Benefits:

401(k)

401(k) matching

Bonus based on performance

Dental insurance

Flexible schedule

We are seeking an experienced and highly skilled Nurse Consultant to provide clinical expertise, strategic guidance, and professional insight across our healthcare programs and services. In this fully remote role, you will leverage your nursing knowledge to evaluate clinical information, enhance patient care processes, support data-driven decision-making, and collaborate with multidisciplinary teams.

The ideal candidate is analytical, detail-oriented, and an effective communicator who thrives in an independent, fast-paced virtual environment.

Key Responsibilities

Review and evaluate clinical documentation, medical records, and patient data to ensure accuracy, quality, and regulatory compliance

Provide expert nursing consultation and clinical guidance to internal teams, clients, and external stakeholders

Support case management, utilization review, care coordination, and quality improvement initiatives as needed

Conduct clinical assessments, triage, and nurse consultations via phone and virtual platforms

Identify trends in patient outcomes, care delivery, and clinical performance to recommend improvements

Develop clinical summaries, reports, and evidence-based recommendations

Collaborate with physicians, nursing staff, allied health professionals, and administrative teams

Ensure compliance with clinical standards, organizational policies, and applicable regulations

Participate in audits, training sessions, and process improvement initiatives

Maintain patient confidentiality and ensure full compliance with HIPAA and privacy regulations

Required

Active, unrestricted Registered Nurse (RN) license (state-specific or compact, as applicable)

Minimum of 3 years of clinical nursing experience (e.g., acute care, telehealth, case management, or specialty practice)

Strong knowledge of evidence-based practice, clinical guidelines, and healthcare regulations

Excellent critical thinking, documentation, and communication skills

Ability to work independently in a remote setting with strong time-management and organizational skills

Proficiency with EHR systems, 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

Relevant certifications (e.g., CCM, CPHQ, LNC, URAC or similar)

Knowledge of reimbursement models, coding principles, and managed care processes

Core Competencies

Advanced clinical judgment and nursing expertise

Strong analytical and problem-solving abilities

Clear, professional written and verbal communication

Patient-centered and ethical decision-making

Effective collaboration across multidisciplinary teams

Adaptability and accountability in a remote work environment

What We Offer

Fully remote work environment

Competitive compensation and comprehensive benefits

Flexible scheduling options

Opportunities for professional development and specialty certification

Supportive team culture with strong clinical leadership

Meaningful work that positively impacts patient outcomes and organizational performance

This is a remote position.