Consultant nurse job description
Updated March 14, 2024
9 min read
A consultant nurse is a registered specialized medical healthcare professional in charge of providing consultations relevant to the betterment of healthcare programs like nursing. Their duties include researching medical information, improving systems, and training employees.
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Example consultant nurse requirements on a job description
Consultant nurse requirements can be divided into technical requirements and required soft skills. The lists below show the most common requirements included in consultant nurse job postings.
Sample consultant nurse requirements
- A valid nursing license
- A minimum of 5 years of experience in nursing
- A graduate degree in nursing or a related field
- Experience in project management
- Strong analytical and problem-solving skills
Sample required consultant nurse soft skills
- Excellent communication skills
- Ability to work with a team
- Leadership qualities
- Empathy and compassion towards patients
- Ability to maintain confidentiality
Consultant nurse job description example 1
Aetna consultant nurse job description
This Utilization Management (UM) Nurse Consultant role is 100% remote and the candidate can live in any state.
Normal Working hours: Monday through Thursday 8:00am-4:30pm local time and Friday 8:30am-5:00pm local time with occasional weekends and holidays hours from 8:00am through 4:30pm local time. Frequency of Saturday shift is approximately 1 per month.
No travel is required.
As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. You would be responsible for ensuring the member is receiving the appropriate care at the appropriate time and at the appropriate location, while adhering to federal and state regulated turn-around times. This includes reviewing written clinical records.
The UM Nurse Consultant job duties include (not all encompassing):
* Reviews services to assure medical necessity, applies clinical expertise to assure appropriate benefit utilization, facilitates safe and efficient discharge planning and works closely with facilities and providers to meet the complex needs of the member.
* Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program.
* Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members
* Gathers clinical information and applies the appropriate clinical criteria/guideline, policy, procedure, and clinical judgment to render coverage determination/recommendation along the continuum of care
* Communicates with providers and other parties to facilitate care/treatment
* Identifies members for referral opportunities to integrate with other products, services and/or programs
* Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization
* Consults and lends expertise to other internal and external constituents in the coordination and administration of the utilization/benefit management function.
Pay Range
The typical pay range for this role is:
Minimum: 55,300
Maximum: 118,900
Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.
Required Qualifications
* RN with active and unrestricted state licensure
* 3+ years of acute hospital clinical experience as an RN with preference for medical-surgical and ICU experience (team is not accepting applicants whose only acute care experience is in behavioral health)
COVID Requirements
COVID-19 Vaccination Requirement
CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.
You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.
Preferred Qualifications
* 1+ years' experience Utilization Review experience
* 1+ years' experience Managed Care
* Strong telephonic communication skills
* 1+ years' experience with Microsoft Office Suite
Education
* Associates Degree in Nursing is minimum required, BSN preferred.
Business Overview
Bring your heart to CVS Health Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.
Normal Working hours: Monday through Thursday 8:00am-4:30pm local time and Friday 8:30am-5:00pm local time with occasional weekends and holidays hours from 8:00am through 4:30pm local time. Frequency of Saturday shift is approximately 1 per month.
No travel is required.
As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. You would be responsible for ensuring the member is receiving the appropriate care at the appropriate time and at the appropriate location, while adhering to federal and state regulated turn-around times. This includes reviewing written clinical records.
The UM Nurse Consultant job duties include (not all encompassing):
* Reviews services to assure medical necessity, applies clinical expertise to assure appropriate benefit utilization, facilitates safe and efficient discharge planning and works closely with facilities and providers to meet the complex needs of the member.
* Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program.
* Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members
* Gathers clinical information and applies the appropriate clinical criteria/guideline, policy, procedure, and clinical judgment to render coverage determination/recommendation along the continuum of care
* Communicates with providers and other parties to facilitate care/treatment
* Identifies members for referral opportunities to integrate with other products, services and/or programs
* Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization
* Consults and lends expertise to other internal and external constituents in the coordination and administration of the utilization/benefit management function.
Pay Range
The typical pay range for this role is:
Minimum: 55,300
Maximum: 118,900
Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.
Required Qualifications
* RN with active and unrestricted state licensure
* 3+ years of acute hospital clinical experience as an RN with preference for medical-surgical and ICU experience (team is not accepting applicants whose only acute care experience is in behavioral health)
COVID Requirements
COVID-19 Vaccination Requirement
CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.
You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.
Preferred Qualifications
* 1+ years' experience Utilization Review experience
* 1+ years' experience Managed Care
* Strong telephonic communication skills
* 1+ years' experience with Microsoft Office Suite
Education
* Associates Degree in Nursing is minimum required, BSN preferred.
