- Elevance Health (Gastonia, NC)
- \#HealthyBlueCareTogetherCFSP ** Clinical Care Advisor - Complex Medical** **$3,500 SIGN ON BONUS** _We are partnering with North Carolina DHHS to operationalize ... employment, unless an accommodation is granted as required by law. The ** Clinical Care Advisor - Complex Medical** is responsible for the Children and Families… 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 ... and other licensed clinicians and home health aides to ensure optimal clinical outcomes. Works with physician and/or referral source to obtain all pertinent… more
- The Cigna Group (Bloomington, MN)
- …upon strategic opportunities that align with clinical /financial objectives. The Clinical Program Senior Advisor , Strategic Markets is responsible for ... **POSITION SUMMARY** This role requires the combination of a strong clinical background, deep understanding of utilization management criteria, and ability to read… more
- The Cigna Group (Bloomfield, CT)
- **Position Summary** The Advisor , Clinical Communications supports CHC's clinical leadership by delivering strategic messaging, executive communications, and ... the execution of CHC's Communications Operating Model and helps shape the clinical narrative across internal and external audiences. The ideal candidate brings… more
- Genesis Healthcare (NM)
- …is submitted timely and validate readiness for revisit. 5. Collaborate with Market Advisor , Clinical Advisor or other designated Market team members ... Overview The Regulatory Compliance Advisor is responsible for overseeing Regulatory compliance and...annually. This role will collaborate with Market Advisors, Market Clinical Advisors, Center Leadership, food and nutrition services, rehab… more
- US Tech Solutions (May, OK)
- **Job Description:** + As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy benefits. You ... for ensuring cases are accurately set up for our members, review clinical information for decisioning the request, performing outreach to providers for more… more
- US Tech Solutions (May, OK)
- …+ The Pharmacist/Clinician is an operation-based role that conducts criteria based & clinical review of medical data collected to perform prior authorization as per ... policy and procedure. + The Pharmacist/Clinician will apply clinical knowledge to plan approved criteria for reviews of cases. + This role will work from supported… more
- Northwell Health (Manhasset, NY)
- …Review cytogenetics cases, interpret results and issue final report to OP/ clinical team within the turn-around-time. Assist in the development and maintenance ... + Review cytogenetics cases, interpret results and issue final report to OP/ clinical team within the turn-around-time established by the laboratory. + Assist in… more
- The Cigna Group (Austin, TX)
- …the health, well-being and sense of security for those we serve. The Clinical Sales and Network Organization, as Champions for affordable, predictable and simple ... network performance. **OVERVIEW:** + The Nurse Executive Sales Specialist, trusted Clinical Leader, Educator and Advocate, is closely aligned with Clients, Brokers,… more
- The Cigna Group (Olympia, WA)
- …the health, well-being and sense of security for those we serve. The Clinical Sales and Network Organization, as Champions for affordable, predictable and simple ... network performance. **OVERVIEW:** + The Nurse Executive Sales Specialist, trusted Clinical Leader, Educator and Advocate, is closely aligned with Clients, Brokers,… more