- buyer (New York, NY)
- …QualificationsHigh School Diploma General Equivalency Diploma (GED) required; and2-5 years' clinical experience in an acute or applicable care setting.UM/UR ... Empower. Unite. Care .MetroPlusHealth is committed to empowering New Yorkers by...Manager, under the direction of the Vice President of Clinical Services, is primarily responsible for managing both simple… more
- Appcast (Randallstown, MD)
- …for unresolved issues. Identifies opportunities for expedited appeals and collaborates with the Care Manager and Physician Advisor to resolve payer issues. Other ... Utilization Review Nurse RN Randallstown, MD NORTHWEST HOSPITAL NW CARE MANAGEMENT Full-time - Day shift - 8:00am-4:30pm RN Other 92327 $38.20-$59.21 Experience… more
- The Career Sphere (TX)
- A Facility in TX Seeks a Locum Critical Care Medicine MD/DO Caliber Healthcare Solutions has an opportunity available in TX for a Critical Care Medicine Internal ... Medicine In House On Call MD/DO. Facility Type: Acute Care Facility Schedule: Call Coverage Assignment Detail: Locum Tenens, Ongoing Opportunity When you work with… more
- The Career Sphere (Southgate, MI)
- …work in order to keep patients happy, healthy and out of the hospital. The Clinical Medical Director will practice primary care in our clinics alongside their ... is practiced, serving as a formal mentor, coach, and advisor to providers in clinics, and participating in critical...care planning and management, admission prevention work, and clinical documentation workflows. Ensure that the medical care… more
- The Career Sphere (Indianapolis, IN)
- …of community-based healthcare centers delivering higher quality health and wellness care that improves outcomes, manages medical costs and provides an unmatched ... Medicare in medically underserved communities. By providing holistic, comprehensive and integrated care right in our patients communities, we can help keep them… more
- The Career Sphere (Tucson, AZ)
- …in clinic and via tele-medicine according to the established principles of the clinical practice. Acts as a medical consultant/ advisor regarding the medical ... Business and Industry (MBI) operates outpatient clinics specializing in acute injury care within an Occupational Medicine setting. Our services focus on treating… more
- Seneca Health (Salamanca, NY)
- …and monitor quality assurance and continuous quality improvement measures covering in-house clinical care . Consults with purchased/referred care (PRC) by ... for the electronic medical record. Serves as the Medical Advisor for the Seneca Nation and SNHS during community... care programs across the SNHS departments. Provides clinical care in accordance with established medical… more
- University of Wisconsin-Milwaukee (Milwaukee, WI)
- …guiding them through capstone projects and doctoral scholarship. Serve as academic advisor to DSW students until project advisors are assigned and respond to ... and school social work along with interdisciplinary certificates in trauma-informed care , applied gerontology, and nonprofit management. MSW students can also earn… more
- Elevance Health (NC)
- \#HealthyBlueCareTogetherCFSP ** Clinical Care Advisor - Behavioral Health (BH) and BH Crisis** **$2,500 SIGN ON BONUS** _We are partnering with North ... for employment, unless an accommodation is granted as required by law. The ** Clinical Care Advisor - Behavioral Health (BH) and BH Crisis** is responsible… more
- Elevance Health (Hickory, NC)
- \#HealthyBlueCareTogetherCFSP ** Clinical Care Advisor - Complex Medical** **$3,500 SIGN ON BONUS** _We are partnering with North Carolina DHHS to ... for employment, unless an accommodation is granted as required by law. The ** Clinical Care Advisor - Complex Medical** is responsible for the Children and… more
- Elevance Health (NC)
- …considered for employment, unless an accommodation is granted as required by law. The **Lead Clinical Care Advisor - Transition of Care Management** is ... of community resources and assists with arrangement of follow-up care . + Facilitate health rounds with other clinical... care . + Facilitate health rounds with other clinical centered professionals to ensure whole person health. +… more
- Elevance Health (Asheville, NC)
- …considered for employment, unless an accommodation is granted as required by law._ The Clinical Care Advisor (Special Programs Case Manager I) is responsible ... discharge planning or behavioral health experience in a managed care setting preferred. + Experience providing clinical ...managed care setting preferred. + Experience providing clinical education to members and stakeholders within the area… more
- UCLA Health (Santa Monica, CA)
- …treatment plan documentation; and disposition planning and advocacy. The clinical advisor is a resource to providers, patients, care coordinators, and ... enhance/improve access to care and 3. Direct clinical services, the clinical advisor ...meet at-risk patients' healthcare needs. The clinical advisor aims to foster continuity of care … more
- Trinity Health (Waterbury, CT)
- …and various interventions, supporting respiratory and hemodynamic stability. + The Senior Clinical Advisor (SCA), under the general supervision of the Nurse ... Day Shift **Description:** At **Saint Mary's Hospital** the Intermediate Care Unit is a 20-bed unit providing care...leadership to create an environment that promotes excellence in clinical practice. + The SCA contributes to the effective… more
- The Cigna Group (Denver, CO)
- **Pharmacy Clinical Consulting Advisor ** **Internal Job Title - Clinical Account Manager (CAM)** **Area of Operation - Colorado, Utah, Pacific Northwest** As ... retention and growth, while achieving Cigna's corporate strategic goals. The Pharmacy Clinical Consulting Advisor also provides pharmacy product and clinical… more
- Humana (Jackson, MS)
- **Become a part of our caring community and help us put health first** As Regional Clinical Advisor , you serve as a key member of the regional clinical team ... program to support improving the health of members. The Clinical Advisor requires close collaboration with regional...+ Minimum 3 years of experience in data analytics, clinical operations, care management, quality improvement, or… more
- The Cigna Group (Bloomfield, CT)
- **Pharmacy Sales Product Senior Advisor - Clinical Strategy and Sales Solutions** **Role Summary:** The Pharmacy Sales Product Senior Advisor is responsible ... on the client facing organization, by developing and delivering clinical knowledge, tools, and expertise to enable winning new...of life. We guide our customers through the health care system, empowering them with the information and insight… more
- CenterWell (The Villages, FL)
- …support recovery and help patients get back to the life they love. The ** Clinical Assessment Advisor ** directly completes and oversees development/ of the plan ... clinical information for optimal assessment generation. Ensures consistent team care scheduling and dissemination of updated clinical information. Coordinates… more
- CommonSpirit Health (Englewood, CO)
- …We are seeking a highly skilled individual to develop and submit clinical appeals, expertly crafting physician-aligned letters based on federal and state ... regulations, including CMS rules and the Two-Midnight Rule, while leveraging clinical criteria and prioritizing medical necessity to defend inpatient status. This… more
- The Cigna Group (Raleigh, NC)
- …access and patient support programs. **How you'll make a difference:** The Real World Data Advisor position is a key role to the enterprise and will be supporting a ... highly complex and growing area within the health care data and analytics services space. As a strong...into actionable insights. **Role Summary:** The Real World Data Advisor position is an opportunity for an analytics professional… more
