Clinical Nurse Educator, Consultant

The Medical Care Solutions education team is responsible for all clinical education for all departments within Medical Care Solutions as well as some Health Solutions teams. This includes Utilization Management, Care Management, Post Service, and App Clinical, Management, Educator, Nurse, Consultant, Solutions, Insurance, Healthcare

Job DescriptionYour RoleThe Medical Care Solutions education team is responsible for all clinical education for all departments within Medical Care Solutions as well as some Health Solutions teams. This includes Utilization Management, Care Management, Post Service, and Appeals. This clinical educator role will be responsible for Utilization Management for...

Your Role The Medical Care Solutions education team is responsible for all clinical education for all departments within Medical Care Solutions as well as some Health Solutions teams. This includes Utilization Management, Care Management, Post Service, and Appeals. This clinical educator role will be responsible for Utilization Management for all lines of...

Your Role The Medical Care Solutions education team is responsible for all clinical education for all departments within Medical Care Solutions as well as some Health Solutions teams. This includes Utilization Management, Care Management, Post Service, and Appeals. This clinical educator role will be responsible for Utilization Management for all lines of...

Your RoleThe Medical Care Solutions education team is responsible for all clinical education for all departments within Medical Care Solutions as well as some Health Solutions teams. This includes Utilization Management, Care Management, Post Service, and Appeals. This clinical educator role will be responsible for Utilization Management for all lines of...

Your Role The Medical Care Solutions education team is responsible for all clinical education for all departments within Medical Care Solutions as well as some Health Solutions teams. This includes Utilization Management, Care Management, Post Service, and Appeals. This clinical educator role will be responsible for Utilization Management for all lines of...

Your Role The Medical Care Solutions education team is responsible for all clinical education for all departments within Medical Care Solutions as well as some Health Solutions teams. This includes Utilization Management, Care Management, Post Service, and Appeals. This clinical educator role will be responsible for Utilization Management for all lines of...

Your Role The Medical Care Solutions education team is responsible for all clinical education for all departments within Medical Care Solutions as well as some Health Solutions teams. This includes Utilization Management, Care Management, Post Service, and Appeals. This clinical educator role will be responsible for Utilization Management for all lines of...

Your RoleThe following information provides an overview of the skills, qualities, and qualifications needed for this role.The Medical Care Solutions education team is responsible for all clinical education for all departments within Medical Care Solutions as well as some Health Solutions teams. This includes Utilization Management, Care Management, Post...

Your Role The Medical Care Solutions education team is responsible for all clinical education for all departments within Medical Care Solutions as well as some Health Solutions teams. This includes Utilization Management, Care Management, Post Service, and Appeals. This clinical educator role will be responsible for Utilization Management for all lines of...

Your Role The Medical Care Solutions education team is responsible for all clinical education for all departments within Medical Care Solutions as well as some Health Solutions teams. This includes Utilization Management, Care Management, Post Service, and Appeals. This clinical educator role will be responsible for Utilization Management for all lines of...

Your Role The Clinical Quality Review (CQR) team is responsible for reviewing potential quality of care issues (PQIs) reported by a member, a member representative, or an internal partner. The Clinical Quality Review (CQR) Nurse Trainer/Auditor will report to the Senior Manager, Clinical Quality Review. In this role you will be responsible for understanding...

Job SummaryWe are seeking a highly skilled Wellness Nurse Consultant to join our team at Elevance Health. As a key member of our healthcare team, you will be responsible for developing and implementing customized health and wellness strategies for federal employees. Your expertise will help improve health outcomes, reduce healthcare costs, and enhance the...

Your Role The Pharmacy Services Drug Utilization Management team provides efficient and accurate responses to external customer (physicians, office staff, pharmacy providers, members and brokers) and internal team members for all outpatient medical benefit inquires . The Pharmacist, Consultant will report to the Manager of Medical Benefit Drug Utilization....

Your Role The Pharmacy Services Drug Utilization Management team provides efficient and accurate responses to external customer (physicians, office staff, pharmacy providers, members and brokers) and internal team members for all outpatient medical benefit inquires. The Pharmacist, Consultant will report to the Manager of Medical Benefit Drug Utilization. In...

Your Role The Medical Care Solutions education team is responsible for all clinical education for all departments within Medical Care Solutions as well as some Health Solutions teams. This includes Utilization Management, Care Management, Post Service, and Appeals. This clinical educator role will be responsible for Utilization Management for all lines of...

Cross Country Nurses is seeking a registered nurse to provide care for patients in a clinical setting. As a clinical nurse, you will treat patients who are ill, injured or undergoing surgery. You will administer medications, monitor vital signs, change dressings, manage IVs, provide patient and family education, and help with patient discharge in...

Your RoleThe Pharmacy Services Drug Utilization Management team provides efficient and accurate responses to external customer (physicians, office staff, pharmacy providers, members and brokers) and internal team members for all outpatient medical benefit inquires . The Pharmacist, Consultant will report to the Manager of Medical Benefit Drug Utilization....

Your Role The Pharmacy Services Drug Utilization Management team provides efficient and accurate responses to external customer (physicians, office staff, pharmacy providers, members and brokers) and internal team members for all outpatient medical benefit inquires . The Pharmacist, Consultant will report to the Manager of Medical Benefit Drug Utilization....

Your Role The Clinical Compliance Principal, Medical Care Solutions is responsible for developing and maintaining the team’s audit playbook for all lines of business for all regulatory and mock audits.  Clinical Compliance Principal is also responsible for managing changing UM requirements driven by contractual changes or All Plan Letter requirements. The...