Clinical Advisory Manager: PMB Decisions & Case Review

A healthcare management company is looking for a Clinical Manager who will be responsible for making clinically sound funding decisions for complex cases. The ideal candidate should have health-related qualifications, over four years of experience in managed healthcare, and strong clinical decision-making skills. Key responsibilities include providing clinical guidance, conducting case reviews, and managing claims processes. The role supports operational teams and engages with external healthcare providers, fostering effective clinical processes across the organization.