- 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
- Deloitte (New York, NY)
- …registered nurse, physician, physician assistant, case manager, clinical documentation specialist , utilization review, informatics RN, Quality, DRG Validation ... 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
- 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 ... Director, Programs, Safe Options Support t he Community Health Specialist , Safe Options Support (SOS) provides on-site and...the highest quality care for clients. The Community Health Specialist carries a caseload and is responsible for ensuring… more
- Datavant (Albany, NY)
- …realize our bold vision for healthcare. The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health services, review ... of admissions for medical necessity and necessity of continued stay in the inpatient patient care setting and/or discharge to an alternative level of care. Using nationally recognized medical necessity criteria and standards of care, along with clinical… more
- Trinity Health (Syracuse, NY)
- …in the discussion and notification processes that result from the clinical utilization reviews with the facilitiesPer Diem- Insurance Specialist to assist ... **Employment Type:** Full time **Shift:** Day Shift **Description:** + **Insurance Specialist - St. Josephs Health Syracuse NY** **Position Summary:** The Insurance … 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,...Responsibility** + Develops and monitors the hospital's policies/procedures regarding utilization of medications in collaboration with the medical staff,… more
- Arc Allegany-Steuben (Bath, NY)
- …money, why wait to be paid! Job Summary The Self Direction Billing Specialist is responsible for ensuring timely, accurate, and compliant billing for services ... requires proficiency with EVero software to manage billing processes, track utilization , reconcile records, and ensure all billing is submitted to accounting… more
- New York State Civil Service (Brooklyn, NY)
- …Agency Mental Health, Office of Title Mental Hygiene Program Evaluation Specialist 3 (NY HELPS), Kingsboro Psychiatric Center, P26689 Occupational Category Health ... Psychiatric Center is currently recruiting a Mental Hygiene Program Evaluation Specialist 3 to join their program evaluation department which is responsible… more
- Bassett Healthcare (Little Falls, NY)
- …with the Medical Director of Respiratory Care Services, the Respiratory Specialist is responsible for assisting in the development, implementation, and ... administration of all policies and procedures. The Respiratory Care Specialist performs all roles and responsibilities of a Respiratory Therapist. The Respiratory… more
- Schenectady City School District (Schenectady, NY)
- Information Processing Specialist II Application Deadline 6/30/2026 Position Title Information Processing Specialist II Required Application Type School Related ... Job Description Distinguishing Features of the Class and Information Processing Specialist II Role This position involves responsibility for performing complex… more
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