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Educate patients about infusion therapy, assess clinical needs, support medical-necessity documentation and denial appeals, and help ensure referrals result in a start of care. Lead and develop clinical liaison teams, maintain provider relationships, support sales and regional growth strategies, and manage role-related metrics.
The coordinator will serve as the primary point of contact between Vanderbilt and Texas A&M to facilitate data-sharing activities and communication. They will track project requirements, action items, and deliverables to ensure timely completion throughout the ARPA-H project.
Provide clinical pharmacy support to patients and prescribers by reviewing medication regimens, improving adherence, recommending evidence-based therapies, and monitoring patient outcomes, particularly in specialty disease areas. Oversee pharmacy support staff and prior authorization workflows, maintain regulatory compliance, communicate with healthcare professionals, and contribute to training and process improvement.
Provide personalized, evidence-based care to patients, primarily those with chronic kidney disease through end-stage renal disease, through home visits and virtual appointments. Assess health, develop and implement treatment plans, prescribe medications and order tests, educate patients, coordinate care with providers, and maintain timely clinical documentation.
Provide remote triage and coordinated, patient-focused nursing care for a high-volume orthopedic clinic. Assess patients without face-to-face interaction, manage high call volumes, and collaborate with orthopedic surgeons, sports medicine physicians, and advanced practice providers.
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The pharmacist is responsible for implementing clinical patient intervention programs and driving pharmacy financial performance through adherence and wellness services. They also conduct remote prescription processing and provide expert clinical consultation to patients, providers, and insurance plans.
The Clinical Pharmacist facilitates the development of pharmacy solutions, including prior authorization criteria and drug utilization review programs. They collaborate with internal teams and external stakeholders to provide clinical expertise and ensure evidence-based prescribing practices.
Lead and develop a multidisciplinary provider group, overseeing clinical protocols, clinician onboarding and performance, quality standards, and productivity across telehealth services. Improve clinical operations and patient care through quality initiatives, process improvements, stakeholder collaboration, and, when needed, direct telemedicine care.
Assess members with complex or chronic care needs and develop, implement, coordinate, monitor, and adjust care plans to support their health across the care continuum. Coordinate services and resources, work with medical directors and providers, address service or claims issues, and contribute to care management policies and procedures.
Coordinate care plans for assigned members by conducting utilization reviews, assessing clinical and social needs, and coordinating treatment, authorizations, and community resources. Document decisions and interventions, educate and advocate for members, monitor performance metrics, and support quality outcomes and effective medical cost management.
Make outbound calls to former members to coordinate medical equipment returns and contact payer or insurance hotlines to clarify member eligibility. Document call outcomes and follow-up actions in HubSpot, maintain organized case records, and escalate issues when needed while protecting confidential information.
Lead clinical implementation initiatives by translating utilization management requirements into consistent workflows and technology solutions across clinical decision support, electronic prior authorization, claims operations, and related platforms. Collaborate with clinical, product, and technology teams to implement services and requirements consistently, while advising executives and supporting member wellness and improved provider experience.
Lead multi-year digital and commercial growth strategies for Specialty Diagnostics, expanding health system business, specialty testing adoption, and revenue. Build executive client and provider relationships, guide EMR and portal integration strategies, and coordinate sales, product, marketing, operations, and client services teams to grow and retain strategic accounts.
Manage research activities at clinical trial sites throughout the study lifecycle, including site identification, start-up, training, maintenance, and closeout. Conduct study initiation visits and ensure sites follow informed consent, safety reporting, and regulatory requirements, primarily through remote site management.
Lead medical economics strategy and analyze claims, utilization, costs, and outcomes to identify savings opportunities and assess the financial impact of healthcare initiatives. Develop analytical tools and reports, guide cost-containment and performance-improvement efforts, and collaborate with internal teams to evaluate population health interventions and value-based payment models.
Provide psychotherapy through telehealth and collaborate with therapists and prescribers to coordinate patient care. Participate in regular virtual team meetings and clinical case discussions, and provide supervision to supervisees.
Provide individual psychiatric care to outpatients through telehealth, including assessments, treatment planning, and medication prescribing when appropriate. Deliver care in accordance with applicable laws, regulations, and ethical standards, and collaborate with therapists and other clinicians on patient cases.
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Provide individual psychiatric care remotely in an outpatient setting, including patient assessments, treatment planning, and medication prescribing as appropriate. Deliver care in accordance with applicable laws, regulations, and ethical standards, and participate in virtual clinical meetings and conferences.
Provide psychiatric care to adolescent and adult patients through telehealth, diagnosing and treating mental health conditions using evidence-based practices. Collaborate with a multidisciplinary care team and optionally supervise or mentor advanced practice nurses.
Provide psychiatric care to adolescent and adult patients through telehealth, including diagnosing and treating mental health conditions using evidence-based practices. Collaborate with a multidisciplinary care team and optionally supervise or mentor other clinicians.
Provide remote medical case management to injured individuals, coordinating and regularly assessing medical services to support recovery and the highest possible level of function. Explore vocational options with injured workers and employers, support return to pre-injury or alternate employment, and collaborate with claim examiners, attorneys, employers, and medical providers.
Lead and mentor a team of health economists while serving as a technical and strategic lead on client projects involving economic modeling, data analysis, pricing, reimbursement, market access, and health technology assessment submissions. Oversee project quality and delivery, support staffing and operational planning, improve processes, and contribute to proposals, marketing, and conference activities.
Provide real-time clinical guidance, education, and support to members, resolve health-related concerns, and connect members with appropriate internal specialists and programs. Document interactions, advocate for members in complex situations, and help develop and improve program processes and service performance.
Provide clinical consultation and supervision to Intensive Support Coordinators, including reviewing caseloads, assessing participant risks and needs, and coordinating resources. Conduct annual joint participant visits, support service-plan development, and help identify staff training needs and ensure compliance with applicable protocols.
The Senior Clinical Admin Nurse provides individualized support to members by helping them navigate the health care system and managing their health concerns. They also coordinate care, facilitate discharge planning, and ensure accurate documentation of all clinical activities.
Provide direct care and clinical oversight for pregnant patients and newborns, with accountability for improving outcomes across an assigned patient population. Collaborate with a multidisciplinary clinical team to review complex cases, develop care plans, monitor adverse events, and create evidence-based protocols.
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Oversee medical care and clinical outcomes for an assigned patient population, including pregnant patients and newborns, and collaborate with nurses, social workers, and dietitians on complex cases and care plans. Monitor adverse events, conduct clinical reviews, and develop and refine evidence-based obstetric and women’s health protocols and algorithms.
Manage a caseload of members by developing individualized care plans and coordinating approved medical and social services. Educate members about Medicare and Medicaid benefits, address their concerns, and collaborate with physicians, providers, and county financial entities to monitor care and progress.
Provide outpatient psychotherapy to individuals, couples, and/or families using evidence-based approaches, and conduct assessments and develop individualized treatment plans. Maintain an active caseload and timely, compliant documentation while participating in required consultation, supervision, or team meetings and following ethical, licensing, and practice standards.
Provide outpatient psychotherapy to individuals, couples, and/or families using evidence-based approaches, and conduct assessments and develop individualized treatment plans. Maintain an active caseload and timely, accurate clinical documentation while participating in required consultation, supervision, or team meetings and following ethical, licensing, and practice standards.
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