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This role focuses on optimizing guideline-directed medical therapy (GDMT), supporting medication titration, improving medication adherence, and collaborating closely with nurses and cardiology providers to improve outcomes for high-risk cardiac patients. A clinically confident cardiology pharmacist who is comfortable working telephonically, communicates complex clinical information in a patient-friendly way, and thrives inside a nurse-led, interdisciplinary care model.

HOUR

Seamless Assist

Clinical Pharmacist – Cardiology / Value-Based Care

Manatal

The Clinical Reviewer supports the WISeR Prior Authorization Program by performing comprehensive clinical reviews, validating documentation accuracy, and supporting physician determination activities in compliance with CMS requirements, WISeR guidelines, and organizational policies . The Clinical Reviewer combines clinical expertise with strong analytical and documentation skills while collaborating with physicians, nurses, quality teams, customer service, and technology partners.

Virtix Health

Clinical Quality Reviewer (Coder/Auditor)

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The Center for Pediatric Pulmonary Disease & Allergy (PPD&A) is seeking a Certified Asthma Educator (AE-C) to provide comprehensive, home-based asthma education and self-management support to pediatric patients and their families following emergency department (ED) visits for asthma at St. Louis Children’s Hospital (SLCH). The educator’s primary responsibilities include conducting home visits—typically within four to seven days of a child’s ED discharge —to review discharge instructions, demonstrate proper medication and inhaler use, and provide education on environmental trigger management and symptom control.

Washington University in St Louis

Certified Asthma Educator - Pediatric Allergy & Pulmonary Medicine

FULL_TIME

OTHER

Candidates should be able to support operations at one or more of the following locations: Phenix City, AL, Tucson, AZ, Coronado, CA, Colorado, Springs, CO, Washington, DC, Crestview, FL, Destin, FL, Florida City, FL, Fort Walton Beach, FL, Homestead, FL, Niceville, FL, Riverview, FL, Tampa, FL, Columbus, GA, Savannah, GA, Honolulu, HI, Clarksville, KY, Fayetteville, NC, Jacksonville, NC, Spring Lake, NC, Clovis, NM, Arlington, VA, Chesapeake, Dam Neck, VA, VA, Norfolk, VA, Virginia Beach, VA, Lakewood, WA, Tacoma, WA. Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.

MAXIMUS provides business services to help governments operate health and human services programs, mostly at the state and national levels. The company's health services segment offers outsourced program management and administrative services,

Maximus

Clinical Case Manager, LCSW (POTFF)

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Strong interpersonal skills, presentation, and teaching skills; Ability to work independently and in a team structure; Ability to adjust effectively to work within new structures, processes, requirements, or cultures; Strong planning and organizational skills; team and leadership skills. Applicable only to applicants applying to a position in any location with pay disclosure requirements under state or local law: The compensation range described below is the range of possible base pay compensation that the Company believes in good faith it will pay for this role at the time of this posting based on the job grade for this position.

AbbVie, Inc

Senior MSL I - Aesthetics Portfolio

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Proficiency in Excel, Word, Power Point, and other software skills; Excellent written/verbal communication skills; Strong interpersonal skills, presentation, and teaching skills; Ability to work independently and in a team structure; Ability to adjust effectively to work within new structures, processes, requirements, or cultures; Strong planning and organizational skills; team and leadership skills. Combined with strong strategic vision, market therapeutic area awareness, as well as clinical expertise, the MSL/Senior MSL serve as a conduit of information, education, and research activities for physicians and ancillary healthcare professionals regarding current and future therapies in development or commercialized by AbbVie.

AbbVie Inc

MSLSenior Oncology Multiple Myeloma Mid-Atlantic

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MSLSenior MSL Therapeutic Neurotoxins Washington D.C.

AbbVie

MSL/Senior Oncology, Multiple Myeloma (Mid-Atlantic)

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You’ll gain hands-on exposure to the clinical and commercial sides of spine , working directly with experienced sales leadership while developing the skills needed to manage customers and grow a territory. You’ll work alongside experienced sales leadership to support spine procedures, develop relationships with surgeons and hospital teams, and gain hands-on exposure to the commercial side of the business.

Rep-Lite

Spine Clinical Sales Specialist - 84

Key Responsibilities: Complies with all CMS guidelines for the completion of the Minimum Data Set: Establishes the assessment reference data for all Minimum Data Sets under the Medicare Patient Driven Payment Model to capture the highest resident reimbursement. Job Requirements: Bachelor's degree in Nursing, one (1) to three (3) years of long-term care MDS coordination and care planning experience with a valid Registered Nurse license required; or equivalent combination of education and experience.

Ingleside at Home

MDS Coordinator On Call

We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support. Coordinates inventory/supply management by reviewing monthly inventory count and approving purchase orders for necessary items to ensure cost containment, timely distribution, and competitive pricing.

Fresenius Medical Care AG & Co KGaA

Healthcare Operations Facility Administrator

Work closely with Account Manager and Implementation team during laboratory installation, validation, and verification process including assistance with training, competency, SOP and IQCP development, normal donor sourcing, logistics support for TEG program, and ordering/interfacing needs. Provision of dedicated onsite support for new TEG customers "going live" with the technology or additional assays inclusive of all affected shifts and areas of use case support and training inclusive of after-hours support.

YEAR

Haemonetics Corp

Clinical Specialist - TEG (Washington, DC/Fairfax, N. Virginia) (Field Sales)

Perform quality on site reviews of delegated entities, physician office/clinics, resolve quality issues, generate written summary of findings and follow up as directed by the Medical Director and/or Credentialing and Quality Improvement Committee (QIC). You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective.

Utilization Management Nurse Jobs in District of Columbia

Clinical Pharmacist – Cardiology / Value-Based Care Seamless Assist

Clinical Quality Reviewer (Coder/Auditor) Virtix Health

Certified Asthma Educator - Pediatric Allergy & Pulmonary Medicine Washington University in St Louis

Clinical Case Manager, LCSW (POTFF) Maximus

Senior MSL I - Aesthetics Portfolio AbbVie, Inc

MSLSenior Oncology Multiple Myeloma Mid-Atlantic AbbVie Inc

MSLSenior MSL Therapeutic Neurotoxins Washington D.C. AbbVie Inc

MSL/Senior Oncology, Multiple Myeloma (Mid-Atlantic) AbbVie

Spine Clinical Sales Specialist - 84 Rep-Lite

MDS Coordinator On Call Ingleside at Home

Healthcare Operations Facility Administrator Fresenius Medical Care AG & Co KGaA

Clinical Specialist - TEG (Washington, DC/Fairfax, N. Virginia) (Field Sales) Haemonetics Corp

Quality Improvement Coordinator II Centene Management Company

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