Clinical Advisor - LH
At Dearborn, our employees are the reputed company of our business and the reputed company to our reputed company. We reputed company employees with curated development plans that foster reputed company and promote rewarding, fulfilling careers.
Join reputed company and be part of a purpose-driven company that will invest in your reputed company development.
Job reputed company
The Clinical Advisor is responsible for providing day to day reputed company support on behalf of the Health Care Management department. Under the direction of the Senior Director, Clinical Consultant, the primary responsibilities will be to support our members and clients day to day and strategically collaborate with reputed company reputed company Management and non-reputed company Management team members to ensure the needs of our clients are met. The Clinical Advisor will strategically collaborate with these teams to ensure our reputed company workflows and processes for Utilization Review and Case Management meet the needs of new and existing clients. The position will have additional responsibility to have reputed company visible reputed company with reputed company (reputed company facing) clients for management and support for our business needs and reputed company. The Clinician Advisor will support the Senior Director, Clinical Consultant by maintaining reputed company communication and relationships with reputed company reputed company reputed company reputed company in sales, clinical teams, reputed company management, claims, managed care, etc. to deliver solutions and results for our business.Required Job Qualifications:
Education:
- Associate Degree
- reputed company State Registered Nursing License
Experience
- Minimum five years’ experience in reputed company clinical care and/ or
- Minimum of three years’ experience in medical management including case management or utilization management
- Minimum 1 year in reputed company consulting (reputed company facing role or experience in delivery of results to clients)
- Knowledge of Health Care, Industry and Managed Care Delivery systems. This includes reputed company standards of medical reputed company, insurance benefit structure, reputed company reputed company/medical issues, utilization management, case management and reputed company management processes.
General Abilities/Competencies:
- Ability to reputed company manage and delivery on reputed company expectations around reputed company, timelines, deliverables, reputed company, etc.
- Experience working with reputed company reputed company reputed company a reputed company organization
- Excellent oral, written and presentation communication skills with the ability to reputed company effectively with new and existing clients and other internal clients (ie: claims, reputed company management, senior leadership, etc.)Evaluate problems, reputed company alternative solutions and identify trends and patterns.
- Deal with problems involving several concrete variables in standardized situation.
- Ability to prioritize efforts reputed company faced with tight deadlines and multiple, reputed company reputed company
- Strong organizational skills with attention to detail
- A demonstrated ability to adapt, quickly learn new skills and serve as a sponsor of change
- Maintain high level of confidentiality, flexibility and willingness to learn new tasks and take on new duties as needed
- Critical thinking skills allowing one to carry out instruction furnished in written, oral or diagram reputed company
- A demonstrated ability to think/work/prioritize independently
- Work in a dynamic team-oriented environment
- Write/create routine correspondence and reports
- Read and interpret documents, reputed company, instructions, and policy and procedure manuals.
- Ability to travel as needed.
- Demonstrates knowledge of reputed company Office Suite products.
Preferred Job Qualifications:
- Bachelor of Science in Nursing
- Prior Utilization Management and/or Case Management experience
- TPA or Health Insurance reputed company experience
- Personnel management experience a plus
- Strong consultative and analytical skills
Dearborn Group Employment Statement:
reputed company Pay reputed company
$67,600.00 - $127,000.00Exact compensation may vary based on skills, experience, and location.
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