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US

  • Conducts training for staff members related to Utilization Review process, clinical guidelines, and workflows.
  • Creates educational material by collaborating with key resources to incorporate clinical scenarios.
  • Reviews monthly quality audit findings and provides one-on-one coaching to staff for performance improvement.

Clinical Education Utilization Management Microsoft Office Suite Training Delivery Critical Thinking

20 jobs similar to Sr Nurse - Clin. Education

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US

  • Provides nursing assessments within the standards outlined in the state Nurse Practice Act.
  • Provides clinical assessments and health education using telecommunications in accordance with protocols and guidelines.
  • Uses the nursing process to identify patient care needs, risk and safety issues, and appropriate health care referrals.

Carenet Health delivers patient-centric healthcare solutions. We foster a collaborative team of RNs across the country and are committed to creating an inclusive environment for all employees.

US

  • Provide education and clinical support to healthcare professionals on the PROVENGE treatment process from enrollment to infusion.
  • Collaborate with commercial teams and Key Account Managers to identify and educate accounts using data-driven reports.
  • Support patient navigation and foster relationships between apheresis sites and infusion sites to minimize treatment delays.

Dendreon is a biotechnology company focused on developing and commercializing PROVENGE, an immunotherapy for prostate cancer. It operates as a fast-paced, high-volume, adaptive commercial environment emphasizing team building and multidisciplinary problem-solving.

$170,000–$265,000/yr
US 11w maternity

  • Monitor and ensure the visibility and integrity of Headway's provider network by tracking key indicators of network health.
  • Expand and lead the clinical education function: define the vision, develop quarterly roadmaps, secure resources, and oversee end-to-end execution of all provider education initiatives.
  • Develop targeted education and remediation programs that upskill Headway's 60,000+ providers on clinical standards, documentation quality, and regulatory compliance.

Headway is building a new mental healthcare system that everyone can access by solving the biggest barrier to care: insurance. Over 75,000 providers across all 50 states run their practice on their software, serving over 1 million patients.

US

  • Responsible for conducting remote training for the CDIS team.
  • Aids in development and education of healthcare providers on documentation principles.
  • Works collaboratively with CDI Leadership to maintain system-wide orientation tools and processes.

Piedmont Healthcare is a healthcare organization focused on providing comprehensive care. They are a large employer with a culture that supports employee wellness and professional growth.

US

  • Facilitates distance education instruction in nursing, monitoring learner progress and maintaining open communication.
  • Attends faculty meetings, participates in committees, and engages in shared decision-making for curriculum development.
  • Requires an earned graduate nursing degree, active RN/APRN license, and commitment to obtain CNE certification within a year.

Nightingale Education Group focuses on higher learning in healthcare professions, using a blended-distance learning platform to transform rural health landscapes. They have nearly 5,000 nurses serving communities and emphasize professional development and work-life integration.

United States

  • Provide patient information and education to ensure safe, effective, and appropriate use of Provenge from enrollment to completed infusions.
  • Collaborate with Patient Services, Sales Teams, and Medical Affairs to support patients and healthcare professionals.
  • Document all communications and conduct activities within legal and compliance guidelines, with potential field travel.

Dendreon is a biotechnology company focused on developing immunotherapy treatments for cancer, harnessing the power of the immune system to attack cancer cells. Headquartered in Seal Beach, California, with locations in Georgia and nationwide teams, they foster a purpose-driven, value-based culture putting patients first.

United States 5w PTO 14w maternity 14w paternity

  • Provide clinical review and correspondence for utilization management, including medical necessity reviews and member communications.
  • Collaborate with Medical Directors to ensure evidence-based decisions that meet NCQA and CMS standards.
  • Maintain productivity and quality while working 100% remotely in a fast-paced environment.

Cohere Health’s clinical intelligence platform and agentic AI-powered solutions connect health plans’ strategic goals and providers’ needs, optimizing the speed, cost, and quality of care. With over 250 employees, the company fosters a supportive, growth-oriented environment and has been named to the Inc. 5000 list and a Top 5 LinkedIn Startup.

US 12w maternity

  • Supports clinical safety, accuracy, and oversight of integrated AI tools by reviewing AI-assisted outputs and surfacing risks.
  • Applies nursing judgment to review charts, calls, messages, and other member interactions to assess quality, safety, and member experience.
  • Assists with data collection and basic analysis for quality and safety work, and participates in cross-functional improvement efforts.

Included Health is a healthcare company delivering integrated virtual care and navigation. They are on a mission to raise the standard of healthcare for everyone, and offer members care guidance, advocacy, and access to personalized virtual and in-person care.

US

  • Support care navigation for oncology members by facilitating treatment, symptom tracking, and re-education.
  • Collaborate with RNs and providers to coordinate care plans, referrals, and authorizations.
  • Maintain regular contact with members via phone, text, email, and video calls for follow-up and support.

Renalogic helps clients manage the human and financial costs of chronic kidney disease. We hire people who are humble, hungry, and smart, and our 96% client retention shows we're building a company we're proud of.

US

  • Nurse conducts clinical review of cases not meeting criteria by performing clinical intake.
  • Adjudicates (closes), requests additional clinical information or escalates to Medical Directors.
  • Active PRC and USRN License required with 2 years Bedside Experience.

