- The Cigna Group (Bloomfield, CT)
- …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
- The Cigna Group (Bloomfield, CT)
- JOB DESCRIPTION The Clinical Program Advisor needs to have in-depth knowledge of clinical set up, familiarity with benefit setup, and overall operational ... interdependencies and regulatory requirements. Primary responsibilities include product management and guiding Product owners as well as downstream PBS partners on… more
- The Cigna Group (Morris Plains, NJ)
- … 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
- Veterans Affairs, Veterans Health Administration (Madison, WI)
- …patient care. Responsibilities The Nurse II Clinical Documentation Improvement RN Advisor (CDI RN) supports CDI Program which strives to promote accurate ... Summary The Madison VA Hospital is recruiting for a Clinical Documentation Improvement RN Advisor (CDI RN)...creative approaches to management of complex… 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
- Northwell Health (Greenvale, NY)
- …of Health (NYSDOH), College of American Pathologists (CAP), and Clinical Laboratory Improvement Amendments (CLIA) inspections, including internal and external ... proficiency testing program and other related programs. * Ensures compliance with New York State Department of Health (NYSDOH), College of American Pathologists… 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
- CommonSpirit Health (Phoenix, AZ)
- …innovative healthcare delivery system. **Responsibilities** The Utilization Management Physician Advisor II (PA) conducts clinical case reviews referred by ... 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