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Insurance Nurse Consultant Jobs (NOW HIRING)

Redwood Coast Regional

Nurse Consultant

Eureka, CA · On-site

$81K - $115K/yr

The Nurse Consultant position contains clinical, wellness, advocacy and administrative ... to insure that special health care needs are being met and to identify any health and safety ...

Azria Health

Regional Nurse Consultant

Omaha, NE · On-site

Regional Nurse Consultant Azria Health is building on the traditions of the past with a focus on ... Our team enjoys benefits such as Health Insurance, Paid Time Off, Holiday Pay, 401K. We strive to ...

Polaris Pharmacy Services

Nurse Consultant

Covina, CA · On-site

$40 - $42/hr

Nurse Consultant Polaris Pharmacy Services of Los Angeles - Covina, CA 91722 Overview Salary Range ... Company Paid Life insurance * Short-term and Long-term disability insurance * Tuition reimbursement

Redwood Coast Regional

Nurse Consultant

Eureka, CA · On-site

$81K - $115K/yr

The Nurse Consultant position contains clinical, wellness, advocacy and administrative ... to insure that special health care needs are being met and to identify any health and safety ...

LTC PHARMA HLDG LLC

Nurse Consultant

Covina, CA · On-site

The Nurse Consultant position is an external position for Polaris Pharmacy Services with the ... Company Paid Life insurance * Short-term and Long-term disability insurance * Tuition reimbursement

BrightSpring

Nurse Consultant

Tazewell, VA

$35/hr

Our Company PharMerica Overview PharMerica is hiring a Nurse Consultant in Tazewell, VA! Join our ... Medical, Dental, Vision insurance Health Savings & Flexible Spending Accounts (up to $5,000 for ...

LTC PHARMA HLDG LLC

Nurse Consultant

Covina, CA · On-site

$40 - $42/hr

The Nurse Consultant position is an external position for Polaris Pharmacy Services with the ... Company Paid Life insurance * Short-term and Long-term disability insurance * Tuition reimbursement

Polaris Pharmacy Services

Nurse Consultant

Covina, CA · On-site

$40 - $42/hr

The Nurse Consultant position is an external position for Polaris Pharmacy Services with the ... Company Paid Life insurance * Short-term and Long-term disability insurance * Tuition reimbursement

PharMerica

Nurse Consultant

Tazewell, VA · On-site

$32/hr

Our Company PharMerica Overview PharMerica is hiring a Nurse Consultant in Tazewell, VA! Join our ... Medical, Dental, Vision insurance Health Savings & Flexible Spending Accounts (up to $5,000 for ...

BrightSpring Health Services

Nurse Consultant

Tazewell, VA · On-site

$32 - $35/hr

PharMerica PharMerica is hiring a Nurse Consultant in Tazewell, VA! Join our closed-door pharmacy ... Medical, Dental, Vision insurance Health Savings & Flexible Spending Accounts (up to $5,000 for ...

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Showing results 21-40

All JobsFinance and Insurance JobsInsurance JobsInsurance Nurse Consultant Jobs

Insurance Nurse Consultant information

See salary details

$49.5K

$91.8K

$145.5K

How much do insurance nurse consultant jobs pay per year?

As of Aug 20, 2026, the average yearly pay for insurance nurse consultant in the United States is $91,766.00, according to ZipRecruiter salary data. Most workers in this role earn between $70,000.00 and $103,000.00 per year, depending on experience, location, and employer.

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.

More about Insurance Nurse Consultant jobs

What cities are hiring for Insurance Nurse Consultant jobs?

Cities with the most Insurance Nurse Consultant job openings:

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

The most popular types of Insurance Nurse Consultant jobs are:

What states have the most Insurance Nurse Consultant jobs?

States with the most job openings for Insurance Nurse Consultant jobs include:

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

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Insurance Nurse Consultant jobs near you
Infographic showing various Insurance Nurse Consultant job openings in the United States as of August 2026, with employment types broken down into 67% Full Time, and 33% Part Time. Highlights an 100% In-person job distribution, with an average salary of $91,766 per year, or $44.1 per hour.

Regional Nurse Consultant (SNF)

North Oaks Senior Living Community

Pikesville, MD • On-site

$120K - $160K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 10 days ago

Job description

) Job description:
Regional Nurse Consultant - Skilled Nursing Facilities
We are seeking a dedicated and experienced Regional Nurse Consultant to support and oversee clinical operations across multiple skilled nursing facilities. This position plays a key role in ensuring high-quality resident care, regulatory compliance, and staff development.
Responsibilities:
  • Provide clinical oversight and guidance to facility nursing teams.
  • Support compliance with state, federal, and company regulations.
  • Monitor quality assurance and performance improvement initiatives.
  • Assist with staff training, education, and mentorship.
  • Collaborate with administrators and directors of nursing to improve outcomes.
  • Conduct audits, assessments, and provide actionable recommendations.

Qualifications:
  • Current RN license (active and in good standing).
  • Must have prior skilled nursing/long-term care experience.
  • Minimum 3-5 years of nursing leadership experience.
  • Strong knowledge of regulatory guidelines and survey processes.
  • Excellent communication, organizational, and leadership skills.
  • Ability to travel regularly between facilities.

We Offer:
  • Competitive compensation package.
  • Opportunities for professional growth and advancement.
  • Supportive team environment.

If you are a passionate nurse leader who thrives on supporting teams and improving resident care outcomes, we'd love to hear from you.
Job Type: Full-time
Benefits:
  • 401(k)
  • Dental insurance
  • Health insurance
  • Paid time off
  • Vision insurance

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