Consultant jobs in United States
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Registered Nursing Consultant
State of Florida
Posted: 10/20/2026Senior Consultant
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Posted: 10/19/2026
Registered Nursing Consultant
State of FloridaCore Competencies
Role fitUse this summary to align your resume positioning with the role.
Demonstrates expertise in coordinating and implementing monitoring activities in compliance with Florida Medicaid policies, while effectively analyzing program performance and providing clinical consultation. Proficient in developing training programs and conducting evaluations to enhance health plan and provider compliance.
About the role
Key responsibilities & impact- Coordinate and perform routine and ad-hoc monitoring activities according to Florida Medicaid policies and procedures
- Design and develop monitoring tools and protocols
- Coordinate and implement monitoring plans for reviewing and analyzing program policies and procedures through health plan and provider monitoring
- Conduct desk and on-site monitoring reviews of health plans, providers, and other entities
- Complete reports of monitoring findings and recommend corrective actions
- Conduct follow-up activities to ensure identified non-compliance is remediated
- Maintain current knowledge of the Florida Medicaid program, federal regulations, state statutes, administrative rules, the Florida Medicaid State Plan, and waivers
- Research assigned topics and analyze health care/program information for compliance with federal and state laws
- Prepare reports and data-supported evaluations of program impact, efficiency, and effectiveness
- Synthesize monitoring results into presentations illustrating health plan/provider performance trends
- Develop grant proposals as requested
- Coordinate and conduct special studies and make recommendations concerning program design and development
- Provide independent clinical consultation and clinical judgment during monitoring activities
- Consult with supervisors and program personnel on nursing and medical matters
- Prepare correspondence for entities undergoing monitoring reviews
- Ensure reports, correspondence, presentations, and other written materials meet Agency and bureau style requirements
- Develop and deliver training and technical assistance to internal and external stakeholders
- Develop, coordinate, and implement local or statewide training
- Identify and document clinical/medical training needs of health plans and providers
- Design and evaluate training programs and materials
- Escalate monitoring concerns to the supervisor
- Present data and program information accurately
- Represent the Agency at local, state, or national meetings, conferences, workshops, and seminars
- Prepare presentation materials
Requirements
What you’ll need- Four years of professional nursing experience, two years of which must have been in a supervisory or administrative capacity
- Licensed as a Registered Nurse in accordance with Chapter 464, Florida Statutes
- Knowledge of nursing principles, practices and techniques
- Knowledge of human anatomy and physiology
- Knowledge of methods of compiling, organizing and analyzing data
- Ability to develop and implement various program monitoring methodologies and techniques
- Ability to provide in-service training on medical and health care services, patient assessments, and utilization practices
- Ability to develop program policy, procedures, manuals, administrative rules and agreements
- Ability to understand and apply applicable rules, regulations, policies and procedures
- Ability to prioritize workload
- Ability to plan, organize and coordinate work assignments
- Ability to develop various reports
- Ability to formulate and monitor nursing standards and operating policies and procedures
- Ability to establish and maintain effective working relationships with others
- Ability to communicate effectively
- Ability to travel with or without accommodations
- Successful completion of State and National criminal history background screening before employment
- Subject to reasonable suspicion drug testing
- BSN degree preferred from an accredited college or university
Benefits
Comp & perks- Health insurance (i.e., individual and family coverage) to eligible employees
- Life insurance; $25,000 policy is free plus option to purchase additional life insurance
- Dental, vision and supplemental insurance
- State of Florida retirement options, including employer contributions
- Ability to earn up to 104 hours of paid annual leave as a new employee with the State of Florida
- Ability to earn up to 104 hours of sick leave annually
- Nine paid holidays and 1 personal holiday each year
- Opportunities for career advancement
- Tuition waivers (accepted by major Florida Colleges/universities)
- Student loan forgiveness opportunities (eligibility required)
- Training opportunities
- Flexible Spending Accounts
- Shared Savings Program for select medical services
- Lower copays for prescription drugs
- Health and Wellness discounts
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