Full-Time Sr Nurse - Clinical Review

• Conducts training for staff members pertaining to Utilization Review process, clinical rules/guidelines, client/module/modality-specific workflows, and software enhancements.
• Creates educational material for review tiers by collaborating with key resources across departments to ensure clinical scenarios are properly incorporated into the educational content.
• Partners with Workforce Planning to develop training schedules conducive to achieving desired program specific outcomes.
• Proactively identifies targeted improvement opportunities.
• Partners with Human Resources and Clinical Operation leaders to highlight possible concerns amongst staff.
• Conducts focused training to ensure that all staff are properly educated on HealthHelp policies and clinical processes.
• Reviews monthly quality audit findings and conducts one-on-one coaching with staff.
• Leverages tools and methodologies to assess the effectiveness of educational content and delivery.
• Advises Leadership Teams/Medical Director of opportunities for individual performance improvement.
• Graduate of an accredited school of nursing, required.
• Current, active, and unrestricted RN, LVN, or LPN license in a state or territory of the U.S., required.
• 2 years of prior experience in direct clinical care or managed care setting, required.
• 1 year of direct virtual and/or face-to-face training experience, required.
• 1 year of Utilization Management, Case Management, or Clinical Care Coordination, preferred.
• Remote education/training experience, preferred.
• Excellent listening, oral, and written communication/presentation skills.
• Strong problem solving, interpersonal, and customer service skills in both face-to-face and remote settings.
• Proficient with Microsoft Office Suite and Windows products.

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