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Insurance Nurse Consultant Jobs (NOW HIRING)

North Carolina

Nurse Consultant

Rocky Mount, NC · On-site

$45/hr

Nurse Consultant I (S) To provide a solid Human Resource management foundation, responsible ... insurance coverage under the High Deductible Health Plan (HDHP). For more information on Health ...

Pace

Registered Nurse Consultant

Los Angeles, CA · On-site

PACE ECE is seeking qualified consultants to provide School Nurse Services for the Early Head Start ... Consultant's business insurance must be willing to include PACE as additional coverage

State of North Carolina

NC · On-site

$45/hr

... Nurse Consultant I (S) Position Number Grade MH16 About Us To provide a solid Human Resource ... insurance coverage under the High Deductible Health Plan (HDHP). For more information on Health ...

National Care Advisors LLC

Nurse Consultant

Powell, OH · On-site

$80K - $100K/yr

POSITION OVERVIEW NCA is in search of an experienced Field Nurse Case Manager based near the ... Experience with third-party benefits - health insurance, Medicaid, Social Security, Developmental ...

Vista Prairie

RN Consultant - Traveling

Champlin, MN · On-site

$100K - $125K/yr

RN Consultant - Traveling $5,000 SIGN ON BONUS! Start a meaningful career as a RN Consultant ... Health, Dental, & Vision Insurance * Flexible Spending Account * Life Insurance * Short Term ...

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Insurance Nurse Consultant information

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$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.

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

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What states have the most Insurance Nurse Consultant jobs?

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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.

Nurse Consultant

North Carolina

Rocky Mount, NC • On-site

$45/hr

Other

Medical, Retirement

Re-posted 15 days ago

Job description

Nurse Consultant I (S)

To provide a solid Human Resource management foundation, responsible oversight, and creative solutions through a collaborative approach with all stakeholders to maximize the potential of our greatest asset – OUR EMPLOYEES.

This is a temporary position and there are no leave or retirement benefits offered with this position. Temporary employees who work an annual average of 30 or more hours per week may be eligible for health insurance coverage under the High Deductible Health Plan (HDHP). For more information on Health Benefits offered visit www.shpnc.org.

Visit www.nctemporarysolutions.com for employment information.

Note: Permanent and time-limited NC State Government employees must separate from their permanent or time-limited position in order to work in a temporary position. All temporary employees are limited to one NC State Government temporary assignment at a time.

Individuals hired into a temporary State job must be fully qualified for the job. OSHR supports the Governor's Job Ready initiative and seeks to expand a temporary skill set to enhance their qualifications for State government and private sector jobs. Exposure to an agency's culture, process, procedures, and potential learning opportunities can provide valuable experience to those who may seek permanent employment with the state. This temporary position is located in Rocky Mount - Nash County.

Job Order Hourly Rate of Pay: $45.00 (Based on education and/or years of relevant work experience reflected on the application).

Basic knowledge of nursing principles and techniques for medical, surgical and mental health practices. Working knowledge of principles and practices of state and federal laws standards, certifying and accrediting bodies, guidelines, and regulations applicable to area of assignment. Working knowledge of adult learning principles and teaching techniques. Working knowledge of performance improvement principles. Ability to gather, compile, and perform preliminary analysis on data. Ability to provide patient and family education on disease processes, treatment and self-care and ability to provide feedback and guidance/counsel to nursing staff on care rendered to patients. Ability to effectively teach nursing staff and other employees as appropriate through orientation and on-the-job training. Ability to work in partnership with facilities/supervisory and management staff and outside organizations in planning, scheduling and providing service. Ability to effectively communicate information to patients, families and staff in a concise and descriptive manner verbally and in written form. Ability to engage in public speaking.

Effective July 1, 2025, candidates now meet the minimum qualifications of a position if they have the minimum education and experience listed from the class specification. The Knowledge, Skills, and Abilities listed within this vacancy announcement will be used only as management preferences and will be used to screen for the most qualified pool of applicants.

Licensed to practice as a Registered Nurse in the State of North Carolina and one year of experience in the area of specialization.

The State of North Carolina is an Equal Employment Opportunity Employer and dedicated to providing employees with a work environment free from all forms of unlawful employment discrimination, harassment, or retaliation. The state provides reasonable accommodation to employees and applicants with disabilities; known limitations related to pregnancy, childbirth, or related medical conditions; and for religious beliefs, observances, and practices.

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