Clinical Specialist

• Conduct reviews of Critical/Sentinel Events to determine whether incidents meet critical event, critical incident, risk event, sentinel event, or media event criteria
• Classify critical events or incidents as sentinel or non-sentinel events
• Develop and update the MH-WIN Procedural Guidance Manual for reporting critical incidents/events, sentinel events, and deaths
• Document and report high-profile, media-reported, and urgent incidents meeting critical incident criteria
• Develop face-to-face Critical/Sentinel Event training for the provider network
• Report all expected and unexpected deaths to MDHSS within 24 hours of knowledge
• Process closure of assigned deaths in the MH-WIN Module
• Provide oversight and management of Performance Improvement Projects
• Review member records and related information, including IPOS, progress notes, psychiatric evaluations, Behavior Management Plans, dispute resolutions, grievances and appeals, and recipient rights complaints
• Follow up with providers on root cause analyses, investigations, corrective action plans, and interventions
• Maintain confidentiality and distribute peer review materials only as necessary
• Upload Critical/Sentinel Event information into MH-WIN and the All Scanned Documents tab
• Analyze and report member experience and satisfaction with services
• Develop performance improvement targets with the QI Administrator and Director
• Implement systems-improvement changes and measure and evaluate results
• Collaborate with other DWIHN units to support quality, service, and efficiency improvements
• Perform related duties as assigned

Clinical Specialist – Performance Improvement

• Serve as a clinical expert during system implementation, physician onboarding, and live procedure support
• Partner with Account Managers on account readiness, utilization goals, and growth opportunities
• Lead on-site execution during new site launches and technology integrations
• Identify and share clinical insights to enhance performance, workflow, and outcomes
• Support collaboration between Clinical, Commercial, and R&D teams
• Maintain professional relationships with physicians, clinical staff, and internal stakeholders
• Drive ongoing optimization at existing sites
• Coordinate and execute site start-ups and procedural launches
• Provide in-person and remote procedural support
• Ensure adherence to clinical and safety protocols
• Identify opportunities to expand procedural utilization and account performance
• Jointly develop and execute site-specific action plans with Account Managers

Clinical Specialist, North FL - Jacksonville

• Support successful clinical implementation and adoption of HistoSonics technology
• Serve as a clinical expert during system implementation, physician onboarding, and live procedures
• Partner with Account Managers on account readiness, utilization goals, and growth opportunities
• Lead on-site execution during new site launches and technology integrations
• Provide in-person and remote procedural support
• Ensure adherence to clinical and safety protocols
• Identify clinical insights to improve performance, workflow, and outcomes
• Collaborate with Clinical, Commercial, and R&D teams
• Maintain relationships with physicians, clinical staff, and internal stakeholders
• Optimize existing sites to support procedural growth and sustainability
• Coordinate site start-ups and procedural launches
• Drive clinical adoption and account performance

• Perform standard clinical evaluations and reviews of disability claims requiring additional review based on medical condition, client requirements, or complexity
• Review medical documentation and apply clinical knowledge to substantiate disability and interpret impacts on job functions
• Communicate with employees and providers by phone and in writing regarding clinical status, progress, and work status
• Provide follow-up recommendations for ongoing medical management of claims
• Achieve appropriate quality audit scores
• Act as a clinical resource to claims examiners on medical terminology, medical management, and claim decisions
• Provide backup for key disability claims on an ad hoc basis
• Perform other assigned duties
• Travel as required

Disability Clinical Specialist

• Perform standard clinical evaluations and reviews of referred disability claims
• Review medical documentation and apply clinical knowledge to substantiate disability and assess impact on job functions
• Communicate with employees and providers regarding clinical status, progress, and work status
• Provide follow-up recommendations for ongoing medical management of claims
• Achieve appropriate quality audit scores
• Act as a clinical resource to claims examiners on medical management, terminology, and claim decisions
• Provide backup for key disability claims on an ad hoc basis
• Perform other assigned duties
• Travel as required

• Provide clinical decision-making support and community resource coordination for Medical Management
• Support Medical Management operational needs and program coordination across the health continuum
• Perform concurrent, retrospective acute and subacute reviews
• Assist with discharge planning and transitions in care
• Coordinate medical services so Members receive the right care, at the right time, in the right setting
• Review requests using approved evidence-based clinical criteria to determine whether documentation supports medical necessity
• Consult with or refer complex clinical presentations or medical necessity reviews to the Medical Director
• Identify and refer cases to claim operations queues, including subrogation, coordination of benefits, and clinical research
• Collaborate with the Care Management Team and place appropriate referrals
• Establish relationships with local providers, healthcare organizations, discharge planners/coordinators, and community resources
• Complete accurate and timely clinical documentation
• Participate in quality improvement and professional development activities such as Interrater Reliability (IRR)
• Follow approved resources, department procedures, and workflows
• Maintain confidentiality of Member and proprietary company information
• Deescalate emotionally charged Member and provider situations
• Maintain production levels and quality standards with minimal direct supervision
• Perform additional duties as assigned

