We are seeking a Clinical Advisor to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations.
About the Role:
The Clinical Advisor plays an essential role in enhancing the quality and efficiency of healthcare delivery within the organization. This position focuses on evaluating clinical practices, identifying opportunities for improvement, and collaborating with healthcare providers to implement evidence-based strategies that optimize patient outcomes. The Clinical Advisor serves as a clinical expert and liaison between healthcare teams and administrative leadership, ensuring compliance with regulatory standards and organizational goals. Through data analysis and performance monitoring, the Clinical Advisor drives continuous quality improvement initiatives that support patient safety and satisfaction. Ultimately, this role contributes to the advancement of healthcare excellence by fostering a culture of accountability, education, and innovation across provider networks.
Minimum Qualifications:
- Current and unrestricted Registered Nurse (RN) license in the State of Florida.
- Bachelor of Science in Nursing (BSN) degree or equivalent.
- Minimum of 3 years of clinical nursing experience in a healthcare setting.
- Demonstrated knowledge of healthcare quality improvement methodologies and performance measurement.
- Proficiency in analyzing clinical data and generating actionable insights.
Preferred Qualifications:
- Master’s degree in Nursing, Healthcare Administration, or a related field.
- Certification in quality improvement or patient safety (e.g., CPHQ, CPPS).
- Experience working within managed care or health plan environments.
- Strong familiarity with healthcare regulatory standards such as CMS, Joint Commission, or NCQA.
- Advanced skills in data analytics software and electronic health record (EHR) systems.
Responsibilities:
- Demonstrate commitment to Our Mission and models ILS Experience Standards of Excellence.
- Conduct comprehensive reviews of healthcare provider performance metrics and clinical outcomes to identify areas for improvement.
- Collaborate with multidisciplinary teams to develop and implement quality improvement plans and best practice guidelines.
- Provide expert clinical consultation and education to healthcare providers to enhance adherence to evidence-based care standards.
- Monitor compliance with regulatory requirements and internal policies related to patient care and safety.
- Analyze healthcare data to generate reports and recommendations that inform leadership decision-making and strategic planning.
- Facilitate communication between clinical staff and administrative departments to support coordinated care delivery.
- Participate in the development and delivery of training programs aimed at improving clinical competencies and provider performance.
- Support initiatives that promote patient-centered care and optimize resource utilization within the healthcare system.
- Performs other duties as assigned.
Skills Required
- Current and unrestricted Registered Nurse (RN) license in the State of Florida
- Bachelor of Science in Nursing (BSN) degree or equivalent
- Minimum of 3 years of clinical nursing experience in a healthcare setting
- Demonstrated knowledge of healthcare quality improvement methodologies and performance measurement
- Proficiency in analyzing clinical data and generating actionable insights
- Master's degree in Nursing, Healthcare Administration, or a related field
- Certification in quality improvement or patient safety (e.g., CPHQ, CPPS)
- Experience working within managed care or health plan environments
- Familiarity with healthcare regulatory standards such as CMS, Joint Commission, or NCQA
- Advanced skills in data analytics software and electronic health record (EHR) systems
What We Do
Independent Living Systems, LLC, offers a comprehensive range of clinical and third-party administrative services to managed care organizations and providers that serve high-cost, complex member populations in the Medicare, Medicaid and Dual-Eligible Market. Independent Living Systems has been an industry leader in managing home and community-based programs for over 16 years. Leveraging ILS’ award winning technology platform, ILS provides assistance beyond the clinical realm at every stage of care from hospitalization to the treatment of chronic illnesses to personalized care management including nutritional support. As one of the country’s leading providers of Nutritional Support Services and medically tailored meals, ILS provides nutrition counseling and home delivered meals for individuals transitioning from acute settings to the home as well as for those combatting the effects of one or more chronic diseases. In partnership with health plans, providers, hospitals, and pharmaceutical and medical device companies, ILS provides solutions aimed at improving health outcomes while rebalancing costs. ILS’ suite of products and services include: MLTSS - Managed Long-Term Services Supports Suite of solutions including assessments, care management, and coordination of home and community-based services, care planning, and back-office support CCM - Comprehensive Care Management A streamlined solution for ongoing care management and care optimization targeted towards special needs populations and special needs plans Meals and Nutrition One of the nation’s largest nutritional providers delivering consistent, high-quality therapeutic meals to elderly and at-risk populations TPA – Third Party Administration A fully integrated business and technology offering to support all administrative and financial reporting requirements of health plans and risk bearing entities MSO – Management Services Organization Population and provider-based interventions to address utilization and monitor unit costs of services For more information please contact us via email at [email protected].
