• Physician Utilization Review

    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
    Hackensack Meridian Health (08/19/24)
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  • Utilization Review Admission…

    The 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
    The Mount Sinai Health System (09/04/24)
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  • Utilization Insurance Specialist

    The 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 ... of services **RESPONSIBILITIES** Responsible for all aspects of the concurrent review program, insurance certification, and authorization process for all Psychiatric… more
    The Mount Sinai Health System (07/26/24)
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  • Clinical Documentation Specialist

    Hackensack Meridian Health (Neptune, NJ)
    …ED inpatient admissions and observations as specified by the facility's Utilization Management/ Review Committee for documentation completeness and compliance ... and serve as a leader of positive change. The Clinical Documentation Specialist facilitates improvement in the overall quality, completeness and accuracy of medical… more
    Hackensack Meridian Health (08/08/24)
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  • Immunization and Medical Exemption…

    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
    City of New York (07/02/24)
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  • Integrated Case Management Specialist

    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
    Hackensack Meridian Health (08/20/24)
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  • Dermatology Senior Health and Science…

    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 (09/07/24)
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  • Rheumatology/Gastroenterology Senior Health…

    Pfizer (New York, NY)
    **Gastroenterology & Rheumatology (Portfolio) Senior Health and Science Specialist (SHSS) - Greenville, SC** All over the world, Pfizer colleagues work together to ... to patients that significantly improve their lives. The Senior Heath & Science Specialist (SHSS) is responsible for selling and launching existing and new products,… more
    Pfizer (09/13/24)
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  • APN, NICU Research Quality Specialist - F/T…

    Hackensack Meridian Health (Hackensack, NJ)
    **Overview** **The APN NICU Research Quality Specialist Nurse is a registered professional nurse who demonstrates clinical and systems expertise through advanced ... educational issues.. Participating in and contributing to clinical care review activities. Compiling, analyzing and communicating specialty-specific metrics. Liaison… more
    Hackensack Meridian Health (08/23/24)
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  • Internal Medicine Health & Science System…

    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 (09/07/24)
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  • Gastroenterology Health & Science…

    Pfizer (New York, NY)
    + The **Gastroenterology** Health & Science Specialist is responsible for launching new products, deciding upon best strategies to manage business relationships, ... Therapeutic Area Specialists and Key Opinion Leaders (KOLs).The Health & Science Specialist should possess customer, market and business acumen combined with strong… more
    Pfizer (09/08/24)
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  • Senior Health and Science Specialist

    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
    Pfizer (08/29/24)
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  • Dermatology Senior Health Science…

    Pfizer (New York, NY)
    …of strong leadership, cross functional leadership, collaboration, and effective utilization of available resources to drive performance. **NON-STANDARD WORK ... 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 (08/25/24)
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  • RN Case Manager - ED

    Nuvance Health (Norwalk, CT)
    …principal liaison between emergency services, surgical services, nursing, finance, physicians, utilization review and Health Information Management to ensure ... coming in from other hospitals. Responsibilities: 1. Manages the Utilization Review elements of the ED encounter...evidence based screening criteria. 3. Refers cases appropriately to Physician Advisor review . 4. Collaborates with SW… more
    Nuvance Health (07/13/24)
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  • Senior Inpatient Coder

    WMCHealth (Valhalla, NY)
    …experience. Licenses / Certifications: Current certification as either a Certified Coding Specialist (CCS) or Certified Coding Specialist - Physician Based ... to the the coding leadership team. + Participates in mandated medical record review processes. + Using current ICD coding systems, assigns and records an accurate… more
    WMCHealth (09/06/24)
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  • Psychologist 1/2 (NY Helps)

    New York State Civil Service (Queens Village, 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
    New York State Civil Service (07/12/24)
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  • Carrier Clinic Admissions APN Nurse Practitioner…

    Hackensack Meridian Health (Belle Mead, NJ)
    …**Responsibilities** **1. Performs medical clearances via telephone and documents review for pre-screening for medical conditions and infectious diseases to ... diets, etc. 5. Completes all documentation as required. 6. Responds to Utilization Management and documents requests efficiently and timely. 7. Consults with the… more
    Hackensack Meridian Health (09/13/24)
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