Nurse Consultant Jobs
Nurse Consultant jobs are open across insurance, healthcare systems, law firms, and government agencies, at every level from staff RN to senior consultant, with specializations in utilization review, legal nurse consulting, and case management. See the openings below and apply to the ones that match your experience.
Find Nurse Consultant JobsOverview
Showing 5 of 146+ Nurse Consultant jobs
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
Utilization Management Nurse (RN) | Remote
Are you an experienced Registered Nurse looking to leverage your clinical expertise in a collaborative, fast-paced environment? Join our Utilization Management team and play a critical role in helping members receive the appropriate care and benefits they need.
What You'll Do
- Review clinical information and apply evidence-based criteria to support coverage determinations
- Collaborate with providers and interdisciplinary teams to coordinate care and optimize outcomes
- Identify opportunities to improve healthcare quality, efficiency, and member experience
- Support members by connecting them with additional programs and services when appropriate
- Serve as a clinical resource for utilization and benefit management activities
What We're Looking For
Required:
- Active, unrestricted RN license in your state of residence
- 2+ years of RN experience in adult acute care or critical care
- Associate Degree in Nursing (ADN)
Preferred:
- BSN
- Strong clinical judgment, communication, and computer skills
- Experience in Medical-Surgical or specialty nursing
- Utilization Management or Managed Care experience
- Candidates located in the Eastern or Central Time Zone
Work Environment
- Fully remote office environment
- Fast-paced, team-oriented setting with productivity and quality goals
- Schedule flexibility required, including evenings, weekends, and holidays as part of a 24/7 operation
Why Join Us?
This role offers an opportunity to apply your clinical expertise beyond bedside care while making a meaningful impact on healthcare quality, member outcomes, and effective utilization of healthcare resources.
Apply today to take the next step in your nursing career and help shape better healthcare experiences for members every day.
Work from Home Requirements:
- You must have or be able to obtain a direct/hardwired internet connection to a modem/router within 7 feet of your computer and a minimum download speed of 25 mbs download and 3 mbs upload. WiFi and satellite internet are not permitted.
- A quiet, secure and private designated home virtual work location, free from distractions, tidy and organized, compliant with CVS Health and HIPAA guidelines, and allowing for uninterrupted work during work hours.
- Work-from-Home colleagues are required to work within the state and city where they have confirmed they currently live.
- The company will provide equipment (keyboard, monitor, computer, headset, etc.). All new hires should provide their own workspace furniture (desk or standing desk, as this position would require you to be at your desk for extended periods of time).
- If hired, you will commit to obtaining required internet speeds and adhere to all Work From Home requirements.
Technical and Logistical Requirements:
- Device & System Navigation: Comfortable setting up and using multiple monitors and navigating multiple applications simultaneously to streamline tasks and improve efficiency.
- Communication Tools: Ability to communicate on digital channels such as via email, calendar invites, Teams messaging, and virtual meetings.
- Collaboration & Scheduling: Experience with Microsoft Office 365 (Teams, Outlook, Word, Excel, PowerPoint) applications or similar (Google Workspace).
- Systems Access & Security: Ability to Log in to secure systems (e.g., VPN, EHR portal), lock a computer screen when unattended, manage strong passwords, and recognize suspicious emails or links.
- Troubleshooting & Support: Ability to resolve common technical issues independently, such as: restarting an application when frozen, resolving internet connection issues, and contacting IT for unresolved technical issues.
- Future Growth: Openness to learning new skills in the future as the workplace environment evolves.
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$26.01 - $74.78This 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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
Additional details about available benefits are provided during the application process and on Benefits Moments.
We anticipate the application window for this opening will close on: 11/14/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
Utilization Management Nurse (RN) | Remote
Are you an experienced Registered Nurse looking to leverage your clinical expertise in a collaborative, fast-paced environment? Join our Utilization Management team and play a critical role in helping members receive the appropriate care and benefits they need.
What You'll Do
- Review clinical information and apply evidence-based criteria to support coverage determinations
- Collaborate with providers and interdisciplinary teams to coordinate care and optimize outcomes
- Identify opportunities to improve healthcare quality, efficiency, and member experience
- Support members by connecting them with additional programs and services when appropriate
- Serve as a clinical resource for utilization and benefit management activities
What We're Looking For
Required:
- Active, unrestricted RN license in your state of residence
- 2+ years of RN experience in adult acute care or critical care
- Associate Degree in Nursing (ADN)
Preferred:
- BSN
- Strong clinical judgment, communication, and computer skills
- Experience in Medical-Surgical or specialty nursing
- Utilization Management or Managed Care experience
- Candidates located in the Eastern or Central Time Zone
Work Environment
- Fully remote office environment
- Fast-paced, team-oriented setting with productivity and quality goals
- Schedule flexibility required, including evenings, weekends, and holidays as part of a 24/7 operation
Why Join Us?
This role offers an opportunity to apply your clinical expertise beyond bedside care while making a meaningful impact on healthcare quality, member outcomes, and effective utilization of healthcare resources.
Apply today to take the next step in your nursing career and help shape better healthcare experiences for members every day.
Work from Home Requirements:
- You must have or be able to obtain a direct/hardwired internet connection to a modem/router within 7 feet of your computer and a minimum download speed of 25 mbs download and 3 mbs upload. WiFi and satellite internet are not permitted.
- A quiet, secure and private designated home virtual work location, free from distractions, tidy and organized, compliant with CVS Health and HIPAA guidelines, and allowing for uninterrupted work during work hours.
- Work-from-Home colleagues are required to work within the state and city where they have confirmed they currently live.
