- Amgen (New York, NY)
- …(but not limited to), Hospital Pharmacy, Lipid Clinical , Heart Failure Clinical and Quality Directors ( inpatient and outpatient), hospital finance decision ... data and CV product messaging for approved CV products and delivers clinical messages compliantly within all governing policies + Accountable for ensuring formulary… more
- Molina Healthcare (Buffalo, NY)
- For this position we are seeking a (RN) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity of high ... review, and medical coding. JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that… more
- Veterans Affairs, Veterans Health Administration (Syracuse, NY)
- … nurse practitioners, physician assistants, psychologists, psychiatrists, social workers, clinical pharmacists, and nursing staff) to accomplish team goal setting ... referrals, scheduling, coordinating and monitoring return appointments for outpatient and inpatient treatment in compliance with VHA scheduling directives and HIPPA… more
- University of Rochester (Rochester, NY)
- …of Rochester is a major research university with a long history of clinical and laboratory investigations. Rochester is located on the southern shore of Lake ... be responsible for seeing patients for consults in the inpatient and outpatient areas, answering management calls through the...Night and weekend remote call (shared between 5 providers) 2 . Education a. Develop and manage approach to learner… more
- UPMC (Jamestown, NY)
- …is looking for a **Senior Discharge Plan Manager** to support their Clinical Care Coordination and Discharge Planning department! This casual position has a ... WEEKEND schedule. UPMC is proud to announce the NEW Clinical Care Coordination and Discharge Planning Career Ladder, dedicated...of experience can be substituted for BSN completion. OR 2 ) MSW or master's degree in another health and… more
- WMCHealth (Suffern, NY)
- …Counties, NY. This is a general OB/GYN group with three offices, seven physicians and 2 nurse practitioners. This is an exciting opportunity to become part of a ... and opportunity for learning and growth with our providers. Clinical responsibilities will include inpatient obstetrical and...has nearly 3,000 attending physicians. From Level 1, Level 2 and Pediatric Trauma Centers, the region's only acute… more
- Veterans Affairs, Veterans Health Administration (Castle Point, NY)
- …and skills to provide effective, timely and quality responses to patients' clinical needs and problems. Patient ages range from 18 through the geriatric ... and other monitoring and evaluation requirements. The physicians maintain high clinical standards that are carried into decision- making processes, and continually… more
- Molina Healthcare (Rochester, NY)
- JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically ... necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members...(UM) policies and procedures. Required Qualifications * At least 2 years experience, including experience in hospital acute care,… more
- Molina Healthcare (Syracuse, NY)
- JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary ... and align with established clinical guidelines, insurance policies, and regulations - ensuring members...(UM) policies and procedures. Required Qualifications * At least 2 years experience, including experience in hospital acute care,… more
- Centene Corporation (New York, NY)
- …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... fresh perspective on workplace flexibility. **Must have an active New York State Clinical License.** **This position will be working with our Children member's -… more
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