RN Consultant Job Description
RN consultant
provides project documentation and presentation materials using standard office products such as Microsoft Powerpoint and Word.
RN Consultant Duties & Responsibilities
To write an effective RN consultant job description, begin by listing detailed duties, responsibilities and expectations. We have included RN consultant job description templates that you can modify and use.
Sample responsibilities for this position include:
Assesses current practice patterns, assets and challenges utilizing available EPHC and non EPHC quality data
In partnership with the PCP and the local provider solutions team, evaluates results of the initial assessment
Establishes a project plan with the practice that establishes goals and objectives for HEDIS and CAHPS improvement
Support provider outreach to review health plan quality measures and to implement quality outreaches for provider groups
Conducts analysis of group and affiliated network contracts, local market data, and other utilization data to develop strategies for improvement
Lead multi-disciplined practice transformation and practice performance improvement initiatives
Acts as an internal consultant to develop, implement and maintain new and revised medical management systems and business processes Acts as primary contact for the Medical Group to resolve general clinical and operational issues
Travel is frequent, up to 25% of the month
Prepares reports summarizing medical records and interviews
Works closely with Medical Director and consultants/account managers to review, analyze, and make recommendations on clients’ wellness initiatives and health education programs related to identified needs and opportunities by the Planning & Analytics for Total Health (PATH) department
RN Consultant Qualifications
Qualifications for a job description may include education, certification, and experience.
Licensing or Certifications for RN Consultant
List any licenses or certifications required by the position: BLS, IBCLC, NRP, BCLS, CBE, IBLCE, CLC, ICBLC
Education for RN Consultant
Typically a job would require a certain level of education.
Employers hiring for the RN consultant job most commonly would prefer for their future employee to have a relevant degree such as Bachelor's and Associate Degree in Nursing, Education, Science, Graduate, Healthcare, Nursing Program, Associates, School of Nursing, Health Care, Business
Skills for RN Consultant
Desired skills for RN consultant include:
Medical malpractice claims procedures and practices
Medicare market
Products and competitors
CMS HCC Model and Guidelines along with ICD 10 Guidelines
Microsoft Office Suite with a focus on Excel
Outlook
PowerPoint
Web applications
Word
Desired experience for RN consultant includes:
This role is 75% local travel throughout the Lexington, KY area
Lactation Consultant (IBCLS) certification
Demonstrated knowledge of professional nursing principles, practices, concepts and procedures as applied to the care of patients in different settings
Clinical expertise in a nursing field
Demonstrated knowledge of current regulations and requirements (i.e., NCQA, The Joint Commission, Boards of Nursing )
Knowledge of adult learning theory and development
RN Consultant Examples
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RN Consultant Job Description
Job Description Example
Our company is hiring for a RN consultant. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for RN consultant
- Develops and manages health and safety programs and services for employers and their employees
- Combined focus of health and business that are blended with health care expertise to balance the requirement for a safe and healthful work environment with a ‘healthy’ bottom line
- Promote an interdisciplinary approach to health care and advocate for the employer and their employees for prevention-oriented, cost-effective health and safety programs
- Develop engagement strategies that encourage workers to take responsibility for their own health through health education and disease management programs, such as smoking cessation, exercise/fitness, nutrition and weight control, stress management, control of chronic illnesses and effective use of medical services
- Ability to fully understand and possibly train the team on wellness resources provided by the carriers other vendors
- Monitor the health status of employer and their employees and intercede when improvements are required
- Conduct employee meetings related to health promotion initiatives as necessary
- Attend population health management meetings and calls and collaborate with other PHM team members across region and MMA to keep office informed on regional updates and progression
- Provides leadership for staff development and direct supervision of QCC staff
- Coordinates and facilitates action planning for identified quality issues (AOC process, RCA)
Qualifications for RN consultant
- Certification in Case Management or Utilization Management preferred
- Ability to routinely host and facilitate interactive, face to face virtual sessions with Providers
- Demonstrated skills in facilitating work groups
- Demonstrated knowledge in quality management principles
- Working knowledge of computer software programs, desktop publishing and audio-visual equipment and materials
- Effective group process and team building skills
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RN Consultant Job Description
Job Description Example
Our company is growing rapidly and is hiring for a RN consultant. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for RN consultant
- Supports strategic initiatives
- Organizes and leads regulatory readiness
- Provide information to deepen their understanding of their medical condition and to guide the person in self- management
- Screen members to identify opportunities for health services, modifiable risk factors and educational needs and provide appropriate partner referrals
- Reinforce appropriate education and monitoring
- Oversees clinical and operational management of the national programs and assists with program evaluations and the establishment of new affiliations
- Analyzes affiliate/consulting clients strengths and weaknesses as they relate to the project plan and targeted outcomes
- Outlines initiatives to improve quality/processes and makes recommendations for implementation while maintaining awareness of implementation strategies by notifying leadership of risks
- Conducts assessments and reviews operational efficiencies and structures at other facilities to determine operational opportunities for improvement of care delivery
- Defines project requirements according to established standards (scope, schedule, resources, budget, deliverables) and conducts extensive research on pertinent areas
