Clinical Advisor

Job Description:This Clinical Authorization Advisor role is responsible for providing expert clinical guidance and support to the Precertification Department in managing complex authorization issues.The successful candidate will utilize their extensive clinical knowledge to analyze and resolve authorization issues, ensuring that patients receive timely...

At Community Behavioral Health, we are committed to providing high-quality care to our members. As a Physician Advisor, you will play a critical role in ensuring that our clinical management practices align with best practice standards and state regulatory requirements.">Performs physician reviews of member cases to ensure medical necessity and quality of...

Company OverviewLifelancer is a talent-hiring platform in Life Sciences, Pharma and IT that connects professionals with opportunities in pharma, biotech, health sciences, healthtech and IT domains.The company aims to bridge the gap between skilled individuals and organizations seeking their expertise. By leveraging technology, Lifelancer facilitates...

**About the Role:**We are seeking a highly skilled Physician Advisor to join our team at Temple University Hospital. As a key member of our team, you will provide clinical expertise and guidance to our Clinical Analysis and appeals team.The ideal candidate will have a strong working knowledge of the Interqual Criteria Set and hospital reimbursement systems....

About the RoleWe are seeking a highly skilled Clinical Care Manager to join our team at Community Behavioral Health. As a Clinical Care Manager, you will be responsible for utilizing your clinical knowledge and expertise to ensure CBH members receive timely access to quality, medically necessary behavioral health services.Estimated Salary: $65,000 - $85,000...

About the RoleAs a Lead Scientific Advisor at Clario, you will be responsible for supporting the sales and delivery of our electronic clinical outcome assessment (eCOA) services. You will provide scientific expertise and recommendations related to the sale and delivery of eCOA services, including protocol and solution review and COA/eCOA strategy.Key...

**Job Summary:**We are seeking a highly skilled Physician Advisor to provide clinical expertise and guidance to our Clinical Analysis and appeals team. As a key member of our team, you will act as the physician advisor for medical necessity appeals and for the Pennsylvania Medical assistance (PAMA) utilization reviews.The ideal candidate will have a strong...

Job OverviewCommunity Behavioral Health (CBH) seeks a dedicated and compassionate Clinical Care Management Professional to join our team. As a key member of our Complex Care team, you will play a vital role in providing high-intensity care management to children and families in need. This is an exciting opportunity to make a meaningful difference in the...

Job Description:As a Clinical Care Manager (CCM) Specialist - Complex Care at Community Behavioral Health, you will be part of a specialized team responsible for providing intermediate or high intensity care management. Your primary focus will be on working collaboratively and directly with members and providers to ensure effective, holistic, member-centric...

Job Summary:">We are seeking a highly skilled and detail-oriented Clinical Liaison Specialist to join our team. In this role, you will be responsible for obtaining insurance precertification/recertification, serving as a liaison with third-party payers, communicating clinical information to insurance companies, addressing and resolving actual or potential...

Job Summary:We are seeking a highly skilled and experienced Senior Clinical Care Coordinator to join our team at Community Behavioral Health (CBH). As a key member of our staff, you will play a critical role in ensuring that our members receive timely access to quality, medically necessary behavioral health services.About the Role:The Senior Clinical Care...

Job SummaryWe are seeking a highly skilled Pennsylvania Licensed Psychiatrist to join our team as a Physician Advisor. This is a part-time opportunity that requires a minimum of 15 hours per week, with flexibility to work remotely.

What We're Looking ForWe're seeking a dedicated and experienced Pennsylvania Licensed Psychiatrist who can provide high-quality clinical leadership to our team. The ideal candidate will have a minimum of 2 years of clinical psychiatry experience, including significant experience with inpatient care and substance abuse treatment.RequirementsEducation: Medical...

Job Title: Care Coordination SpecialistAbout the Role:Care Coordination Specialists at Community Behavioral Health are responsible for coordinating care activities and collaborating with stakeholders involved in a member's case. This includes utilization management, population management, cross-system consultation, and treatment quality monitoring.Key...

In this role, you will serve as the first point of contact for patients and families who require medical attention. You will use your clinical expertise to assess patient needs, develop appropriate plans of care, and provide guidance on self-care and follow-up appointments.

Job DescriptionAs a Clinical Care Manager at Community Behavioral Health, you will be responsible for conducting utilization review activities, population management, cross-system consultation, provider management, and treatment quality monitoring. You will utilize your clinical knowledge of best practices and evidence-based treatments to ensure CBH members...

About the RoleWe are seeking a skilled Clinical Care Manager to join our team at Community Behavioral Health. As a key member of our team, you will be responsible for managing the care of our members, ensuring they receive timely access to quality, medically necessary behavioral health services.The successful candidate will possess a Master's degree in...

Job DescriptionThe Community Behavioral Health (CBH) Clinical Care Manager – Neurodevelopmental Services is a crucial role that involves utilization management, population management, cross-system consultation, provider management, and treatment quality monitoring.Key ResponsibilitiesConduct utilization review activities, including interagency meetings,...

Community Behavioral Health is seeking a skilled Physician Advisor to join our team. As a key member of our clinical leadership team, you will provide expert guidance on clinical management practices and ensure that our services meet the highest standards of quality and care.">Job DescriptionProvides clinical leadership through oversight of clinical...

We are seeking a highly skilled Scientific Advisor to join our team at Lifelancer.About UsClario, a company with over 50 years of experience, specializes in delivering cutting-edge clinical trial endpoint technology solutions.What We OfferA competitive salary range is between $120,000 - $180,000 per annum, depending on qualifications and experience.Job...