Nurse Consultant

Duties

Serves as the TMHS Nurse Consultant and Subject Matter Expert (SME) on Medical Management components, to include oversight of TMHS referral management, utilization management, case management, and disease management.

The enhanced Multi-Service Market (eMSM) is responsible for coordinating and integrating the work of a variety of personnel in support of safe and appropriate healthcare for all beneficiaries within the boundaries of the Tidewater Market.

Provides professional and technical expertise to integrate facets of care for eligible beneficiaries to provide evidence based, patient centered care to provide the best clinical and business outcomes.

Develops overall eMSM policy, programs, and guidelines for Medical Management using knowledge and application of basic nursing and business protocols, in accordance with

Department of Defense / Veterans Affairs (DoDNA) guidelines, legal and regulatory requirements and restrictions, professional nursing concepts and practices, DoD/Army/Navy/US Air Force clinical and business practices and Service unique requirements.