- The company will provide equipment (keyboard, monitor, computer, headset, etc.). All new hires should provide their own workspace furniture (desk or standing desk, as this position would require you to be at your desk for extended periods of time).
- If hired, you will commit to obtaining required internet speeds and adhere to all Work From Home requirements.
Technical and Logistical Requirements:
- Device & System Navigation: Comfortable setting up and using multiple monitors and navigating multiple applications simultaneously to streamline tasks and improve efficiency.
- Communication Tools: Ability to communicate on digital channels such as via email, calendar invites, Teams messaging, and virtual meetings.
- Collaboration & Scheduling: Experience with Microsoft Office 365 (Teams, Outlook, Word, Excel, PowerPoint) applications or similar (Google Workspace).
- Systems Access & Security: Ability to Log in to secure systems (e.g., VPN, EHR portal), lock a computer screen when unattended, manage strong passwords, and recognize suspicious emails or links.
- Troubleshooting & Support: Ability to resolve common technical issues independently, such as: restarting an application when frozen, resolving internet connection issues, and contacting IT for unresolved technical issues.
- Future Growth: Openness to learning new skills in the future as the workplace environment evolves.
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$26.01 - $74.78This 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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
Additional details about available benefits are provided during the application process and on Benefits Moments.
We anticipate the application window for this opening will close on: 11/14/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
See All 146+ Nurse Consultant Jobs
Find roles that match your experience and apply in just a few clicks.
Find Nurse Consultant JobsNurse Consultant Job Market
Who's Hiring
- Pacific Health11
- VTP Holdings9
- OPCO Skilled Management5
- Infinity Healthcare Consulting5
- Legacy Healthcare3
Top Industries Hiring
- Healthcare & Medical Services
- Law & Legal Services
- Government & Public Sector
What Employers Look For
The qualifications that appear most often in nurse consultant jobs.
- Active registered nurse license with unrestricted multi-state or relevant state authorization
- Minimum of three to five years of direct clinical nursing experience
- Knowledge of ICD-10 coding, CPT codes, and medical billing practices
- Experience with utilization review, case management, or managed care guidelines
- Strong written communication skills for clinical documentation and reporting
- Certification such as CCM, LNCC, or CPHQ preferred or required
Tips for Your Nurse Consultant Job Search
Tailor your resume to each specialty
Utilization review roles want ICD-10 fluency and denial management experience front and center, while legal nurse consulting openings respond better to documentation analysis and expert witness work. Restructure your bullet points to match the specific specialty before you apply.
List your certifications above your skills
Certifications like LNCC, CCM, and CPHQ carry significant weight in nurse consultant screening. Put them in a dedicated section near the top of your resume so automated screening tools and hiring managers spot them immediately.
Apply early to roles that fit
Migrate Mate lists nurse consultant openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Target postings by clinical background
Many nurse consultant openings specify a preferred clinical background, such as oncology, orthopedics, or behavioral health. Search by those clinical terms alongside the job title so you surface roles where your bedside experience is a direct qualification, not just a nice-to-have.
Prepare case-based interview examples
Nurse consultant interviews consistently include scenario questions about handling claim disputes, provider disagreements, or complex patient cases. Prepare two or three structured examples that show your clinical reasoning, documentation approach, and outcome before you walk in.
Negotiate scope before discussing pay
Nurse consultant roles vary widely in whether you manage a caseload independently or support a team. Clarify client volume, travel expectations, and decision-making authority before you get to compensation, since those factors directly affect the value of any offer.
Nurse Consultant Jobs: Frequently Asked Questions
Which companies are hiring the most nurse consultants?
Pacific Health, VTP Holdings, and OPCO Skilled Management are hiring the most nurse consultants right now, with openings concentrated in California, Florida, and North Carolina, based on current listings on Migrate Mate as of November 2026. Insurance carriers and third-party administrators account for a large share of active postings.
How many nurse consultant jobs are remote?
About 64% of nurse consultant openings are fully remote or hybrid as of November 2026, reflecting strong demand for independent review and case management work that does not require an on-site presence. Utilization review and legal nurse consulting roles are the sub-areas most likely to be fully remote.
How do you become a nurse consultant?
Start by earning your registered nurse license and building several years of direct clinical experience in a specialty that aligns with your target consulting area, such as case management, oncology, or surgery. From there, pursue a relevant certification like the CCM or LNCC, develop your documentation and analytical writing skills, and begin applying to roles in insurance, managed care, or legal services where those credentials are valued.
Can you get a nurse consultant job with little consulting experience?
Yes, strong clinical depth can offset limited consulting experience, especially for entry-level utilization review or case management roles. Emphasize your chart documentation quality, your familiarity with payer guidelines or discharge planning, and any committee or quality improvement work you have done. Framing your clinical decision-making in terms of cost, outcomes, and documentation makes your background directly relevant to what consulting employers are hiring for.
What does the nurse consultant interview process look like?
Most nurse consultant interviews include an initial phone or video screen with a recruiter, followed by a panel or one-on-one interview with a clinical manager or medical director. You should expect scenario-based questions about handling denials, complex cases, or provider disputes. Some employers in utilization review or legal consulting add a written exercise or chart review to assess your documentation and analytical reasoning before making an offer.
Where can I find and apply to nurse consultant jobs?
You can find and apply to nurse consultant jobs on Migrate Mate, which lists current openings from across the United States. Search for roles that match your specialty and experience level, then apply directly to each listing that fits.
See All 146+ Nurse Consultant Jobs
Find roles that match your experience and apply in just a few clicks.
Find Nurse Consultant Jobs