Nurse Consultant II

Government Employees Health Association, Inc. (G.E.H.A) seeks a Nurse Consultant II to provide professional nursing care, supporting members through assessment, planning, evaluation, and evidence-based practice to advance a positive member experience. The role applies professional nursing, epidemiological, and analytical skills to understand, react to, and plan for current and emerging healthcare needs.

Requirements

• Evaluates member health metrics and professional resources to inform, develop, select, implement, and sustain targeted UM/CM initiatives and programs.
• Evaluates member level information regarding prospective Care Management or Utilization Management to determine whether intervention is necessary to meet the member’s needs.
• Refers member and providers to G.E.H.A resources and programs, as indicated.
• Leverages a spectrum of hard and soft skills to collaborate with others across the service continuum to address member and provider daily and escalated needs.
• Maintains a clear understanding of Plan Benefits.
• Monitors and evaluates program effectiveness, tracks relevant metrics, and reports outcomes.

Benefits

• Competitive pay/salary ranges
• Incentive plan
• Health/Vision/Dental benefits effective day one
• 401(k) retirement plan
• Robust employee well-being program
• Paid Time Off
• Personal Community Enrichment Time
• Company-provided Basic Life and AD&D
• Company-provided Short-Term & Long-Term Disability
• Tuition Assistance Program