Qualifications for RN consultant
- Proficiency in the application of InterQual Level of Care criteria is preferred
- Knowledge of Milliman Care Guideline application, basic ICD-9 and CPT coding and CMS regulations is preferred
- Demonstrated skills in didactic presentations, clinical skills assessment methodology and project management
- Strong customer focused skills
- Strong interpersonal skills and ability to successfully resolve conflict
- Must be able to travel within the United States 30% of the time
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RN Consultant Job Description
Job Description Example
Our growing company is searching for experienced candidates for the position of RN consultant. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for RN consultant
- Conducts environmental rounds at current affiliate sites and consulting sites to identify issues related to compliance set forth by governmental and health care agencies and provides recommendations on how to correct the identified deficiencies
- Establishes and documents standard project-planning terminology (e.g., phases, milestones, tasks)
- Identifies barriers that may make it difficult for Affiliates or Clients to progress with the project goals and objectives
- Lead or participate and present in weekly, Monthly, Bi-monthly, Quarterly and / or Annual business Review meetings related to STAR activities which summarize provider group performance and market performance as requested by or required by Quality or Regional leadership
- Collaborating with OneCare Vermont clinical leadership to implement key strategic priorities and goals in assigned communities that result in improvement in key clinical quality metrics, reduced utilization/controlled cost, and enhanced patient experience
- Collaborating with OneCare Vermont leadership to develop, operationalize and implement key strategic priorities and goals within the OneCare Vermont organization
- Communicating OneCare Vermont population health strategies to assigned health service areas
- Facilitating the implementation and training of community leaders and staff on OneCare Vermont’s Care Coordination Model
- Quality performance measure training and abstraction
- Demonstrating continuous professional development and skill enhancement
Qualifications for RN consultant
- Demonstrate knowledge of the Nursing Practice Act
- Demonstrated skill in facilitating committee meetings or work group meetings
- IBCLC Certification by International Board of Lactation Consultants Examiners (IBCLE) preferred
- Demonstrated ability to work independently in a virtual team environment
- Two (2) years of experience in a perinatal area postpartum/labor and delivery
- Must have a minimum of one year recent experience as an Lactation Consultant in a hospital environment
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RN Consultant Job Description
Job Description Example
Our company is looking to fill the role of RN consultant. Thank you in advance for taking a look at the list of responsibilities and qualifications. We look forward to reviewing your resume.
Responsibilities for RN consultant
- Act as a multi-hospital care management education/quality assurance (QA) leader, consultant, and mentor to staff
- Consult on new, ongoing and competency education, working in concert with system Integrated Care Management Education
- Collaborate with multi-hospital and system leaders to assess departmental educational needs and implement an education plan for various services
- Supports the coaching program and facilitate orientation to ensure consulting, coaching, mentoring, and education skills meet Intermountain standards
- Maintain clinical competency through staffing, shadowing, coaching, rounding
- Facilitate, prioritize and manage workload and deliverables of system?s CMEQC Council as assigned
- Collaborate with System Integrated Care Management leadership to define quality measures, validate data, complete audits and run reports
- Coordinate completion of Integrated Care Management orientation documents with new employees, ensuring the task is completed based on Intermountain?s policies and regulatory requirements
- Facilitates care management simulation in collaboration with system ICM Education Consultants for orientation and ongoing education
- Consult with system and regional leaders regarding the appropriate quality improvement interventions needed to improve departments? performance outcomes including, but not limited to, policy, procedure, education, and performance management
Qualifications for RN consultant
- Proven industry experience in a Health Sector related field (Health Insurance
- Communicates with providers and other parties to facilitate care/treatment
- Current Registered Nurse and 4-year degree from an accredited college or university
- Minimum of five (5) years of experience as a professional nurse highly desirable
- Three (3) or more years of Occupational Health Nursing experienced preferred
- Experience in Population Health Management or Corporate Health strongly desired
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RN Consultant Job Description
Job Description Example
Our growing company is hiring for a RN consultant. Please review the list of responsibilities and qualifications. While this is our ideal list, we will consider candidates that do not necessarily have all of the qualifications, but have sufficient experience and talent.
Responsibilities for RN consultant
- Responsible for leading clients in product workflow design and configuration activities
- Knowledgeable of NCQA, and URAC requirements
- Proficient in the Standard Solution offering for CareAdvance Enterprise including standard workflows and content
- Provide functional CareAdvance product knowledge related to the various client requirements
- Provides supervision of 2 - 5 people
- Conducts periodic status checks with customers and team to assess progress against plan
- In conjunction with BriovaRx Infusion Services overall marketing plan, makes a sales plan with specific target accounts and sales objectives
- Conducts follow - up on all maintenance accounts to ascertain continued satisfaction with BriovaRx Infusion Services and identify areas to increase business
- Screens members to identify needed medical services, modifiable risk factors and educational needs and identifies or refers cases for other services
- Intervenes to positively effect healthcare outcomes
Qualifications for RN consultant
- Registered Nurse (unrestricted active license) (Required)
- 1+ year of Utilization and/or Case Management experience (Required)
- Oncology Nurse experience and/or Certification (Preferred)
- End-User of ATV, ActiveAdvice, and/or iSuite (Preferred)
- 2-3 years Quality Management exposure
- Ability to manage varying work priorities