- CDPHP (Latham, NY)
- …share these values and invites you to be a part of that experience. The clinical support specialist (CSS) provides administrative support to clinical staff ... take prior to logging and routing requests for authorization to the appropriate clinical reviewer. CSS reviews clinical documentation and determines at times… more
- Access: Supports For Living (Mount Vernon, NY)
- Clinical Quality Specialist Location: Mt. Vernon, NY, United StatesDate Posted: Nov 21, 2025 Share: share to e-mail Apply Now Save JobSaved Description Location: ... Hours per hour -Hybrid Schedule Percent of Travel: 75% Licensed Master or Clinical Social Worker; or Licensed Mental Health Counselor (LCSW, LMSW, LMHC) required.… more
- Northwell Health (New Hyde Park, NY)
- …Number** 164964 Job Description Implements, coordinates, and evaluates all clinical Pharmacy services. Assists and directs Medication Usage Evaluations, collaborates ... Job Responsibility + Develops and monitors the hospital's policies/procedures regarding utilization of medications in collaboration with the medical staff, Pharmacy,… more
- Northwell Health (Manhasset, NY)
- …Number** 154393 Job Description Implements, coordinates, and evaluates all clinical transplant pharmacy services (inpatient and outpatient). Collaborates with the ... and research. + Develops and monitors the hospital's policies/procedures regarding utilization of medications in collaboration with the medical staff, Pharmacy, and… more
- Trinity Health (Syracuse, NY)
- …the discussion and notification processes that result from the clinical utilization reviews with the facilitiesPer Diem- Insurance Specialist to assist with ... professionals. Interacts with internal and external providers to review and monitor members' utilization of health care services with the goal of maintaining… more
- Bassett Healthcare (Little Falls, NY)
- …organizing, controlling, climate setting, leadership, and operational duties. The Respiratory Care Specialist will provide clinical training regarding ... development, implementation, and administration of all policies and procedures. The Respiratory Care Specialist performs all roles and responsibilities of a… more
- SUNY Upstate Medical University (Syracuse, NY)
- …proficiency in clinical conceptual understanding for purposes of level of care review. Strong communication skills, both written and verbal, as well as ... Job Summary: The UR-CR Specialist I is primarily responsible for ensuring that...platforms, etc. Preferred Qualifications: Utilization management or utilization review experience, experience with level of care… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …of Utilization Management, Behavioral Health, Quality Management, or Member Care Management. This position acts as a resource for staff regarding members' ... Stored + Information retrieval (SIR) queues throughout day for messages, potential care management referrals, authorization requests and clinical documentation +… more
- Medtronic (Manhattan, NY)
- …compassionate world. **A Day in the Life** The Senior Surgical Onsite Specialist (SOS) is responsible for providing case support and customer support, training ... Surgical Centers of Therapy (COTs). This role ensures seamless product utilization by assisting with on-site procedures, addressing customer inquiries, performing… more
- Breaking Ground (New York, NY)
- …homelessness history, services needed, and appropriate placement options. The Community Health Specialist ensures the utilization of Harm Reduction and Housing ... First strategies and other best-practice interventions to ensure the highest quality care for clients. The Community Health Specialist carries a caseload and is… more