• Clinical Denials & Appeals…

    Northwell Health (Melville, NY)
    …utilization management using evidenced-based medical necessity criteria; conducts clinical reviews and formulates appeal letters to support appropriateness ... with current state, federal, and third-party payer regulations. Ensures clinical reviews and appeals are up to date and...(5) years of job entry date. Current License to practice as a Registered Professional Nurse in New York… more
    Northwell Health (08/20/25)
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  • Registered Nurse - Clinical Training…

    SUNY Upstate Medical University (Syracuse, NY)
    Job Summary: Provides consistent day to day leadership and clinical expertise on the unit that drives customer service, quality, and the Patient Experience. Manages ... growth and development of current employees. Participates in the Clinical Advancement Program and is an active member of...Qualifications: Possession of or eligibility for a license to practice as a registered nurse in New York State… more
    SUNY Upstate Medical University (08/13/25)
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  • Clinical Pharmacy Specialist

    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 ... use of medication; guides staff in the provision of clinical services. + Provides necessary, requested information to management...of education and related experience. + Current License to practice as a Pharmacist in New York State required,… more
    Northwell Health (08/20/25)
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  • Clinical Pharmacy Specialist

    Northwell Health (Manhasset, NY)
    …Number** 154393 Job Description Implements, coordinates, and evaluates all clinical transplant pharmacy services (inpatient and outpatient). Collaborates with the ... use of medication; guides staff in the provision of clinical services. Includes but not limited to: medication review...of education and related experience. + Current License to practice as a Pharmacist in New York State required,… more
    Northwell Health (06/27/25)
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  • Clinical Quality Improvement…

    Northwell Health (Staten Island, NY)
    …functions. Job Qualification + BSN nursing degree, required. Current License to practice as a Registered Professional Nurse in New York State required, plus ... specialized certifications as needed + Current license to practice as a Registered Professional Nurse OR as a Nurse Practitioner in New York State OR current… more
    Northwell Health (08/20/25)
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  • Clinical Quality Improvement…

    Northwell Health (New York, NY)
    …functions. Job Qualification + BSN nursing degree, required. Current License to practice as a Registered Professional Nurse in New York State required, plus ... specialized certifications as needed + Current license to practice as a Registered Professional Nurse OR as a Nurse Practitioner in New York State OR current… more
    Northwell Health (08/16/25)
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  • Medical Specialist 2 - Taconic

    New York State Civil Service (Poughkeepsie, NY)
    …Yes Agency People With Developmental Disabilities, Office for Title Medical Specialist 2 - Taconic Occupational Category Health Care, Human/Social Services Salary ... State NY Zip Code 12603 Duties Description The Medical Specialist 2 is a licensed, Board-Certified physician solely qualified...2 is a licensed, Board-Certified physician solely qualified to practice medicine in the state of New York. The… more
    New York State Civil Service (08/15/25)
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  • Mental Health Program Specialist 1/Mental…

    New York State Civil Service (Albany, NY)
    NY HELP Yes Agency Mental Health, Office of Title Mental Health Program Specialist 1/Mental Health Program Specialist Trainee (NY HELPS), Central Office; ... (OMH) is recruiting to fill a Mental Health Program Specialist 1, SG-18/Mental Health Program Specialist Trainee,...of the NYSOMH Graduate Student Projects for Evidence Based Practice Programs for Schools of Social Work and Mental… more
    New York State Civil Service (08/20/25)
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  • Supervisory Health System Specialist (C&P…

    Veterans Affairs, Veterans Health Administration (New York, NY)
    …the facility's C&P program. Attending committee meetings and presents providers' credentials, clinical practice histories and red flags. Serving as the primary ... requirements; and identifies potential privileging issues. Coordinates annual committee review of clinical privileges and scope of practice forms, provides SME… more
    Veterans Affairs, Veterans Health Administration (08/03/25)
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  • Managed Care Provider Enrollment Specialist

    Stony Brook University (Commack, NY)
    …Stony Brook Southampton Hospital, Stony Brook Eastern Long Island Hospital, Stony Brook Clinical Practice Management Plan, Inc., and Meeting House Lane Medical ... Managed Care Provider Enrollment Specialist **Position Summary** At Stony Brook Medicine, as...and escalations to the Director of Enrollment. + For non- Clinical Practice provider groups, review, analyze, and… more
    Stony Brook University (07/09/25)
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