Job Description
The Clinical Consultant provides clinical and operational support as a U.S. Healthcare Subject Matter Expert, providing various clinical support services and operational guidance for business processes, to include Case Management, Utilization Management, Clinical Coverage Preservice, Claims and Appeals review, Clinical Support and Notification, Inpatient Care Management, and Pharmaceuticals. This position will serve as Clinical Consultant to all Clinical Operations businesses, anticipating clinical needs and developing solutions that enhance clinical knowledge and clinical decision-making skills among frontline nurses. Solves complex problems while developing innovative solutions that meet business needs and supports implementation of those solutions among clinicians throughout the business operation. Assesses business education needs and develops clinical training programs to support a wide variety of clinical projects and educates employees on clinical foundation topics via in per...