Business Overview
Bring your heart to CVS Health Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.
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Consultant nurse job description example 2
Aperion Care consultant nurse job description
SUMMARY: The Regional Nursing Consultant maintains the care based on established nursing standards and resident rights while supporting and assisting the implementation of facility policy and state regulations in regards to nursing and healthcare. Verifies the presence, quality and accuracy of nursing documentation required by the facility policy and government regulations. Provides leadership, planning, coordinating, continuous monitoring and evaluation of the care given to residents.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
+ Ensures that the facility is in compliance with the organization's policy and procedures and complies with all state regulations.
+ Understands and implements company policies and procedures.
+ Performs quarterly audits including resident charts, medication room and QA interventions.
+ Participates in care conferences as need or requested by facility.
+ Performs comprehensive assessment on potential residents.
+ Provides clinical training and support to all staff.
+ Performs regular review of Electronic Medication Administration Records (EMAR) reports to ensure compliance in the medication room.
+ Performs monthly supervisory visits to all medication passers as needed in states that allow for RN delegation.
+ Regularly monitors wound care provided in the facilities to ensure appropriateness and effectiveness.
+ Monitors the careful and efficient use of supplies, checks medical supplies and see that supplies have been ordered as appropriate.
+ Attends meetings as required; works cooperatively with members of the management and care team, maintaining effective interdepartmental and interpersonal relations with residents, staff, and visitor's.
+ Reviews incident reports and follow up notes regularly to ensure state reportable incidents are being reported, proper procedure is being followed and documented.
+ Assist in hiring, training, planning assigning and directing the work of facility staff as needed.
+ Addresses complaints and resolves problems as needed.
+ Other duties as assigned.
QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements below are representative of the knowledge, skill, and/or ability required.
+ Bachelor's Degree in Nursing required.
+ Five years management experience with experience in long-term care.
+ Must possess a current, unencumbered, active license to practice as an RN in the state.
+ General knowledge of professional basic nursing, restoratives and personal care services.
+ Ability to read and interpret documents, write reports, and correspondence.
+ Must have a valid driver's license.
+ High level of interpersonal skills to handle sensitive and confidential situations and documentation, and interaction with coworkers.
PHYSICAL DEMANDS: The physical demands are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
+ Must be able to move intermittently throughout the workday.
+ Must be able to push, pull move and/or lift a minimum of 50 pounds to a minimum height of 5 feet and be able to push, pull, move and/or carry such weight a minimum distance of 50 feet.
+ The noise level in the work environment is usually moderate. ,
+ Ability to travel within the assigned region, up to 75%.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
+ Ensures that the facility is in compliance with the organization's policy and procedures and complies with all state regulations.
+ Understands and implements company policies and procedures.
+ Performs quarterly audits including resident charts, medication room and QA interventions.
+ Participates in care conferences as need or requested by facility.
+ Performs comprehensive assessment on potential residents.
+ Provides clinical training and support to all staff.
+ Performs regular review of Electronic Medication Administration Records (EMAR) reports to ensure compliance in the medication room.
+ Performs monthly supervisory visits to all medication passers as needed in states that allow for RN delegation.
+ Regularly monitors wound care provided in the facilities to ensure appropriateness and effectiveness.
+ Monitors the careful and efficient use of supplies, checks medical supplies and see that supplies have been ordered as appropriate.
+ Attends meetings as required; works cooperatively with members of the management and care team, maintaining effective interdepartmental and interpersonal relations with residents, staff, and visitor's.
+ Reviews incident reports and follow up notes regularly to ensure state reportable incidents are being reported, proper procedure is being followed and documented.
+ Assist in hiring, training, planning assigning and directing the work of facility staff as needed.
+ Addresses complaints and resolves problems as needed.
+ Other duties as assigned.
QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements below are representative of the knowledge, skill, and/or ability required.
+ Bachelor's Degree in Nursing required.
+ Five years management experience with experience in long-term care.
+ Must possess a current, unencumbered, active license to practice as an RN in the state.
+ General knowledge of professional basic nursing, restoratives and personal care services.
+ Ability to read and interpret documents, write reports, and correspondence.
+ Must have a valid driver's license.
+ High level of interpersonal skills to handle sensitive and confidential situations and documentation, and interaction with coworkers.
PHYSICAL DEMANDS: The physical demands are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
+ Must be able to move intermittently throughout the workday.
+ Must be able to push, pull move and/or lift a minimum of 50 pounds to a minimum height of 5 feet and be able to push, pull, move and/or carry such weight a minimum distance of 50 feet.