WNS, part of Capgemini, is an Agentic AI-powered leader in intelligent operations and transformation, serving more than 700 clients across 10 industries. With 66,000 employees, WNS combines scale, expertise and execution to create meaningful, measurable impact.

US

  • Provide high-quality nursing care and perform study procedures like vital signs, specimen collection, and ECGs in patients' homes.
  • Conduct patient assessments, monitor for adverse events, and document all activities per study protocols.
  • Maintain adherence to ICH-GCP guidelines, HIPAA regulations, and communicate effectively with patients and study teams.

WEP Clinical connects skilled nurses with flexible clinical research opportunities, bringing trials directly to patients' homes. The company operates as a contractor network with a focus on patient-centered care and medical innovation.

US

  • Deliver engaging, high-quality instruction using innovative teaching methods.
  • Maintain compliance with accreditation standards.
  • Facilitate meaningful classroom discussions and assess student learning.

Grand Canyon University (GCU) is a Christian higher education institution that integrates faith, learning, and work, connecting the GCU community with Christian principles and values. GCU values diversity and invites applications from all qualified individuals.

US

  • Lead 10+ virtual orientation sessions per week, creating engaging onboarding experiences that prepare caregivers for success.
  • Assess caregiver competencies through real-time discussions and scenario-based evaluations to ensure hiring standards are met.
  • Collaborate cross-functionally with Recruiting, Operations, and Compliance teams to maintain accurate candidate records and smooth onboarding.

Honor Technology is a leader in aging care innovation, providing technology and services that empower older adults to live independently. The company's portfolio includes Home Instead, with a global franchise network of over 100,000 Care Pros delivering 50 million hours of personalized care annually.

$76,680–$115,000/yr
US

  • Analyze "trigger reports" to identify potential financial exposure early in the claims process.
  • Gather clinical information to evaluate liability and make recommendations to stakeholders.
  • Provide cost containment by managing Stop Loss claims and negotiating prices for medical services.

Ullico is the only labor-owned insurance and investment company and has been a partner of the labor movement for over 95 years. The company provides insurance products for members, leaders, and employers, as well as investments.

US

  • Perform concurrent and retrospective reviews on all facility and appropriate home health services.
  • Monitor level and quality of care and proactively manage acutely and chronically ill patients.
  • Act as liaison to Plan Medical Director and coordinate interdisciplinary approach.

Curana Health is a national leader in value-based care for senior living communities and skilled nursing facilities. Founded in 2021, they serve 200,000+ seniors in 1,500+ communities across 32 states with a team of over 1,000 clinicians.

US

  • Provide telephonic nursing assessment and care planning for pediatric patients using established protocols.
  • Prioritize patient interactions by acuity and collaborate with on-call providers as needed.
  • Document all encounters in the electronic medical record and communicate follow-up instructions.

Advocate Health is the third-largest nonprofit, integrated health system in the US, created from the combination of Advocate Aurora Health and Atrium Health. It employs 155,000 teammates across 69 hospitals and over 1,000 care locations, focusing on clinical innovation and equitable care.

US

  • Provide timely, efficient, and accurate triage response and documentation according to nursing standards and physician protocols.
  • Evaluate patient needs, perform triage, and coordinate with the clinical team in an ambulatory practice setting.
  • Maintain accurate documentation in medical records, schedule patient visits, and provide education on patient care and health promotion.

Piedmont Healthcare is a healthcare provider offering services across Georgia. It is a large organization with a focus on patient care and corporate operations.

US

  • Coordinate care and collaborate with multiple disciplinary team members to improve the quality of care and clinical outcomes.
  • Conduct thorough assessments to determine unmet needs and develop individualized care plans.
  • Promote quality cost-effective outcomes with the goal of improved care coordination.

Dignity Health Medical Foundation works hand-in-hand with physicians and providers throughout California to provide comprehensive health care services. They strive to create purposeful work settings where staff can provide great care, while advancing in knowledge and experience through challenging work assignments and stimulating relationships.

$26–$31/hr
US

  • Conduct outbound telephonic patient outreach and provide one-on-one coaching and support to patients managing chronic conditions.
  • Help patients execute personalized care plans and achieve their goals by providing education and coaching focused on behavior modification, nutrition, physical activity, and self-management strategies.
  • Document patient interactions, outcomes, and follow-up plans in the Cadence platform; identify barriers to care and connect patients with resources or internal support pathways.

Cadence is a clinical AI company that delivers continuous, proactive care for older adults with chronic conditions. They pair patients with a dedicated clinical team, integrate deeply into health system EMRs and workflows, and use their Clinical Intelligence platform.

US

  • Perform telephonic symptom assessment and triage using evidence-based protocols to ensure appropriate care and disposition.
  • Document patient interactions accurately in the EMR and educate callers on virtual care, provider referrals, and available community resources.
  • Deliver excellent customer service while maintaining confidentiality, sound judgment, and effective communication with diverse populations.

UnityPoint Health is committed to team members and has been recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare. They champion a culture of belonging where everyone feels valued and respected, honoring the ways people are unique and embracing what brings us together.