Clinical Practice Consultant Job Description
Clinical practice consultant
provides care based on physician orders and the lactation plan of care, in compliance with policies and procedures, standards of care, and regulatory agency requirements.
Clinical Practice Consultant Duties & Responsibilities
To write an effective clinical practice consultant job description, begin by listing detailed duties, responsibilities and expectations. We have included clinical practice consultant job description templates that you can modify and use.
Sample responsibilities for this position include:
Assesses current practice patterns/assets/challenges utilizing Medical Home Index, NCQA Standards, HEDIS audits, site reviews and medical records reviews
Serves as subject matter expert (SME) for assigned HEDIS / CMS measures, preventive health topics, leads efforts with clinical team to research and design educational materials for use in practitioner offices
Serves as subject matter expert (SME) for assigned Medicare HEDIS/ CMS measures, preventive health topics, leads efforts with clinical team to research and design educational materials for use in practitioner offices
Serves as subject matter expert (SME) for assigned Medicaid HEDIS / CMS measures, preventive health topics, leads efforts with clinical team to research and design educational materials for use in practitioner offices
Serves as subject matter expert (SME) for assigned Medicaid/Medicare HEDIS / CMS measures, preventive health topics, leads efforts with clinical team to research and design educational materials for use in practitioner offices
Supports medical record collection and abstraction processes to drive optimal measurement and quality metric reporting during HEDIS data collection or for other focus studies as directed by the Plan Quality Director
Serves as subject matter expert (SME) for assigned Medicaid/Medicare HEDIS / CMS measures, preventive health topics
Accountable for successful deployment of program at the practice level, including, attribution, provider rosters and performance and clinical reporting
Consults with and guides practice on developing innovative solutions to practice organization and structural challenges in order to achieve desired program outcomes
Utilizing the results of the practice performance analysis and input from the practice, develops/updates performance improvement action plans
Clinical Practice Consultant Qualifications
Qualifications for a job description may include education, certification, and experience.
Licensing or Certifications for Clinical Practice Consultant
List any licenses or certifications required by the position: CPC, AAPC, CPHQ
Education for Clinical Practice Consultant
Typically a job would require a certain level of education.
Employers hiring for the clinical practice consultant job most commonly would prefer for their future employee to have a relevant degree such as Bachelor's and Master's Degree in Healthcare, Business, Graduate, Health, Science, Nursing, Pharmacy, Medical, Oncology, Health Administration
Skills for Clinical Practice Consultant
Desired skills for clinical practice consultant include:
Of: clinical standards of care
HEDIS
Preventive health standards
Governing and regulatory agency requirements
NCQA
Governing and regulatory agency requirements and the managed care industry
NCQA PCMH
Managed care industry
Pharmacology
Federal and accreditation standards and regulations for the health insurance industry
Desired experience for clinical practice consultant includes:
Effectively collaborates with HLM, PCMH and ACO team members including assigned PMOs, ECMs
Based from performance analysis, develops strategies for improvement that includes specific outcomes and metrics to monitor progress to a goal
Supports efforts with clinical team to research and design educational materials and programs for members and in practitioner offices
Upon hire, must provide proof of, and maintain current immunizations and obtain additional immunizations appropriate for the facility which enables access to customer sites in order to perform essential job functions
Serves as subject matter expert (SME) for assigned HEIS/State Measures, preventive health topics, leads efforts with clinical team to research and design educational materials for use in practitioner offices
Role requires travel to physician offices locally (Las Vegas and Henderson area) up to 75% of the time
Clinical Practice Consultant Examples
1
Clinical Practice Consultant Job Description
Job Description Example
Our growing company is looking for a clinical practice consultant. Please review the list of responsibilities and qualifications. While this is our ideal list, we will consider candidates that do not necessarily have all of the qualifications, but have sufficient experience and talent.
Responsibilities for clinical practice consultant
- Effectively collaborates with team members in the Clinical organization Medical Directors, local Network leads, HCE Analysts and Clinical Analysts in support of the program
- Supports continuum of member care by identifying members in need of health education, case management
- Support continuum of member care by identifying members in need of health education, case management
- Onboards new prescriber offices to USB services
- Maintains all required Vendor Credentialing requirements with assigned medical facilities
- Participates in required sales training to maintain technical expertise related to USB portfolio competitive products
- Must be willing to work extended or non-traditional hours (evenings and weekends), as needed, in order to meet sales objectives and goals
- Educates prescriber office on competitive advantages to US Bioservice's (USB) approach, to include products, clinical benefits, capabilities and drug techniques
- Delivers results via increasing referrals and sales
- Identifies Prescribers that are not being covered by manufacturer
Qualifications for clinical practice consultant
- Demonstrated ability to assist with focusing activities toward a strategic direction develop tactical plans, drive performance and achieve targets
- Knowledge & demonstrated experience with continuous QI concepts and tools audits, chart review, knowledge of current CPT and ICD10 coding
- Highly preferred health care and insurance industry experience, including regulatory and compliance Bachelor’s degree in Science or equivalent work experience required
- 2 Years of Maternal Health / OB Experience
- Requires BS in Pharmacy, or Nursing and an advanced degree such as PharmD, MBA, MHA, MS
- Experience with a minimum of five (5) years
2
Clinical Practice Consultant Job Description
Job Description Example
Our growing company is hiring for a clinical practice consultant. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for clinical practice consultant
- Shows proficiency in the manufacturer’s service offerings, patient education, patient assistance
- Identifies opportunities to develop an integrated, cohesive message for Rare/Orphan therapeutic area including direct collaboration with marketing team
- Acts as an ABC liaison for Rare/Orphan and collaborates across the ABC organization to identify and exploit business opportunities
- Educates prescriber offices on competitive advantages to USB approach, to include products, clinical benefits, capabilities and drug techniques for assigned therapeutic areas
- For assigned accounts, understands key stakeholders within prescriber offices, including who are the clinical, financial and other key decision makers, their key issues/concerns, including challenges and opportunities by therapeutic area portfolio
- Evaluates results of initial assessments
- Establishes a project plan with the provider that establishes goals and objectives for improvement
- Provides ongoing practice support and sustains the partnership with the provider
- Improves the understanding and sensitivity to the unique needs of the members served by these programs and their caregivers
- Use data to analyze trends and work with stakeholders to agree on and implement proactive strategies to address issues, and measure impact using a PDSA rapid cycle improvement approach
Qualifications for clinical practice consultant
- CPhT preferred or nurse with OCN experience, BSN preferred (license in good standing)
- Clinical knowledge or experience of oral oncolytic preferred
- Preferred experience of building long term relationships and strong interpersonal skills
- Clinical knowledge or experience of oral oncolytics preferred
- Able to cover designated territory with agreed-to driving distances (70% travel required)
- Minimum of five (5) years of experience of clinical work with a doctor’s office or pharmacy, oncology experience preferred
3
Clinical Practice Consultant Job Description
Job Description Example
Our growing company is searching for experienced candidates for the position of clinical practice consultant. Please review the list of responsibilities and qualifications. While this is our ideal list, we will consider candidates that do not necessarily have all of the qualifications, but have sufficient experience and talent.
