- Hackensack Meridian Health (Hackensack, NJ)
- **Overview** The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the ... patient population and HackensackUMC. These include but are not limited to utilization review , hospital reimbursement, clinical compliance, case management, and… more
- Mount Sinai Health System (New York, NY)
- …Operating Room Surgical Scheduling, Mount Sinai West - Full Time, Days** The Utilization Review Specialist coordinates scheduling of all surgical/endoscopic ... **Job Description** ** Utilization Review Admission Specialist ...and operating roaom time. 7. Checks credentials system for physician 's delineation of privileges for equipment and/or procedures according… more
- Mount Sinai Health System (New York, NY)
- …approved Identifies and refers to the UM Manager &/or Administrator and/or Physician problematic utilization and quality issues Responsible for the maintenance ... Beth Israel **Responsibilities** Responsible for all aspects of the concurrent review program, insurance certification, and authorization process for all Psychiatric… more
- City of New York (New York, NY)
- …to increase uptake of COVID-19 and influenza vaccines. With the SCU, the Medical Specialist will be the primary physician responsible for reviewing requests for ... Immunization Infrastructure and Clinical Support Unit and Exemption Medical Specialist will report to the Director of the IICSU...across NYC. Further, this position will be the primary physician in charge of immunization exemption review .… more
- Hackensack Meridian Health (Hackensack, NJ)
- …inclusive of free text fields, to support the case management, utilization review process. + Retrieves information for the Physician Advisors as needed. + ... a leader of positive change. The Integrated Case Management Specialist performs selected services and functions related to insurance...discharge dates. + Enters LAD into EPIC. + Keeps Utilization Review RN current on updates needed… more
- Pfizer (New York, NY)
- …patients. **What You Will Achieve** The Rare Disease, Senior Health & Science Specialist (SHSS) - Rare Cardiac, will target health care providers (HCPs), spanning ... Area Business Manager (ABM). The Senior Health & Science Specialist (SHSS) will demonstrate strong business acumen and an...in local planning + Act decisively by prioritizing resource utilization to meet customer needs + Provide key HQ… more
- Pfizer (New York, NY)
- **Role Summary** The Rare Cardiac Account Specialist (CAS) will target health care providers (HCPs), spanning multiple disciplines (eg, Cardiologists, Nuclear ... the Area Business Manager (ABM). The Rare Cardiac Account Specialist (CAS) will demonstrate strong business acumen and an...in local planning * Act decisively by prioritizing resource utilization to meet customer needs * Provide key HQ… more
- Mount Sinai Health System (New York, NY)
- …reviews with physician office staff and distributes correspondence related to review . * Analyzes returned CDQI alerts for accuracy and completeness * Reviews ... **Job Description** MSHP seeks a Clinical Documentation Specialist who will support efforts to improve the...and completeness of clinical documentation and coding in outpatient physician practices. They will work closely with physicians, Health… more
- Pfizer (New York, NY)
- …and patients in this dynamic ecosystem. The Health and Science System Specialist (HSSS) is responsible for launching new products, deciding on optimal strategies ... Sales responsibilities include relationship development with aligned and affiliated physician targets, KOLs, pharmacists, transition of care advocates, quality… more
- Pfizer (New York, NY)
- **What You Will Achieve** The Senior Health & Science Specialist , Rare Cardiac - will have primary responsibility for Kaiser in Northern CA and will target some ... with appropriate customer stakeholders. The Senior Health & Science Specialist (SHSS) will demonstrate strong business acumen and an...in local planning + Act decisively by prioritizing resource utilization to meet customer needs + Provide key HQ… more
- VNS Health (Manhattan, NY)
- …appeal resolution and execution of the plan's fiduciary responsibilities. Prepares records for physician review as needed. + Conducts review of requests ... Hearings), Centers for Medicare and Medicaid Services (CMS), Independent Review Entities and Quality Improvement Organizations. + Collaborates with professionals,… more
- Pfizer (New York, NY)
- …record of strong leadership, cross functional leadership, collaboration, and effective utilization of available resources to drive performance. * Experience working ... received, generally for public disclosure. Subject to further legal review and statutory or regulatory clarification, which Pfizer intends...the Sunshine Act. Therefore, if you are a licensed physician who incurs recruiting expenses as a result of… more
- Pfizer (New York, NY)
- …record of strong leadership, cross functional leadership, collaboration, and effective utilization of available resources to drive performance. + Experience working ... received, generally for public disclosure. Subject to further legal review and statutory or regulatory clarification, which Pfizer intends...the Sunshine Act. Therefore, if you are a licensed physician who incurs recruiting expenses as a result of… more
- New York State Civil Service (Staten Island, NY)
- …research psychology, industrial psychology, organizational psychology, health psychology, utilization review , guidance counseling, pastoral counseling, or ... supervision of a doctoral level psychologist, licensed psychologist, licensed physician , licensed psychiatrist, psychiatric nurse practitioner, or licensed clinical… more