Clinical Educator

621

Remote, US
Base: $79,560.00 - $115,720.80/annual; bonus/equit...
**
Massachusetts registered nurse (rn) license required
3-5 years care coordination or utilization management experience
Expertise in interqual medical necessity criteria
** Mass General Brigham Health Plan is seeking a Clinical Educator to design and implement educational programs for clinical staff, focusing on compliance, utilization management, and documentation standards. This fully remote position requires a Bachelor's degree, relevant nursing credentials, and experience in care coordination and staff education. **

Job Summary

  • The Clinical Educator functions as a leader and mentor to promote high-quality, compliant clinical review practices within Mass General Brigham Health Plan.
  • This role involves designing and delivering education specific to Utilization Management workflows, Appeals & Grievances processes, and evidence-based practice standards.
  • The position offers competitive salaries, flexible work options, and career growth opportunities within a welcoming and supportive healthcare environment.

Matching Summary

Match Score: 75

** Mass General Brigham Health Plan is seeking a Clinical Educator to design and implement educational programs for clinical staff, focusing on compliance, utilization management, and documentation standards. This fully remote position requires a Bachelor's degree, relevant nursing credentials, and experience in care coordination and staff education. **

Salary

Base: $79,560.00 - $115,720.80/Annual; Bonus/Equity: Not specified; Benefits: Comprehensive benefits package with flexible work options included

Skills & Requirements

Must-have

  • Massachusetts Registered Nurse (RN) license required
  • 3-5 years care coordination or utilization management experience
  • Expertise in InterQual medical necessity criteria
  • Experience with Epic Tapestry system preferred
  • Knowledge of CMS and NCQA regulatory standards

Nice-to-have

  • 2-3 years staff education or preceptorship experience
  • Proficiency with Articulate 360 e-learning tools
  • Experience with complex patient populations
  • Strong analytical and critical thinking skills
  • Ability to work in a dynamic remote environment

Key Requirements

  • Bachelor's Degree required; Master's Degree preferred
  • Active Massachusetts Registered Nurse (RN) license
  • 3-5 years experience in care coordination or utilization management
  • 2-3 years experience in staff education or clinical instruction
  • Experience applying InterQual or similar medical necessity guidelines

Work Rights

Not specified

Tailored Resume

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