Responsibilities for clinical practice consultant
- Consult and guide the practice on developing innovative solutions, including bringing best practice experience and connecting practices with other high performing practices to spur innovation
- Understand business challenges and translate them into process/technical solutions.Facilitate process development initiatives to achieve business goals
- Identify opportunities for improved operational performance
- Conduct business operational assessments and deliver recommendations for improvements
- Provide consultation for operational effectiveness
- Assist in development of project plan and schedule to achieve project goals
- Identify and resolve business risks/issues in a timely manner
- Maintain operation documentation for reference purposes
- Provide recommendations on business process improvements and best practices
- Guide operations team on business operations and problem solving skills
Qualifications for clinical practice consultant
- Current, unrestricted clinical license appropriate to field of specialty (LVN/LPN, RN, NP, PA, LCSW, LSW, ) as required
- Demonstrated ability to conduct and interpret quantitative/qualitative information with analytical problem solving and project management
- This position is a telecommute from your home in Las Vegas
- Requires a minimum of bachelor’s degree or equivalent medical degree
- DHCS Facility Site Review Certification with the ability to obtain the Master Facility Site Reviewer Certification by 4/2018
- CPhT or nurse with OCN experience preferred, BSN preferred (license in good standing)
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Clinical Practice Consultant Job Description
Job Description Example
Our company is looking to fill the role of clinical practice consultant. Please review the list of responsibilities and qualifications. While this is our ideal list, we will consider candidates that do not necessarily have all of the qualifications, but have sufficient experience and talent.
Responsibilities for clinical practice consultant
- Policy Review
- Supervising representatives that are answering customer inquiries, primarily over the telephone, e-mail, or facsimile
- Establishing and maintaining systems that provide answers to common questions and problems
- Reporting on new or recurring problems to design departments
- Ensuring representatives are properly trained when old products are upgraded or new products are released
- Developing, modifying and executing company policies that affect immediate operations
- Requires an active and unrestricted RN license in the state of Texas
- Experience in health care quality improvement
- Bachelor’s degree in nursing, health administration or related clinical field preferred
- Certification in applicable field
Qualifications for clinical practice consultant
- AS/BS in nursing or LVN/LPN
- Clinical knowledge or experience of assigned therapeutic areas preferred
- Preferred experience with building long term relationships and strong interpersonal skills
- Requires 5 years of managed care experience
- Case management, hospice, or palliative care experience preferred
- Must be able to travel locally to contracted providers (mileage, tolls reimbursed)
5
Clinical Practice Consultant Job Description
Job Description Example
Our company is growing rapidly and is searching for experienced candidates for the position of clinical practice consultant. Thank you in advance for taking a look at the list of responsibilities and qualifications. We look forward to reviewing your resume.
Responsibilities for clinical practice consultant
- Ability to travel 50-75% of the time in the Dallas/Ft
- Residency in the Dallas/Ft
- Overall responsibility and accountability for the success of the User Acceptance Testing (UAT) framework/phases
- Determining and documenting UAT Test Scenarios, Test Cases and Test Scripts
- Identification, preparation, validation, and troubleshooting of test data
- Establish/manage through defect triage and resolution processes
- Training and coordination of test support (training materials, results reporting, executive scorecards, ) for business testers and leadership
- Train end users to include providers and medical staff on the use and functionality of the tool
- Become a subject matter expert (sme) on our Clinical tools both from a business and technology aspect
- Mentor/develop other team members
Qualifications for clinical practice consultant
- Health care and health insurance industry experience, including regulatory and compliance - Highly preferred
- AS/BS in nursing or current, unrestricted professional, clinical license in the state of South Carolina
- Current, unrestricted professional, clinical license must be in South Carolina and may include LVN/LPN, RN, NP, PA
- 4+ years of combined experience with improving clinical quality, health care analytics, or driving clinical transformation initiatives with population health programs, Patient Center Medical Homes or in Accountable Care Organizations
- Willingness to travel between 25-75% for face to face meetings (varies by market)
- Access to reliable transportation that will enable you to travel to client and / or patient sites within a designated area (markets may require valid driver’s license)