Evolent
1001 - 5000 employees
⚕️ Healthcare Insurance
☁️ SaaS
Healthcare Insurance • Healthcare • SaaS
Evolent is a healthcare company focused on improving care outcomes through its comprehensive management solutions across multiple medical specialties. They aim to enhance the patient care journey by offering coordinated services in areas like oncology, cardiology, musculoskeletal disorders, and primary care, while ensuring high-quality treatment pathways and cost management. Evolent believes every person deserves quality care, striving to align treatment guidelines and innovative approaches to meet patient needs effectively.
Clinical Reviewer, Electrophysiology NP/PA
Job not on LinkedIn
🔥 0 minutes ago
🇺🇸 United States – Remote
💵 $68 - $73 / hour
⏰ Full Time
🟡 Mid-level
🟠 Senior
🔍🏥 Medical Reviewer
🦅 H1B Visa Sponsor
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Evolent
1001 - 5000 employees
⚕️ Healthcare Insurance
☁️ SaaS
Healthcare Insurance • Healthcare • SaaS
Evolent is a healthcare company focused on improving care outcomes through its comprehensive management solutions across multiple medical specialties. They aim to enhance the patient care journey by offering coordinated services in areas like oncology, cardiology, musculoskeletal disorders, and primary care, while ensuring high-quality treatment pathways and cost management. Evolent believes every person deserves quality care, striving to align treatment guidelines and innovative approaches to meet patient needs effectively.
📋 Description
• Responsible for supporting and assisting all cardiology administrative and clinical utilization management and quality improvement functions • Act as a clinical liaison to providers, clients, and patients • Maintain and operate Guideline Directed Medial Therapy • Communicate clinical information needs to ordering providers • Prep cases for P2P discussions • Coordinate with UM staff for communication of clinical decisions • Complete UM projects and participate in site visit reviews • Serve as subject matter expert in assigned meetings
🎯 Requirements
• Master of Science in Nursing or Doctor of Nursing Practice (DNP) degree • Minimum of five (5) years’ experience in the practice of EP cardiology (preferred) or primary care • Current, unrestricted state PA or RN/NP license in medicine or required specialty • Strong clinical, management, communication, and organizational skills • Demonstrated leadership skills • Analytic skills • Energetic and curious with a passion for quality and value in health care
🏖️ Benefits
• Health insurance benefits
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