Clinical Specialist, Utilization Management

• Function as TEG product line Clinical Advisor to customers
• Drive utilization and expansion of the TEG product line at existing customer sites within the defined territory
• Support account management sales through clinical education and ongoing case support
• Manage the territory for the existing TEG customer base
• Increase product usage and expand the customer base through clinical education and revenue growth
• Train new and existing customers on all product and clinical aspects of the TEG line
• Provide onsite support in laboratory, critical care, OR, and other application areas
• Ensure customers can safely and efficiently operate TEG equipment, software, and disposables and interpret TEG results
• Provide clinical expertise to achieve standard-of-care utilization within accounts using CRM tools and market data
• Develop clinician relationships, deliver didactic education and grand rounds presentations, provide case support, take end-user calls, and host market development events
• Visit hospital accounts, identify and train clinical champions, and establish relationships with key decision makers
• Provide dedicated onsite support for new customers going live with TEG technology or additional assays, including after-hours support
• Investigate and resolve technical, operational, and clinical customer concerns with cross-functional teams
• Maintain professional and technical knowledge through workshops, publications, professional networks, societies, and conferences
• Maintain customer and territory records in the CRM tool
• Assist customers in tailoring product training materials and needs
• Understand competitors and convert existing accounts to TEG business
• Collaborate with the Account Manager on key-account expansion and revenue forecasting
• Provide regional and national tradeshow support
• Drive demand for device and software upgrades and add-on devices
• Support laboratory installation, validation, verification, training, competency, SOP and IQCP development, donor sourcing, logistics, ordering, and interfacing needs
• Prospect and develop multi-level relationships, including C-level relationships, within the territory
• Participate in product development, market needs, quality investigations, and launches while providing feedback to sales, marketing, and R&D

Clinical Specialist, TEG

• Function within the three spheres of influence: patient, nurse, and system
• Apply advanced nursing practice knowledge and standards within the practice area
• Provide theory- and evidence-based knowledge shaping practice and core competencies for unit nursing and patient care staff
• Provide area leadership in collaboration with administrative leaders
• Lead orientation, professional development, skills/competency validation, evidence-based practice, shared governance, regulatory compliance, nurse sensitive quality indicators, and performance improvement
• Collaborate with the multidisciplinary team as a leader, consultant, and change agent
• Provide high-risk obstetrical care support in Labor & Delivery

Clinical Specialist – Labor & Delivery

• Help make each site independent on procedures, product preparation and support
• Provide guidance on device use so physicians and staff reach expert proficiency and deliver positive patient outcomes
• Travel frequently within an assigned territory after extensive training to clinically train customers on THV technology
• Work independently in valve crimping, case management, pre-case planning, post-case management, 3 Mensio management, Therapy Awareness program management and clinical education programs
• Implement sales and educational materials for clinicians
• Validate software and hardware updates in the field
• Plan and implement growth strategies within focused accounts with Sales Management
• Develop clinical champions among current and potential customers for THV products
• Collaborate with clinicians to deliver training and educational materials during training sessions
• Educate physicians and staff to reach expert proficiency in the THV procedure
• Attend implants and conduct device preparation and Sapien valve crimping in assigned cases
• Support physicians during THV procedures and manage complaint handling as needed
• Support cases outside the assigned region as needed
• Partner with Territory Managers to select sites and grow THV therapy through awareness programs
• Partner with proctors and sales organization to plan and implement physician and support staff trainings
• Assist in developing the THV procedure in Cardiology and Surgery
• Report to an assigned Regional Director and collaborate with Sales, Clinical Affairs, Marketing, Quality, Regulatory and Education

Field Clinical Specialist – Transcatheter Heart Valve

• Provide hands-on technical support for day-to-day clinical and manufacturing operations
• Perform patient molecular/serologic and manufacturing sample testing
• Perform and summarize data for review and reporting
• Monitor daily, weekly, and monthly quality control of equipment and systems
• Perform duties related to tests, instruments, and reagents; identify and escalate potential problems
• Maintain clean, organized laboratory and proper PPE/sample/material handling
• Log incoming materials and accession clinical samples in the Laboratory Information System (LIS)
• Transfer data accurately, generate electronic reports, document final results, and submit results for review
• Use LIS to sign off test completion and communicate results ready for review or release
• Report incorrect sample submissions and communicate written reports to clients
• Assist with training new employees and perform staff competency assessments
• Perform feasibility studies and assist in developing new assays
• Assist with strategic project testing and summarize data
• Participate in validation protocols and summarize validation data
• Perform annual equipment calibrations
• Use Microsoft tools to summarize quality metric data
• Support documentation of SOP deviations in MediaLab
• Enter deviations and CAPA submissions/updates in MediaLab
• Place online reagent and maintenance orders
• Maintain laboratory organization and appearance

Clinical Specialist jobs in United States

Clinical Specialist – Performance Improvement

Clinical Specialist, North FL - Jacksonville