Clinical Advisor

This is a fully remote position, open to applicants in Alaska, +3 more states.

📋 Description

• Provide daily client support on behalf of the Health Care Management department.

• Assist members and clients on a daily basis while strategically collaborating with all Healthcare Management and non-Healthcare Management team members.

• Ensure that clients' needs are effectively met.

• Work together to guarantee that workflows and processes for Utilization Review and Case Management align with client requirements.

• Maintain ongoing communication and relationships with all internal and external stakeholders, including sales, clinical teams, client management, claims, managed care, and more.

• Deliver solutions and results that address business needs and promote growth.

⛳️ Requirements

• Associate Degree.

• Active State Registered Nursing License.

• At least five years of experience in direct clinical care.

• Minimum of three years of experience in medical management, including case management or utilization management.

• A minimum of one year in healthcare consulting (client-facing role or experience in delivering results to clients).

• Knowledge of the Health Care industry and Managed Care Delivery systems, encompassing current standards of medical practice, insurance benefit structures, related legal/medical issues, utilization management, case management, and quality management processes.

• Ability to actively manage and meet client expectations regarding projects, timelines, deliverables, outcomes, and more.

• Experience working with various levels within a client organization.

• Excellent oral, written, and presentation communication skills.

• Ability to evaluate problems, develop alternative solutions, and identify trends and patterns.

• Strong prioritization skills when faced with tight deadlines and multiple, complex projects.

• Exceptional organizational skills with a keen attention to detail.

• Capability to adapt, quickly learn new skills, and champion change.

• Maintain a high level of confidentiality, flexibility, and openness to acquiring new tasks and responsibilities as needed.

• Possess critical thinking skills that enable executing instructions provided in written, oral, or diagram form.

• Proven ability to think, work, and prioritize independently.

• Ability to thrive in a dynamic team-oriented environment.

• Demonstrated proficiency in Microsoft Office Suite products.

🏝️ Benefits

• Health and wellness benefits.

• 401(k) savings plan.

• Pension plan.

• Paid time off.

• Paid parental leave.

• Disability insurance.

• Supplemental life insurance.

• Employee assistance program.

• Paid holidays.

• Tuition reimbursement.

• Additional incentives.