Nurse Consultant II
Core
Provides professional nursing care and clinical advocacy to federal employees and retirees, managing health metrics and care plans to ensure appropriate, cost-effective services.
Role type
Senior IC nurse consultant (case management)
Builds
Utilization Management (UM) and Care Management (CM) initiatives and programs
Domain
US Federal employee health benefits and clinical operations
Required skills
Nursing assessment, evidence-based practice, epidemiological analysis, root cause analysis, program evaluation, metrics tracking, care coordination, health behavior modification
Preferred skills
Case management, Utilization Management, clinical proficiency in specific areas
Technologies
Multiple clinical systems, modern communication technologies
Responsibilities
Evaluate member health metrics to develop UM/CM initiatives; Assess member information to determine intervention necessity; Guide members in accessing in-network providers and closing care gaps; Monitor program effectiveness and report outcomes; Perform root cause analysis to identify barriers to care.
Seniority
Mid-Senior level (4-6 years experience)