- Hackensack Meridian Health (Hackensack, NJ)
- **The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity of ... population and Hackensack UMC. These include but are not limited to utilization review , hospital reimbursement, clinical compliance, case management, and… more
- BriteLife Recovery (Englewood, NJ)
- What you will be doing? The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced Revenue Solutions and is ... responsible for overseeing and coordinating all aspects of utilization review and insurance authorization for clients receiving substance use disorder (SUD)… more
- Deloitte (New York, NY)
- …clinical registered nurse, physician, physician assistant, case manager, clinical documentation specialist , utilization review , informatics RN, Quality, DRG ... Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk...financial concerns and other business controversy. A Clinical Documentation Specialist (CDS) works to ensure accuracy and completeness of… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Utilization Management Specialist MSH Case Management FT Days** This position is responsible for coordinating requests for clinical ... internal and external to the institution. Position responsibilities will include utilization management support functions for patient admissions and continuing stay.… more
- Northwell Health (New Hyde Park, NY)
- **Req Number** 171104 **Job Description** The Clinical Pharmacy Specialist is responsible for the development, implementation, and maintenance of drug formularies, ... clinical utilization management (UM) criteria, and evidence-based drug therapy guidelines,...hospital's Formulary and related activities; contributes to the Formulary review process. + Initiates/coordinates MUEs for P&T presentation; discusses… more
- Justworks (New York, NY)
- GTM Field Activation Specialist New York, New York Apply Who We Are At Justworks, you'll enjoy a welcoming and casual environment, great benefits, wellness program ... right in. Who You Are As a Field Activation Specialist , you will drive the execution of strategic go-to-market...and adoption of new strategies. + Tool and AI Utilization : Act as a subject matter expert on core… more
- CUNY (New York, NY)
- Finance Accounts Payable Specialist , FPCM (2 Vacancies) **POSITION DETAILS** The City University of New York's Department of Facilities Planning, Construction, and ... Reporting to the Facilities Budget Accounts Manager, the Finance Accounts Payable Specialist supports the department's financial operations by performing a range of… more
- CUNY (New York, NY)
- Communication Broadcast & Multimedia Production Specialist (Instructional Production Specialist ) **POSITION DETAILS** **"At Baruch College we believe that ... Reporting to the Online Program Manager, the Instructional Production Specialist (IPS) will be an important team member in...and SMEs to develop course content as needed. + Review media assets for filming, such as slides or… more
- BAE Systems (Greenlawn, NY)
- …BAE Systems facility 100% of the time. The role of the Operations Program Specialist includes but is not limited to the following: + Provides leadership and ... Assure the accomplishment of programs goals through the efficient and effective utilization of Operations resources + Coordinate preparation of estimates for all… more
- J&J Family of Companies (New York, NY)
- …**Job Description:** We are searching for the best talent for Sr. Clinical Specialist to be in New York City/Northern New Jersey area. **About Surgery** Fueled ... Learn more at https://www.jnj.com/medtech **Core Job** **Responsibilities:** + The Clinical Specialist reports to the Regional Sales Manager (RSM) and is responsible… more
- JPMorgan Chase (New York, NY)
- …that accelerate adoption and measurable value. As an AI Foundation Transformation Specialist on the Marketing Transformation team, you should be a hands-on, AI-savvy ... transformation specialist to help build and scale AI-driven foundational content capabilities and a centralized Digital Asset Management (DAM) ecosystem for JPMC… more
- The Brattle Group (New York, NY)
- …held, global economics consulting firm, is looking for a **Senior Practice Development Specialist ** to join our **Boston, MA, New York, NY, San Francisco, CA, ... Chicago, IL, or Washington DC** office. The Senior Practice Development Specialist is a key thought partner for the leaders of our Management Groups in advancing… more
- Hackensack Meridian Health (Red Bank, 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 RN** facilitates improvement in the overall quality, completeness and accuracy of… more
- Bank of America (New York, NY)
- Enterprise Financial Risk Capital Markets Risk Sr. Specialist Charlotte, North Carolina;New York, New York **To proceed with your application, you must be at least ... must be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Charlotte/Enterprise-Financial-Risk-Capital-Risk-Sr- Specialist \_25005709-2) **Job Description:** At Bank of America, we are… more
- Northwell Health (New Hyde Park, NY)
- …Job Responsibility + Develops and monitors the hospital's policies/procedures regarding utilization of medications in collaboration with the medical staff, Pharmacy, ... and Therapeutics Committee; monitors medication utilization effectively and intervenes when necessary to ensure compliance. + Monitors pharmacists activities… more
- CUNY (New York, NY)
- Academic Student Support Program Specialist (Online Student Success Coach) **POSITION DETAILS** **"At Baruch College we believe that student success is everyone's ... of faculty, staff, and other service providers to monitor and assess utilization , student progress, and program effectiveness - Performs related duties as assigned.… more
- Northwell Health (Manhasset, NY)
- …and research. + Develops and monitors the hospital's policies/procedures regarding utilization of medications in collaboration with the medical staff, Pharmacy, and ... Therapeutics Committee; monitors medication utilization effectively and intervenes when necessary to ensure compliance. + Ensures the safe and effective use of… more
- Northwell Health (Melville, NY)
- …level of care decisions and billing status and ensures compliance with the Utilization Review standard and regulations. Performs concurrent and retrospective ... of illness and intensity of services provided. Performs PRI's (Patient Review Instrument), as needed. Performs related duties as required. All responsibilities… more
- Citigroup (New York, NY)
- …drivers for assigned parts of the pillar portfolio, including assets, facility utilization , spreads, attrition, revenues, etc. Client & Sales Support + Support the ... concerns, etc. to region and global pillar head. + Support the Global Deal Review process by ensuring guidelines and criteria followed on new and Renewal items.… more
- Molina Healthcare (Yonkers, NY)
- …candidate with a RN licensure, Diagnosis-Related Group (DRG) experience, 2 years of Utilization Review and/or Medical Claims Review experience. Knowledge in ... managed care experience in the specific programs supported by the plan such as utilization review , medical claims review , long-term services and supports… more