+ The noise level in the work environment is usually moderate. ,
+ Ability to travel within the assigned region, up to 75%.
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Consultant nurse job description example 3
COGENCY GLOBAL consultant nurse job description
Cogency Medical, based in Baltimore, Maryland, is a premier occupational medicine, environmental medicine and Public Health consulting services organization. Based on the philosophy of its founder, Dr. Hung Cheung, a Hopkins Bloomberg School of Public Health graduate, former State Medical Director and Adjunct Assistant Professor at the University of Pennsylvania Perelman School of Medicine, the firm is known for creating integrated solutions that are based on solid scientific principles. Formed in 2004, the firm's professional staff and consultants collectively have more than 50 years of experience providing integrated occupational, environmental, epidemiology research and public health solutions to its clients on a vast array of related national and local health issues.
Cogency Medical has an immediate opening for a PRN Nurse Consultant. The firm handles a unique and diverse range of OEM and public health issues for private and public-sector clients (including federal and state governments, large corporations and self-insured clients).
Job Title: Nurse Consultant (Baltimore, Maryland)
Job Purpose: To maintain and facilitate various projects to include, but not limited to, review and abstraction of project documents, write technical and analytical reports, liaison between project experts, project staff, administrative services and client on investigations, epidemiology research, consulting services and litigation support within the field of toxicology, occupational/ environmental medicine under the Cogency President.
Key responsibilities and accountabilities:
Perform detailed interviews, intakes, and histories and assist on medical evaluations and examinations, etc.
Review and analyze medical and other technical records
Perform comprehensive review of literature and regulatory policies
Draft reports by accurately summarizing findings of the team's analysis and recommendations
Perform case and project specific analysis, literature analysis, critical thinking & integration of data, and report generation
Assist and supervise other registered nurses on various projects
Project management for various projects, as required
Collaborate with multidisciplinary team members
Requirements
Education
Graduate of an accredited college/university with a Bachelor of Science in Nursing. Other sought after relevant advanced degrees or experiences include: Master of Public Health or Master of Science in Environmental Health or Epidemiology, etc.
Current RN Licensure in Maryland
Strong computer skills, including Word, Excel and Outlook
Critical thinking skills and excellent writing skills
Experience
Proficient Microsoft Office skills, including Word, Excel, Power Point and Outlook
Excellent critical thinking and communication skills, both written and verbal
Ability to work both independently and in team environments
Occupational Health and Safety experience a plus
Miscellaneous:
May involve some traveling for site investigations, conferences and other events.
.
Benefits
Salary:
Commensurate with relevant training and experience
Please send resume, cover letter and salary requirements to (url removed)
Cogency Medical has an immediate opening for a PRN Nurse Consultant. The firm handles a unique and diverse range of OEM and public health issues for private and public-sector clients (including federal and state governments, large corporations and self-insured clients).
Job Title: Nurse Consultant (Baltimore, Maryland)
Job Purpose: To maintain and facilitate various projects to include, but not limited to, review and abstraction of project documents, write technical and analytical reports, liaison between project experts, project staff, administrative services and client on investigations, epidemiology research, consulting services and litigation support within the field of toxicology, occupational/ environmental medicine under the Cogency President.
Key responsibilities and accountabilities:
Perform detailed interviews, intakes, and histories and assist on medical evaluations and examinations, etc.
Review and analyze medical and other technical records
Perform comprehensive review of literature and regulatory policies
Draft reports by accurately summarizing findings of the team's analysis and recommendations
Perform case and project specific analysis, literature analysis, critical thinking & integration of data, and report generation
Assist and supervise other registered nurses on various projects
Project management for various projects, as required
Collaborate with multidisciplinary team members
Requirements
Education
Graduate of an accredited college/university with a Bachelor of Science in Nursing. Other sought after relevant advanced degrees or experiences include: Master of Public Health or Master of Science in Environmental Health or Epidemiology, etc.
Current RN Licensure in Maryland
Strong computer skills, including Word, Excel and Outlook
Critical thinking skills and excellent writing skills
Experience
Proficient Microsoft Office skills, including Word, Excel, Power Point and Outlook
Excellent critical thinking and communication skills, both written and verbal
Ability to work both independently and in team environments
Occupational Health and Safety experience a plus
Miscellaneous:
May involve some traveling for site investigations, conferences and other events.
.
Benefits
Salary:
Commensurate with relevant training and experience
Please send resume, cover letter and salary requirements to (url removed)
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Updated March 14, 2024
Updated March 14, 2024