Advanced Clinical Advocate Nurse Practitioner

CVS Health Careers

. Serve as a clinical resource for complex pharmacy and imaging-related cases .

Posted 11/3/2026full-timeRemote • Ohio • United StatesMid-LevelSenior💰 $26 - $75 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates advanced clinical judgment and expertise in complex care management, with a strong focus on collaboration and communication among interdisciplinary teams. Proficient in navigating healthcare regulations and utilizing evidence-based guidelines to enhance provider and patient experiences.

Highest-signal resume keywords

Active Nurse Practitioner LicenseNational Board CertificationAdvanced Clinical Practice ExperienceClinical Assessment and Critical ThinkingExperience with Pharmacy and Imaging Programs

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Complex Care ManagementClinical Decision SupportEvidence-Based Guidelines InterpretationProvider-to-Provider ConsultationsHealthcare Regulations Knowledge

Soft Skills

Excellent Verbal and Written CommunicationCollaboration with ProvidersCritical Thinking and Decision-Making

Tools & Technologies

Microsoft Office 365Google WorkspaceVPN AccessEHR Portals

Certifications & Qualifications

National Board Certification through ANCC or AANP

Industry Keywords

Managed CareSpecialty CarePopulation HealthQuality Improvement Methodologies

About the role

Key responsibilities & impact

Serve as a clinical resource for complex pharmacy and imaging-related cases
Collaborate with providers to clarify clinical needs, treatment intent, and supporting clinical information
Evaluate clinical scenarios and identify opportunities to support timely access to appropriate care and services
Apply advanced clinical judgment to support evidence-based decision-making
Facilitate resolution of complex clinical questions with providers, pharmacists, nurses, and interdisciplinary teams
Conduct clinical outreach and provider-to-provider consultations regarding complex care requests
Partner with ordering and prescribing providers to understand clinical circumstances and treatment goals
Build collaborative relationships with provider partners and serve as a trusted clinical resource
Function as a clinical liaison between pharmacy, imaging, operational, and clinical teams
Escalate clinically complex cases when additional expertise or review is required
Support efficient care coordination and reduce barriers affecting treatment initiation
Promote a seamless provider experience through proactive communication and collaboration
Identify trends, opportunities, and barriers affecting care access and provider experience
Provide feedback on clinical documentation, workflows, and process improvement initiatives
Participate in quality, compliance, and clinical calibration activities
Contribute to initiatives improving care access, provider satisfaction, and the healthcare experience
Support continuous improvement focused on clinical quality and operational excellence
Support providers, members, and internal clinical teams in navigating complex pharmacy and imaging-related care needs
This is not a direct patient care role and does not provide retail, primary care, urgent care, or in-home clinical services

Requirements

What you’ll need

Active, unrestricted Nurse Practitioner license with the ability to obtain and maintain multi-state licensure as required
Current national board certification through ANCC, AANP, or another nationally recognized certifying body
Minimum of five (5) years of advanced clinical practice experience
Demonstrated clinical expertise in complex care management, specialty care, managed care, pharmacy, imaging, utilization support, or related healthcare settings
Strong clinical assessment, critical thinking, and decision-making skills
Experience collaborating directly with physicians, specialists, and advanced practice providers
Excellent verbal and written communication skills
Ability to interpret clinical information, evidence-based guidelines, and healthcare policies to support informed clinical recommendations
Experience supporting pharmacy and/or imaging-related clinical programs
Prior managed care, health plan, payer, specialty care, or population health experience
Experience conducting provider-to-provider clinical consultations
Familiarity with evidence-based clinical guidelines and clinical decision support tools
Experience collaborating with Medical Directors and interdisciplinary clinical leadership teams
Knowledge of healthcare regulations, accreditation standards, and quality improvement methodologies
Direct/hardwired internet connection to a modem/router within 7 feet of the computer
Minimum internet speed of 25 Mbps download and 3 Mbps upload
Quiet, secure, private designated home workspace compliant with CVS Health and HIPAA guidelines
Must work within the state and city where currently living
Must provide workspace furniture, such as a desk or standing desk
Comfortable setting up and using multiple monitors and navigating multiple applications simultaneously
Ability to communicate via email, calendar invites, Teams messaging, and virtual meetings
Experience with Microsoft Office 365 applications or similar tools such as Google Workspace
Ability to log in to secure systems such as VPN and EHR portals
Ability to follow computer security practices, including locking screens, managing strong passwords, and recognizing suspicious emails or links
Ability to resolve common technical issues independently

Benefits

Comp & perks

Medical coverage
Dental coverage
Vision coverage
Paid time off
Retirement savings options
Wellness programs
Other resources supporting physical, emotional, and financial well-being
Company-provided equipment (keyboard, monitor, computer, headset, etc.)