nurse consultant

Longterm Health Management Services

<div>We have an opportunity for a Regional Clinical Nurse Consultant

The Regional Nurse Consultant - Chicagoland region (8 SNFs):
<ul>
<li>Collaborates with Director of Clinical Services, Regional Director of Operations, Administrators, and Directors of Nursing within the assigned region.</li>
<li>Identifies and monitors centers with the greatest need for quality and regulatory intervention.</li>
<li>Leads center and regional operations personnel, associated clinical services staff; and interdisciplinary resources through proactive and reactive quality interventions to improve care delivery, customer satisfaction, and survey results minimizing financial penalties, limitations on admission and litigation opportunities.</li>
<li>Works through local/state/federal agencies, company, and external resources to facilitate clinical competency.</li>
<li>Fosters nursing leadership support network.</li>
<li>Pilots and replicates promising practices.</li>
<li>Spreads performance improvement initiatives.</li>
</ul>
Educational Requirements

Bachelor's degree in nursing, preferred; Specific training in gerontological nursing preferred, currently a Licensed Registered Nurse.

Position Requirements

Director of Nursing Experience Gained in Skilled Nursing Facilities- Required

Regional Nurse Consultant Experience- Preferred

Job Type: Full-time 


Longterm Health Management Services never requests or sends money, payment transfers, direct deposit, or Social Security Number (SSN) information as part of their recruitment process.</div>

Regional Nurse Consultant

Legacy Healthcare

<div>We have an opportunity for a Regional Nurse Consultant

The Regional Nurse Consultant:
<ul>
<li>Collaborates with VP of Clinical Services, VP of Operations, Administrators, and Directors of Nursing within the assigned region.
</li><li>Ensures continuity of nursing services across all assigned facilities.</li>
<li>Identifies and monitors facilities with the greatest need for quality and regulatory intervention.</li>
<li>Leads facilities and regional operations personnel, associated clinical services staff; and interdisciplinary resources through proactive and reactive quality interventions to improve care delivery, customer satisfaction, and survey results minimizing financial penalties, limitations on admission and litigation opportunities.</li>
<li>Works through local/state/federal agencies, company, and external resources to facilitate clinical competency. Ensures compliance with current industry standards and best practice guidelines.
</li><li>Fosters nursing leadership support network.</li>
<li>Pilots and replicates promising practices.</li>
<li>Spreads performance improvement initiatives.</li>
<li>Implements policies and procedures for Nursing Departments in assigned facilities.</li></ul> 


Educational Requirements

Bachelor's degree in nursing, preferred; Specific training in gerontological nursing preferred, currently a Licensed Registered Nurse.

Position Requirements

Director of Nursing Experience Gained in Skilled Nursing Facilities- Required

Regional Nurse Consultant Experience- Preferred

Multi-Site Experience- Preferred

Travel- 80 %

Job Type: Full-time

Legacy Healthcare is an equal opportunity employer. All qualified applicants will be considered without regard to race, color, religion, sexual orientation, gender, gender identity, expression or orientation, genetic information, national origin, age, disablity, or status as a disabled or Vietnam-era veteran. When completing this application, you may exclude information that would disclose or reference this information, or any information relating to any other status protected by Federal, State, or local law.

Legacy Healthcare never requests or sends money, payment transfers, direct deposit, or Social Security Number (SSN) information as part of their recruitment process.

IND123</div>

<div>We have an opportunity for a Regional Nurse Consultant in South Dakota

The Regional Nurse Consultant:
<ul>
<li>Collaborates with VP of Clinical Services, VP of Operations, Administrators, and Directors of Nursing within the assigned region.
</li><li>Ensures continuity of nursing services across all assigned facilities.</li>
<li>Identifies and monitors facilities with the greatest need for quality and regulatory intervention.</li>
<li>Leads facilities and regional operations personnel, associated clinical services staff; and interdisciplinary resources through proactive and reactive quality interventions to improve care delivery, customer satisfaction, and survey results minimizing financial penalties, limitations on admission and litigation opportunities.</li>
<li>Works through local/state/federal agencies, company, and external resources to facilitate clinical competency. Ensures compliance with current industry standards and best practice guidelines.
</li><li>Fosters nursing leadership support network.</li>
<li>Pilots and replicates promising practices.</li>
<li>Spreads performance improvement initiatives.</li>
<li>Implements policies and procedures for Nursing Departments in assigned facilities.</li></ul> 


Educational Requirements

Bachelor's degree in nursing, preferred; Specific training in gerontological nursing preferred, currently a Licensed Registered Nurse in the State of South Dakota.

