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Insurance Nurse Consultant Jobs in Indiana (NOW HIRING)

Elevance Health

Med Mgmt Nurse

Indianapolis, IN · On-site

$44.56 - $85.11/hr

Provide nursing consultation to the Medical Director and/or providers on select complex or ... insurance, short‑term disability, long‑term disability, and 401(k). Equal Employment ...

Gentiva

Hospice Care Consultant

Mishawaka, IN · On-site

Identify new referral opportunities by calling on hospitals, home health agencies, skilled nursing ... Medical, Dental, Vision Insurance * Mileage Reimbursement or Fleet Vehicle Program * Generous Paid ...

New

Gentiva

Hospice Care Consultant

Evansville, IN · On-site

Identify new referral opportunities by calling on hospitals, home health agencies, skilled nursing ... Medical, Dental, Vision Insurance * Mileage Reimbursement or Fleet Vehicle Program * Generous Paid ...

SouthernCare

Hospice Care Consultant

Merrillville, IN · On-site

Identify new referral opportunities by calling on hospitals, home health agencies, skilled nursing ... Medical, Dental, Vision Insurance * Mileage Reimbursement or Fleet Vehicle Program * Generous Paid ...

Gentiva

Hospice Care Consultant

Evansville, IN · On-site

Identify new referral opportunities by calling on hospitals, home health agencies, skilled nursing ... Medical, Dental, Vision Insurance * Mileage Reimbursement or Fleet Vehicle Program * Generous Paid ...

Gentiva

Hospice Care Consultant

Mishawaka, IN · On-site

Identify new referral opportunities by calling on hospitals, home health agencies, skilled nursing ... Medical, Dental, Vision Insurance * Mileage Reimbursement or Fleet Vehicle Program * Generous Paid ...

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All JobsInsurance Nurse Consultant JobsInsurance Nurse Consultant Jobs in Indiana

Insurance Nurse Consultant information

What does an insurance nurse consultant do?

An Insurance Nurse Consultant is a registered nurse who evaluates medical records, insurance claims, and healthcare policies to ensure compliance and accuracy. They work for insurance companies, government agencies, or healthcare organizations, helping to assess risks, determine coverage, and provide expert opinions on medical necessity. Their role involves reviewing patient cases, collaborating with medical professionals, and sometimes assisting with case management or fraud investigations. This position blends clinical expertise with administrative and analytical skills to support fair and accurate insurance decisions.

What are the key skills and qualifications needed to thrive as an insurance nurse consultant?

To thrive as an Insurance Nurse Consultant, you need a registered nursing license, strong clinical experience, and a solid understanding of medical terminology and case review processes. Familiarity with insurance claims systems, medical coding, and utilization review software is commonly required, and certification in case management (such as CCM or ACM) can be advantageous. Effective communication, critical thinking, and attention to detail are vital soft skills for evaluating medical records and collaborating with diverse teams. These competencies ensure accurate case assessments, compliance with guidelines, and smooth coordination between healthcare providers and insurance stakeholders.

What are the primary responsibilities of an insurance nurse consultant on a typical day?

As an Insurance Nurse Consultant, your primary responsibilities usually include reviewing medical records, analyzing insurance claims, and providing expert clinical opinions to support coverage decisions. You may communicate regularly with healthcare providers, claimants, and insurance adjusters to clarify details or gather additional documentation. A typical day often involves evaluating the medical necessity of procedures, identifying discrepancies or fraud in claims, and preparing detailed reports. This role is collaborative and may require meetings with team members from claims, legal, or medical departments to ensure accurate and fair outcomes. It offers a dynamic blend of independent analysis and frequent interdisciplinary interaction.

What are the most commonly searched types of Insurance Nurse Consultant jobs in Indiana?

The most popular types of Insurance Nurse Consultant jobs in Indiana are:

What are popular job titles related to Insurance Nurse Consultant jobs in Indiana?

For Insurance Nurse Consultant jobs in Indiana, the most frequently searched job titles are:

What job categories do people searching Insurance Nurse Consultant jobs in Indiana look for?

The top searched job categories for Insurance Nurse Consultant jobs in Indiana are:

Insurance Nurse Consultant jobs near you
Infographic showing various Insurance Nurse Consultant job openings in Indiana as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 18% Part Time, and 5% Contract. Highlights an 84% Physical, 2% Hybrid, and 14% Remote job distribution.

Regional Nurse Consultant

Casa Consulting, LLC.

Fort Wayne, IN • On-site

$80 - $110/hr

Other

Medical, Dental, Vision, Life, PTO

Posted 22 days ago

Job description

Position: Regional Nurse Consultant Position Summary

The Regional Nurse Consultant provides clinical leadership, guidance, and support to assigned skilled nursing and long-term care facilities within the region. This role is responsible for monitoring and ensuring compliance with federal, state, and local regulations as well as company policies and procedures. The Regional Nurse Consultant partners with facility nursing teams to enhance clinical operations, improve quality outcomes, and support professional development.

Key Responsibilities
  • Conduct regular on-site visits to evaluate and support clinical practices, compliance, and performance improvement.
  • Collaborate with Directors of Nursing (DONs) and interdisciplinary teams to ensure high standards of resident care.
  • Monitor facility adherence to clinical policies and regulatory requirements.
  • Provide training, coaching, and mentorship to facility nursing leaders and staff.
  • Support facilities during surveys and audits, and assist with developing and implementing plans of correction.
  • Analyze quality metrics and clinical data to identify trends, opportunities for improvement, and ensure accountability.
  • Assist with onboarding and training of new Directors of Nursing and clinical leaders.
  • Serve as a clinical resource for best practices, infection prevention, wound care, documentation, and risk management.
  • Participate in the development and implementation of company-wide clinical programs and initiatives.
Qualifications
  • Current, active Registered Nurse (RN) license in good standing.
  • Minimum of 3 years’ experience as a Director of Nursing or clinical leader in a long-term care/skilled nursing facility.
  • Prior multi-site or regional experience strongly preferred.
  • In-depth knowledge of CMS regulations, survey process, and state-specific long-term care requirements.
  • Excellent communication, coaching, and leadership skills.
  • Ability to travel extensively within assigned region.
  • Strong analytical skills and attention to detail.
  • Ability to manage multiple priorities and support facilities in fast-paced environments.
Education
  • Associate's or bachelor's degree in nursing required. BSN preferred.
Benefits
  • Competitive salary based on experience
  • Medical, dental, vision, and life insurance
  • Daily pay option
  • Long-term and short-term disability
  • Mileage reimbursement
  • Paid time off and holiday pay
  • Professional development opportunities
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