Clinical Specialist

• Evaluate laboratory, patient, financial, and quality data to identify trends and insights that improve workflows, support research, inform business decisions, and reduce cost of care
• Leverage integrated data sources to identify improvement opportunities, performance gaps, and outcome measures
• Design and implement analytical models combining clinical, financial, and claims data to generate actionable metrics
• Synthesize complex datasets into insights supporting leadership decision-making and lab stewardship initiatives
• Develop executive-level dashboards and reporting for laboratory strategy and performance monitoring
• Apply technical laboratory knowledge, including test build and clinical utility, in a data-driven environment
• Participate in assessments, implementations, and educational efforts supporting laboratory operations and data initiatives
• Use data-driven methodologies to support Clinical Lab 2.0 and value-based care programs
• Support enterprise-wide data collection, analysis, and implementation across laboratory operations and ad hoc initiatives
• Collaborate with service lines, corporate departments, leadership, physicians, researchers, and laboratory teams across the enterprise
• Adhere to organizational policies, compliance requirements, and Code of Ethical Conduct

Clinical data specialist improving laboratory operations for nonprofit Advocate Health

Clinical Knowledge Delivery Specialist

Clinical Knowledge Delivery Specialist analyzing laboratory, clinical, financial, and claims data for Advocate Health. Building dashboards and actionable metrics to improve lab operations and value-based care.

• Conducting clinical assessments
• Running individual, family and group outpatient therapy sessions
• Conducting Substance Abuse Intensive Out Patient (SAIOP) group therapy sessions
• Orienting new service users to RHA
• Developing person-centered plans for service users
• Oversee the discharge planning process
• Facilitating relationships between RHA, service user families/legal guardians and various social service community resources, such as food stamp and housing assistance, healthcare, job training and placement and substance abuse support groups

Licensed Clinical Addiction Specialist providing therapeutic support for mental health and substance abuse issues

Licensed Clinical Addiction Specialist – LCAS, LCASA

Licensed Clinical Addiction Specialist providing therapeutic support for service users facing mental health and substance use challenges. Coordinating an array of services and supports as part of a clinical team at RHA Behavioral Health Services.

• Reviews clinical documentation and facilitates modifications to ensure that documentation accurately reflects the reason for admission, intensity of service rendered, risk of mortality, and conditions present on admission for all patients.
• Maintains a system to identify admissions for chart reviews.
• Initiates chart review within 24-48 hours of identification.
• Monitors the reviewed medical record every 48 hours to determine compliance to established documentation standards.
• Notifies the attending physician and house staff officers or other disciplines promptly of chart deficiencies requiring clarification.
• Conducts follow-up reviews to ensure points of clarification have been addressed in the medical record.
• Maintains ongoing record of the results of each chart review.
• Serves as resource to physicians and other healthcare team members for published DRG, SOI/ROM, ICD-9, ICD-10 and PCS information.
• Compiles and provides timely entry to CDI database for statistical reporting.
• Assists with review of the medical record post discharge to determine coding status.

Clinical Document Integrity Specialist at Duke Health improving medical record quality

Clinical Document Integrity Specialist

Clinical Document Integrity Specialist at Duke Health improving medical record quality and completeness. Collaborating with healthcare staff to ensure documentation accuracy for patient care in North Carolina.

• Assesses the medical necessity of services
• Independently conduct medical necessity reviews of service requests
• Ensure authorized services address service needs, intensity of service outcomes, and alternatives for consumers
• Conduct pre-certification, concurrent, and retrospective reviews to ensure compliance
• Conduct utilization reviews to monitor adherence to clinical practice guidelines
• Notify members of adverse benefit determinations while preserving members’ Due Process rights
• Ensure compliance with performance measures outlined within all accrediting body standards

UM Clinical Specialist RN managing physical health services at Alliance Health

UM Clinical Specialist, RN – Physical Health

UM Clinical Specialist RN assessing medical necessity for physical health services. Collaborating cross-agency to ensure consumers access appropriate treatment resources.

• Provides comprehensive engineering, sales, educational, and technical support.
• Acts as a clinical interface between the medical community and the business.
• Demonstrates the ability to build and sustain credible business relationships with customers and share product expertise accordingly.
• Provides engineering, sales, education, and clinical support in response to field inquiries on an as-needed basis.
• Demonstrates a thorough command of all CRM products, related product and technical knowledge, trends, and players.
• Develops, leads, and/or facilitates training sessions and other programs on CRM products for healthcare professionals.
• Provides additional back-up support to CRM Sales Representatives.

Clinical Specialist in Cardiac Rhythm Management supporting healthcare professionals

Clinical Specialist, Cardiac Rhythm Management

Clinical Specialist in Cardiac Rhythm Management providing technical support and training for healthcare professionals. Building relationships and enhancing cardiac treatment methodologies in Raleigh-Durham, NC.

Clinical Specialist jobs in North Carolina

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Clinical Knowledge Delivery Specialist

Licensed Clinical Addiction Specialist – LCAS, LCASA

Clinical Document Integrity Specialist

UM Clinical Specialist, RN – Physical Health

Clinical Specialist, Cardiac Rhythm Management