Consultant

• Provide provider relations and network management consulting support to complex, high-profile provider organizations
• Serve as a technical resource and mentor to other consultants
• Support the ACCESS for Adults program
• Lead behavioral health provider engagement, community partnership development, resource coordination, and referral network collaboration throughout Connecticut
• Develop network recruitment and retention strategies to maintain high-quality contracted providers
• Identify, research, and analyze professional provider practice patterns and develop improvement recommendations
• Conduct provider outreach and engagement
• Develop community partnerships
• Deliver educational presentations
• Promote available resources
• Coordinate referral networks
• Conduct community outreach and network development activities throughout Connecticut, including rural communities
• Collaborate with behavioral health providers, primary care practices, community organizations, and other stakeholders to strengthen referral networks, increase program awareness, and improve access to behavioral health services

Network Management Consultant

• Develop and maintain comprehensive staffing models supporting Operations Service/Call Centers
• Determine resource requirements for long-term workload planning
• Identify and detail hiring, schedule, development time, and skilling recommendations
• Conduct variance and scenario analysis
• Act as liaison between Operations, Training, HR, Finance, and Expense business partners regarding staffing and capacity planning
• Establish staff plans and capacity requirements based on data and analytics
• Maintain knowledge of staffing model inputs and methodology
• Collaborate with Operations partners to develop work process time standards
• Conduct planning meetings to communicate capacity needs, risks, opportunities, and results
• Analyze variances, identify business drivers, research and forecast demand drivers, and report findings
• Review forecasts for accuracy and make proactive changes to minimize variances
• Influence and negotiate with business partners and colleagues
• Identify trends, quantify impacts, and communicate business results related to staffing implications
• Respond to what-if scenarios, cost-benefit requests, and staffing-related projects
• Assess the interrelationship between model variables and service-level commitments
• Develop benchmarking metrics to assess efficiency and productivity of staffing levels
• Translate business processes into working staff models
• Participate in model optimization to improve efficiency and resource utilization
• Submit staffing projections for current and outer years for financial outlook and operating plan processes
• Communicate change drivers and obtain leadership approval

Capacity Planning Consultant

• Review and resolve clinical appeals
• Review documentation and interpret data from clinical records
• Apply appropriate clinical criteria and policies in line with regulatory and accreditation requirements
• Address member and provider issues
• Independently coordinate clinical resolution with internal and external clinician support as required
• Support UM, including expedited appeals, MPO, Coding, or Behavioral Health appeals
• Work standard Monday–Friday hours, 8:00 AM to 5:00 PM local time

Appeals Nurse Consultant

• Review and assess clinical information to support coverage determinations and care recommendations
• Apply clinical guidelines, policies, and professional judgment to utilization management decisions
• Collaborate with providers and interdisciplinary teams to coordinate care and treatment plans
• Identify opportunities for care management referrals and enhanced member support services
• Promote quality outcomes, effective healthcare utilization, and member-centered care
• Serve as a clinical resource for internal and external stakeholders
• Work a 24/7 operation schedule including evenings, weekends, and holidays
• Work from a designated home workspace and comply with work-from-home, security, and HIPAA requirements
• Set up and use multiple monitors and applications
• Communicate via email, calendar invites, Teams, and virtual meetings
• Troubleshoot common technical issues and contact IT for unresolved issues

Utilization Management Nurse Consultant

• Assess claimants' education, training, and work experiences
• Identify vocational assets, alternate occupations, and worksite or duty modifications to prevent or minimize disability claims
• Develop and implement comprehensive reemployment and vocational rehabilitation plans
• Collaborate with employers to retain or return employees to work
• Initiate claim prevention, intervention, and return-to-work programs for employers
• Develop, document, and implement cost-effective return-to-work or retraining plans addressing medical, vocational, and psychosocial components
• Communicate with claimants, employers, medical treatment providers, outside rehabilitation counselors, and other carriers
• Motivate claimants and employers to participate in light-duty or rehabilitation programs
• Manage a nationwide network of vocational rehabilitation providers
• Ensure cost containment and effective utilization of vendors and accommodation expenses
• Perform vocational assessments and maintain communication with case managers, providers, clinicians, and employers
• Evaluate restrictions, limitations, functional abilities, and vocational data to assess alternative work options and employability
• Support an ergonomic stay-at-work program
• Conduct vocational rehabilitation case advisement for LTD and applicable STD claims
• Partner with STD and LTD claim managers and clinicians on return-to-work opportunities
• Serve as a subject matter expert to claim staff on ADAAA accommodations
• Perform other related duties as required

Voc Rehab Consultant

• Review and resolve clinical appeals
• Review documentation and interpret data from clinical records
• Apply appropriate clinical criteria and policies in line with regulatory and accreditation requirements
• Independently coordinate clinical resolution with internal and external clinician support
• Support UM, MPO, Coding, or Behavioral Health appeals
• Work Monday–Friday, 8:00 AM to 5:00 PM local time
• Provide occasional weekend and holiday on-call coverage as required

• Review and resolve clinical appeals
• Review documentation and interpret data from clinical records
• Apply appropriate clinical criteria and policies in line with regulatory and accreditation requirements
• Address member and provider issues
• Coordinate clinical resolution independently with internal and external clinician support as required
• Support UM, including expedited appeals, MPO, Coding, or Behavioral Health appeals
• Work full-time in a telework arrangement

• Support the development, implementation, and improvement of EHS management systems
• Conduct EHS compliance audits and manage corrective actions
• Perform risk assessments, incident investigations, and root cause analyses
• Provide onsite EHS compliance support at client facilities
• Develop and implement environmental programs covering air, waste, stormwater, wastewater, and spill prevention
• Lead or support industrial hygiene and exposure assessments
• Translate regulatory requirements into practical, scalable solutions
• Manage multiple projects to meet scope, schedule, budget, and quality expectations
• Collaborate with ERM’s global technical network to solve complex challenges
• Build and maintain strong client relationships supporting repeat business
• Contribute to the growth of ERM’s EHS and Sustainable Operations practice
• Develop innovative solutions for complex EHS challenges and regulatory issues
• Design and direct corporate H&S strategies across diverse industries
• Develop and deliver training
• Participate in EHS audits
• Build and nurture client relationships to drive repeat business and expand ERM’s market presence

Consultant, Environmental Health & Safety – EHS

• Support the development, implementation, and improvement of EHS management systems
• Conduct EHS compliance audits and manage corrective actions
• Perform risk assessments, incident investigations, and root cause analyses
• Provide onsite EHS compliance support at client facilities
• Develop and implement environmental programs covering air, waste, stormwater, wastewater, and spill prevention
• Lead or support industrial hygiene and exposure assessments
• Translate regulatory requirements into practical, scalable solutions
• Manage multiple projects to meet scope, schedule, budget, and quality expectations
• Collaborate with ERM’s global technical network to solve complex challenges
• Build and maintain strong client relationships that support repeat business
• Contribute to the growth of ERM’s EHS and Sustainable Operations practice
• Develop innovative solutions for complex EHS challenges and regulatory issues
• Design and direct corporate H&S strategies across diverse industries
• Develop and deliver training
• Participate in EHS audits
• Build and nurture client relationships to drive repeat business and expand ERM’s market presence

Consultant jobs in Connecticut

Network Management Consultant

Capacity Planning Consultant

Appeals Nurse Consultant

Utilization Management Nurse Consultant

Voc Rehab Consultant

Appeals Nurse Consultant

Appeals Nurse Consultant

Consultant, Environmental Health & Safety – EHS

Consultant, Environmental Health & Safety, EHS