Clinical Consultant, Accident & Health
Skyward Specialty Insurance · United States · US
Utilization Review
Remote
Nurse
Demand75
Career growth70
Healthcare fit85
Remote potential65
Salary band
USD 80k – 130k
5-year outlook
The posted base range is $80,000-$130,000 with possible performance incentives. Experienced RNs can progress into senior clinical consultant, risk management, or underwriting leadership roles, though growth may depend on insurance industry exposure.
Clinical license
Required
Applicant reach
moderate
Seniority
mid
Employment type
full-time
Date found
2026-10-03
Intelligence details
Flexible work details
- Engagement type
- Permanent
- Hours
- Full-time
- Eligible countries
- United States
- License jurisdiction
- US
- Profession fit
- Nurse
- Rate period
- Annual
Listing via Himalayas.
Eligibility, licensing, and location restrictions can change. Always confirm details on the source posting before applying.
Why this is worth applying to
A strong option for nurses with case management experience who want to move into insurance-based utilization review and risk management. The RN license and 5+ years clinical/case management requirement make it less accessible for early-career clinicians.
Who should apply
RNs with 5+ years of clinical and case management experience, especially those with CCM certification, utilization review exposure, or interest in stop loss/reinsurance and accident & health claims.
CV angle
Frame clinical case management, medical necessity reviews, complex/catastrophic care coordination, quality improvement, and cost mitigation experience. Highlight communication with multidisciplinary stakeholders, data analysis, Excel/spreadsheet skills, and any insurance, TPA, or utilization review exposure.
Skills to highlight
- Clinical case management
- Medical necessity determination
- Risk assessment
- Claims review and audit
- Cost mitigation strategy
- Stakeholder communication
- Data analysis and reporting
- Quality improvement
Role summary
A clinical consultant supporting accident and health insurance underwriting and claims by reviewing clinical data, assessing risk, performing medical necessity reviews, and developing cost mitigation strategies with clients, TPAs, and internal teams.
We publish our own intelligence summary, never the full job description. Always confirm details with the employer when you apply.