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EvidenceCare · 4 months ago

Director of Clinical Utilization Review (RN)

Nashville, TN

Full-time

Hybrid

Lead/Staff, Director/Executive

3+ years exp

EvidenceCare is a fast-paced early-stage company scaling their market share with innovative healthcare products. The Clinical Director role focuses on providing clinically driven subject matter expertise with an emphasis on the AdmissionCare product, driving value for clients, and developing clinically related initiatives to meet company growth goals.

Electronic Health Record (EHR)Emergency MedicineHealth CareHospitalInformation TechnologyMedical

Responsibilities

Reports directly to the Clinical Delivery Executive, and offers supplemental clinical support for assigned responsibilities

Assists in the development and maintenance of training initiatives and assesses user proficiency with the AdmissionCare product

Works closely with Client Success Executives (CSEs) to assess and analyze clinical insights for customers utilizing the product(s). Collaborates with CSEs on client narratives and reporting to drive end-user value

Utilizes EvidenceCare’s (EC) BI tool to produce reports for KPIs and to assess client performance. Utilizes analytics to create client focused narratives surrounding clinical/provider use of the tool, clinical insights, and areas for improvement

Works closely with Analytics vertical to provide feedback for reporting enhancements and to translate client requests

Works directly with the Implementation team by participating in active projects and supporting clients during the integration efforts to assess workflow and train customers in AdmissionCare. This will require travel to client sites to assist with go-lives

Proactively identifies opportunities for client education and process improvement within the AdmissionCare product. Works closely with CSEs and Clinical Delivery Executive to capture training and process improvement needs

Expert knowledge of AdmissionCare product to serve as both a clinical and product subject matter expert (SME)

Proactively identifies opportunities for internal and client related AdmissionCare workflow efficiencies

Contributes to EvidenceCare’s efforts to create and scale internal processes

Utilizes clinical and guideline (IQ, MCG) knowledge to answer client questions, address feedback, and make suggestions for product improvements

Contributes to the creation of playbooks, templates, and tools to create effective processes

Develops and maintains strong relationships with clinical client champions

Collaborates with all EvidenceCare verticals in the fulfillment of client optimization requests while maintaining integrity in standards related to regulatory and clinical best practices

Builds professional skills by maintaining awareness of the healthcare environment, clinical information systems technology, evidence-based practice, leadership and informatics industry trends and standards

Performs additional duties as assigned by EvidenceCare leadership as assigned

Qualification

Clinical experienceRevenue cycle experienceActive RN LicenseInterQual/MCG experienceBusiness intelligence platformsMicrosoft Office proficiencyPublic speakingStakeholder engagementAutonomous workWorkload prioritizationCommitment to valuesCritical thinking