibilities:
  • Evaluates member health metrics to develop and sustain targeted Utilization Management and Care Management initiatives
  • Assesses member needs and determines necessary interventions for care management
  • Collaborates with internal and external partners to address escalated member and provider needs effectively
Required qualifications:
  • Bachelor of Science in Nursing (BSN) with 4-6 years of relevant experience
  • Active RN license in good standing, eligible for licensure in all US states and territories
  • Ability to analyze complex information and provide actionable insights
  • Strong communication skills, including proficiency in modern communication technologies
  • Experience in case management or utilization management is preferred
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