Analyze and apply state policy in a variety of situations, including client meetings and suspended claims reviews
Serve as a subject matter expert on State policy and provide consultation and guidance to clients
Respond to client referrals in a timely manner
Recommend process improvements and approved modifications to support operational effectiveness and industry competitiveness
Identify potential opportunities for additional products or services and collaborate with the business development team as needed

Active Registered Nurse (RN) license in the State of California
Must reside within 35 miles of the state capital
Minimum of two (2) years of professional nursing experience
A Master's Degree in Nursing may substitute for one (1) year of the required experience
Wound and Ostomy training and/or certification preferred
Strong knowledge of nursing principles and practices, hospital operations, medical supplies, and their clinical applications
Proficiency with Microsoft Office applications, including Word, Excel, Outlook, and PowerPoint
Utilization Review experience is a plus
Experience applying clinical knowledge, nursing judgment, and policy guidelines to medical claims review
Ability to participate in client meetings and serve as a trusted policy consultant
Strong communication, collaboration, and stakeholder engagement skills
Ability to develop and support business and consulting services initiatives

generous, flexible vacation policy
401(k) employer match
comprehensive health benefits
educational assistance
variety of leadership and technical development academies to help build your skills and capabilities

Nurse Consultant

Key skills