Position Requirements

Director of Nursing Experience Gained in Skilled Nursing Facilities- Required

Regional Nurse Consultant Experience- Preferred

Multi-Site Experience- Preferred

Travel- 80 %

Job Type: Full-time

Legacy Healthcare is an equal opportunity employer. All qualified applicants will be considered without regard to race, color, religion, sexual orientation, gender, gender identity, expression or orientation, genetic information, national origin, age, disablity, or status as a disabled or Vietnam-era veteran. When completing this application, you may exclude information that would disclose or reference this information, or any information relating to any other status protected by Federal, State, or local law.

Legacy Healthcare never requests or sends money, payment transfers, direct deposit, or Social Security Number (SSN) information as part of their recruitment process.

IND123</div>

EPIC Healthcare

<div>Now Hiring: Regional Nurse Consultant

We are seeking an experienced and knowledgeable Regional Nurse Consultant to support clinical operations across our skilled nursing facilities. This is a key leadership role focused on driving clinical excellence, supporting compliance, and guiding nursing teams to deliver the highest standard of care.

Position: Regional Nurse Consultant 
Job Type: Full-Time | Travel Required

Responsibilities:
<ul>
<li>Provide clinical oversight, guidance, and support to nursing leadership at assigned facilities
</li>
<li>Ensure compliance with state and federal regulations, company policies, and clinical standards
</li>
<li>Conduct audits, training, and mock surveys to support survey readiness and quality improvement
</li>
<li>Collaborate with facility leadership to develop and implement care plans, systems, and interventions
</li>
<li>Mentor and train Directors of Nursing and clinical staff to promote strong clinical outcomes
</li>
<li>Identify and address opportunities for improvement in infection control, documentation, staffing, and resident care
</li>
</ul>Qualifications:
<ul>
<li>Current, active RN license in the state of Ohio
</li>
<li>Experience in a nursing leadership role (DON or above); multi-site or regional experience strongly preferred
</li>
<li>Strong knowledge of long-term care regulations and clinical practices
</li>
<li>Ability to travel between facilities regularly
</li>
<li>Excellent communication, leadership, and organizational skills
</li>
</ul>We Offer:
<ul>
<li>Competitive salary
</li>
<li>Mileage reimbursement
</li>
<li>Comprehensive benefits package (medical, dental, vision, PTO, 401k)
</li>
<li>Supportive regional team and leadership
</li>
<li>Opportunities for continued growth and advancement
</li>
</ul>Join a mission-driven team that&rsquo;s committed to quality care, staff development, and operational success. 
Apply today to take the next step in your nursing leadership career!</div>

CVS Health

<div>At CVS Health, we&rsquo;re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation&rsquo;s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues &ndash; caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Position Summary
CVS Health Aetna has an opportunity for a full-time Utilization Management (UM) Nurse Consultant. 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.
Key Responsibilities of the UM Nurse Consultant (Includes but is not limited to)<ul><li>
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.</li><li>
Facilitate the delivery of appropriate benefits and/or healthcare information which determines eligibility for benefits while promoting wellness activities.</li><li>
Develops, implements and supports Health Strategies, tactics, policies and programs that ensure the delivery of benefits and to establish overall member wellness and successful and timely return to work.</li><li>
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.</li><li>
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.</li><li>
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.</li><li>
Communicates with providers and other parties to facilitate care/treatment.</li><li>
Identifies members for referral opportunities to integrate with other products, services and/or programs.</li><li>
Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization.</li></ul>
Required Qualifications<ul><li>
Registered Nurse (RN) with current unrestricted US licensure required.</li><li>
2+ years clinical practice experience as an RN required.</li><li>
2+ Years Utilization Management experience.</li><li>
Must be willing to travel to the local office as needed if living within approximately 45 minutes/miles.</li></ul>
Preferred Qualifications<ul><li>
Bilingual proficiency preferred.</li><li>
1+ year(s) experience utilizing multiple computer systems and applications including Microsoft Word, Excel, Outlook, and web-based applications.</li></ul>
Education<ul><li>
Associate&rsquo;s degree in Nursing.</li><li>
BSN preferred.</li></ul>
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$26.01 - $74.78
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in our comprehensive and competitive mix of pay and benefits &ndash; investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:<ul><li>
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.</li><li>
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</li><li>
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</li></ul>
For more information, visit https://jobs.cvshealth.com/us/en/benefits
We anticipate the application window for this opening will close on: 11/07/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.</div>

Utilization Management Nurse Consultant

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