Clinical Nurse Consultant

Maximus is currently hiring for a Clinical Nurse Consultant to join our Federal Exchange Review Process (FERP) team. This is a remote opportunity. The Consultant manages the end-to-end medical review process, ensuring cases are accurately assessed, assigned to the appropriate clinical specialty reviewer, and completed within established timelines. This role collaborates with healthcare providers, prepares case summaries and medical necessity documentation, and supports quality assurance to ensu…