We are looking for an experienced and highly knowledgeable Nurse Consultant to provide expert clinical guidance, support, and insights across our healthcare programs and services. In this remote role, you will apply your nursing expertise to review clinical information, improve patient care processes, support decision-making, and collaborate with interdisciplinary teams. The ideal candidate is detail-oriented, an excellent communicator, and comfortable working independently in a fast-paced environment.
Key Responsibilities
* Review clinical documentation, medical records, and patient data for accuracy, quality, and compliance.
* Provide expert clinical guidance to internal teams, clients, or external partners.
* Support case management, utilization review, care coordination, or quality improvement initiatives (customizable).
* Conduct assessments, triage, and nurse consultations via phone or virtual platforms.
* Analyze trends in patient care, outcomes, and service delivery to recommend improvements.
* Prepare clinical summaries, reports, and recommendations based on findings.
* Collaborate with physicians, allied health professionals, and administrative staff.
* Ensure adherence to clinical guidelines, regulatory standards, and organizational policies.
* Participate in training, audits, and process improvement initiatives.
* Maintain strict confidentiality and comply with HIPAA and other privacy regulations.
Qualifications
Required
* Active, unrestricted RN license (state-specific or compact license, as required).
* Minimum 3+ years of clinical nursing experience (acute care, telehealth, case management, or specialty).
* Strong understanding of clinical best practices, evidence-based guidelines, and healthcare regulations.
* Excellent critical thinking, communication, and documentation skills.
* Comfortable working independently in a remote environment with strong time-management and organizational abilities.
* Proficiency with electronic health records (EHRs), telehealth platforms, and standard office software.
Preferred
* Bachelor of Science in Nursing (BSN) or higher.
* Experience in utilization review, quality improvement, risk management, insurance, or legal nurse consulting.
* Certification in relevant specialties (e.g., CCM, CPHQ, LNC, URAC certifications).
* Knowledge of reimbursement models, coding concepts, and managed care processes.
Key Competencies
* Clinical expertise and sound judgment
* Strong analytical and documentation skills
* Effective written and verbal communication
* Professionalism and patient-centered focus
* Ability to collaborate across multidisciplinary teams
* Adaptability and problem-solving in remote settings
What We Offer
* 100% remote work environment
* Competitive salary and benefits package
* Flexible scheduling options
* Opportunities for professional growth and specialty certifications
* Supportive team culture and strong clinical leadership
* Work-life balance with meaningful impact on patient care and organizational outcomes
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