- The Cigna Group (St. Louis, MO)
- …but is not restricted to locations that are identified in this posting.** Clinical Program Advisor -Supply Chain/Formulary Consulting **JOB SUMMARY** The ... Clinical Program Advisor provides insight and guidance on...consulting team members + Review custom health plan Utilization Management policies for rebate eligibility or adherence to contract… more
- CVS Health (Lincoln, NE)
- …Operations Advisor is a client facing role that collaborates with Health Plan Clinical Advisor to understand the client's clinical strategy and roadmap ... to create a clinical operations plan. The Clinical Operations Advisor works with the Benefit...experience as a pharmacist in managed care (Pharmacy Benefit Management ) environment + Demonstrated understanding of CVSH clinical… more
- CVS Health (Montgomery, AL)
- …And we do it all with heart, each and every day. **Position Summary** The Clinical Advisor position is an exciting pharmacist opportunity to use your clinical ... an integral part of the account team. As a Clinical Advisor , you will utilize clinical...drug utilization patterns and trends for our Pharmacy Benefit Management (PBM) clients. - Leveraging your presentation skills by… more
- The Cigna Group (Bloomfield, CT)
- … Advisor will hold a key role in in ensuring that our utilization management (UM) policies align with clinical guidance, drive formulary intent, and are ... + Strong analytical and decision-making skills + Previous experience developing or analyzing clinical criteria in relation to formulary management a strong plus.… more
- Agiliti Health (VA)
- **POSITION SUMMARY** The Clinical Advisor is a key member of the Solutions team and ensures our internal and external customers are trained on SES products and ... Location:** Home Office (VA) **Additional Locations (if applicable):** **Job Title:** Clinical Advisor **Company:** Agiliti **Location City:** Not Applicable… 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 ... leadership to create an environment that promotes excellence in clinical practice. + The SCA contributes to the effective... practice. + The SCA contributes to the effective management of the Department and Hospital. **Minimum Qualifications** +… more
- Ochsner Health (New Orleans, LA)
- …a difference at Ochsner Health and discover your future today!** The Physician Advisor (PA-Utilization Management ) serves as the physician leader in matters ... and Post-Acute teams, Payors, Administration and Revenue Cycle) to improve utilization management , sustain quality goals, and act as a consultant to physicians,… more
- Northwell Health (Manhasset, NY)
- …Responsibility + Develops, and monitors operating policies and procedures for the clinical sections of the Central Laboratories and oversees daily function of the ... issue that affects the production of patient data. + Directs/monitors external PT program . + Ensures compliance with regulatory standards governing the Clinical … more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** The Utilization Management Physician Advisor II (PA) conducts clinical case reviews referred by case management staff and/or other ... feedback on program results to facility leadership (ie CMO, Care Management Directors, Quality Directors) + Provides feedback and education to the Care … more
- Sutter Health (Sacramento, CA)
- …care with supporting documentation of regulatory compliance and accurate coding. The Physician Advisor (PA) conducts clinical reviews on cases referred by UM/CM ... quality regulations. The PA will act as a liaison between the CDI ( Clinical Documentation Improvement) professional, HIM (Health Information Management ) ,and… more
- Catholic Health Services (Melville, NY)
- …and monitoring compliance with an educational program . Collaborates with management in recruiting new Catholic Health Physician Advisor hires. Trains ... department, and presents to Physician Advisors during the monthly Physician Advisor meeting. Attends hospital Utilization Management (UM) committees. Supervises… more
- Catholic Health Initiatives (Bismarck, ND)
- …upon-performance and process improvement metrics for facility, UM/Medical Staff, and Physician Advisor program . + Communicate facility feedback and metrics to ... **Responsibilities** CHI St. Alexius is looking for a Physcian Advisor to join the team! The Onsite Physician Advisor (PA) will serve as a physician leader and… more
- Catholic Health Initiatives (Omaha, NE)
- …risk of mortality, and DRG assignment. + Develop structure and implement a clinical documentation improvement and integrity program , taking into account the ... **Responsibilities** **Physician Advisor ** **Location: Lakeside and Midlands Hospital** **The Physician...the hospital through teaching, consulting, and advising the care management and utilization review departments, medical staff members, and… more
- Sutter Health (Burlingame, CA)
- …care with supporting documentation of regulatory compliance and accurate coding. The Physician Advisor (PA) conducts clinical reviews on cases referred by UM/CM ... quality regulations. The PA will act as a liaison between the CDI ( Clinical Documentation Improvement) professional, HIM (Health Information Management ), and… more
- Trinity Health (Silver Spring, MD)
- …to appropriate utilization/level of care (LOC), length of stay (LOS) management , patient flow/throughput management , appropriate clinical documentation ... and physicians throughout the organization. Manages processes, policies, workflows and overall management of the physician advisor role within the organization.… more
- Catholic Health Initiatives (Chattanooga, TN)
- **Responsibilities** As a key clinical Leader within the hospital, the categories of responsibility include: + Acute Inpatient Case Management Functions + ... Support, Education and Collaboration + Organizational Process Improvement + Clinical Documentation Improvement Support + Medical Informatics Support **Qualifications**… more
- University of Colorado (Aurora, CO)
- **Senior Financial Aid Advisor , School of Medicine** **Description** **University of Colorado Anschutz Medical Campus** **Department:** **CU Anschutz Financial Aid ... and Scholarships Office** **Job Title:** **Senior Financial Aid Advisor , School of Medicine** **Position #:** **00832668- Requisition #:36682** **Job Summary:**… more
- Johns Hopkins University (Baltimore, MD)
- The DNP Project Advisor is a key contributor to the DNP-Advanced Practice Program 's mission of preparing nursing leaders who are equipped to translate evidence ... healthcare innovation, and improve patient and population health outcomes. The Advisor 's role is integral to ensuring that students are well-supported throughout… more
- HCA Healthcare (Richmond, VA)
- …+ Experience in relevant program management and project management experience required + 2+ years clinical operations, recruitment and/or education ... hours volunteering in our communities. As a Career Pathway Advisor with Henrico Doctors' Hospital Forest you can be...student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program … more
- WellSpan Health (York, PA)
- Physician Advisor Location: WellSpan Medical Group, York, PA Schedule: PRN/Per Diem General Summary Provides direct supervision of case management and ... utilization review activities performed by the WellSpan Case Management staff. Duties and Responsibilities Essential Functions: + Renders utilization management … more