Senior Nurse - Clinical Review - Remote

Overview

The Senior Nurse - Clinical Review position at HealthHelp focuses on conducting training and creating educational materials for staff members in the healthcare utilization review process, ensuring adherence to clinical guidelines and improving staff performance.

In Short

• Conducts training for staff on Utilization Review processes and clinical guidelines.
• Creates educational materials by collaborating with various departments.
• Partners with Workforce Planning to develop effective training schedules.
• Identifies improvement opportunities within staff training.
• Conducts focused training on HealthHelp policies and clinical processes.
• Reviews quality audit findings and provides coaching to staff.
• Assesses effectiveness of educational content and delivery methods.
• Advises leadership on individual performance improvement opportunities.
• Ensures compliance with regulatory requirements and HealthHelp policies.
• Provides high-level support to internal and external clients.

Requirements

• Graduate of an accredited nursing school.
• Current, active RN, LVN, or LPN license in the U.S.
• 2 years of clinical care or managed care experience.
• 1 year of training experience, either virtual or face-to-face.
• Preferred experience in Utilization Management or Clinical Care Coordination.
• Excellent communication and presentation skills.
• Strong problem-solving and customer service skills.
• Ability to manage multiple projects and deadlines.
• Proficient in Microsoft Office Suite.
• Experience with webinars and conference calls.

Benefits

• Equal opportunity employer.
• Supportive work environment.
• Opportunities for personal growth and career advancement.