Senior Clinical Advocate NP – Pharmacy & Imaging

CVS Health; Iowa; Hybrid; USD 36,000 - 103,000; Full time

Job summary

CVS Health seeks an Advanced Clinical Advocate Nurse Practitioner to serve as a senior clinical resource for complex pharmacy and imaging care needs. This non-patient-facing role supports providers, members, and clinical teams, driving access to appropriate care through collaboration and evidence-based decision-making.

The position emphasizes strategic engagement with providers, cross-functional teamwork, and continuous quality improvement to enhance the provider and patient experience.

Qualifications

• Active, unrestricted Nurse Practitioner license with multi-state licensure ability.
• Current national board certification through ANCC, AANP, or another recognized certifying body.
• Minimum of five (5) years of advanced clinical practice experience.
• Demonstrated clinical expertise in complex care management, 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.

Responsibilities

• 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 through collaboration 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 better understand unique clinical circumstances and treatment goals.
• Support productive clinical dialogue that promotes appropriate care planning and informed decision-making.
• 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.
• Partner with pharmacists, nurses, care teams, and other stakeholders to address complex clinical situations.
• Escalate clinically complex cases when additional expertise or review is required.
• Support efficient care coordination and reduce unnecessary barriers that may impact treatment initiation.
• Promote a seamless provider experience through proactive communication and collaboration.
• Identify trends, opportunities, and barriers impacting care access and provider experience.
• Provide feedback regarding clinical documentation, workflow opportunities, and process improvement initiatives.
• Participate in quality, compliance, and clinical calibration activities.
• Contribute to initiatives designed to improve care access, provider satisfaction, and overall healthcare experience.
• Support continuous improvement efforts focused on clinical quality and operational excellence.

Skills

Nurse Practitioner license

Board certification (ANCC/AANP)

Advanced clinical practice experience

Clinical expertise in complex care/phm

Communication skills

Provider collaboration

Office 365 / MS Office tools

Tools

Microsoft Office 365 (Teams, Outlook, Word, Excel, PowerPoint)

Job description

CVS Health seeks an Advanced Clinical Advocate Nurse Practitioner to serve as a senior clinical resource for complex pharmacy and imaging care needs. This non-patient-facing role supports providers, members, and clinical teams, driving access to appropriate care through collaboration and evidence-based decision-making.

The position emphasizes strategic engagement with providers, cross-functional teamwork, and continuous quality improvement to enhance the provider and patient experience.