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