Nurse Consultant II
Core
Provides professional nursing care and clinical advocacy to federal employees and retirees, managing health metrics and care plans to ensure cost-effective services.
Role type
Senior IC nurse consultant (case management)
Builds
Care management and utilization management programs for federal employee health plans
Domain
US Federal Employee Health Benefits
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
Nursing assessment, care planning, evidence-based practice, epidemiological analysis, root cause analysis, program evaluation, metrics tracking, clinical advocacy, system utilization
Preferred skills
Case management, utilization management, relevant clinical certifications
Technologies
Multiple health information systems
Responsibilities
Evaluate member health metrics to develop and sustain utilization management initiatives; Assess prospective care management needs 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, hands-on IC