DRG Downgrade Clinical Documentation Improvement - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJ Capital HealthDRG Downgrade Clinical Documentation Improvement - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJNJ$39.40–$51.47 / hourKnowledge and Skills: Expert knowledge of DRG methodology and clinical indicators supporting principal diagnosis and complication/comorbidity (CC/MCC) capture Strong familiarity with payer and third-party audit firm DRG downgrade methodologies Working knowledge of ICD-10-CM/PCS concepts as they relate to DRG assignment (coding credentials not required) Ability to identify documentation gaps and support compliant provider query opportunities Strong written and verbal communication skills for clinical documentation clarification and education Ability to collaborate effectively with physicians, CDI teams, clinical appeals staff, and non-clinical denial specialists Proficiency with electronic medical records and CDI tools. Focuses on prevention and defense of DRG downgrades initiated by payers and third-party audit firms through comprehensive documentation review, provider query support, and collaboration with clinical and denial management teams to support accurate DRG assignment and appeal success.
A28 Clinical Supervisor Sun River Health IncA28 Clinical SupervisorQueens, NY$93,190.50–$97,987.50 / yearSummary: The A28 Clinical Supervisor provides clinical supervision and quality assurance oversight to LMSW Counselors treating individuals with substance use disorder in a NYS OASAS-licensed outpatient addiction treatment program. Over the years, Sun River Health has grown into a comprehensive Federally Qualified Health Center (FQHC) system with over 45 locations, serving more than 250,000 patients across the Hudson Valley, New York City and Long Island.
NewDiagnosis Related Group Clinical Validation Auditor-Rn (Cdi, Ms-Drg, Ap-Drg And Apr-Drg) Elevance HealthDiagnosis Related Group Clinical Validation Auditor-Rn (Cdi, Ms-Drg, Ap-Drg And Apr-Drg)New York, NY$86,560–$155,808 / yearPreferred Skills, Capabilities and Experiences: One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an equivalent background.
Clinical Analyst Richmond Medical CenterClinical AnalystStaten Island, New YorkCreates and maintains appropriate EMR documentation including but not limited to templates, flow sheets, and care plans, etc. to support quality reporting and practice workflows. It’s important for clinical system analyst to independently reviews, analyzes and modifies configuration/programming to support hospital EMR system after the change management control form has been approved by the manager.
Clinical Coordinator - Diabetes and Endocrinology - Physician Practice Hackensack Meridian HealthClinical Coordinator - Diabetes and Endocrinology - Physician PracticeOld Bridge, New JerseyFull timeThe posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package. The Clinical Coordinator , in collaboration with the Clinical Program Manager and specialty-specific clinical team, will identify, support and develop programs to meet the needs of complex patients and family.
Regional Clinical Sales Specialist, Spine (New York Metropolitan) - Johnson & Johnson MedTech, Orthopaedics J&J Family of CompaniesRegional Clinical Sales Specialist, Spine (New York Metropolitan) - Johnson & Johnson MedTech, OrthopaedicsNew York, NY$54,000–$87,400 / yearThe overall responsibilities of the Regional Clinical Sales Specialist position include advancing the Company’s sales of orthopedic surgical products by providing clinical and logistical expertise in hospitals and operating rooms - such as independent coverage of surgical cases, management of billing/purchase orders, logistics, and asset management. DePuy Synthes solutions, in specialties including joint reconstruction, trauma, craniomaxillofacial, spinal surgery and sports medicine, are designed to advance patient care while delivering clinical and economic value to health care systems worldwide.
Director, Clinical Solutions University Medical PartnersDirector, Clinical SolutionsNewark, New JerseyUniversity Medical Partners (UMP), formed in January 2017, is a California Professional Corporation committed to restoring joy in medicine and delivering outstanding patient care in our communities. This leader enables clinicians to deliver exceptional care and experience joy in their work by removing barriers, driving innovation, and ensuring operational excellence.
Clinical Nurse Associate 8 west / 7 west St. John's Riverside HospitalClinical Nurse Associate 8 west / 7 westYonkers, New YorkFull timeServing the Westchester community from Yonkers to the river town communities of Hastings-on-Hudson, Ardsley, Dobbs Ferry and Irvington, St. John's Riverside has been and continues to be a unique and comprehensive network of medical professionals dedicated to a tradition of service that spans generations. The Clinical Nurse Associate partners closely with Nurse Leaders, Nursing Professional Development, Quality, Risk/Performance Improvement, and interdepartmental leaders to translate organizational priorities into consistent frontline practice.
Clinical Area Manager - Queens Electromed, Inc.Clinical Area Manager - QueensQueens, NY$77,000–$150,000 / yearCultivates strong relationships with top strategic referral sources to increase volume; identifies key customer drivers (time to treatment, quality patient care, technology, etc.); ensures that customer's needs and gaps are met linking our differentiated technology and service solutions. This will include analyzing physician referral patterns to develop customer-level account plans, identifying opportunities to increase volume with existing referrers and/or developing new referral channels using approved corporate resources to maximize our growth and revenue opportunity.
Non-Clinical Case Manager (Patient Support Program) FTC Atlantis HealthNon-Clinical Case Manager (Patient Support Program) FTCSummit, New JerseyContractorDemonstrated experience with and/or ability to provide program overview and enrollment support; FAQ-based responses, including medication storage and handling (nonclinical), shipment coordination questions, navigation for insurance and affordability questions; and referral to financial assistance resources, approved educational materials, and vetted community or advocacy organizations. · Strong patient-facing communication skills, including ability to follow scripted responses, redirect clinical questions appropriately, escalate medical inquiries to clinical teams, and maintain an empathetic and professional phone presence.
Research Coordinator Hospital for Special SurgeryResearch CoordinatorNew York, NYo Monitors and tracks reportable events including adverse events (AEs/SAEs), protocol deviations, device issues, and unanticipated problems under PI supervision; Promptly notifies PI of potential AEs/SAEs for review and reconciliation and ensures timely Sponsor/IRB reporting and documentation maintenance. Responsibilities associated with specific studies include but are not limited to: Facilitates completion and submission of all documentation needed for research (e.g., IRB applications, amendments, reportable events, continuing reviews to ensure study renewals, conflict of interest forms, data collection forms, etc.).
Senior Manager, Clinical Site Payments Processes and Systems BeOne Medicines AGSenior Manager, Clinical Site Payments Processes and SystemsNY$136,400–$181,400 / yearThis role partners with Clinical Site Payments leadership, regional payment teams, Clinical Site Contracts, Clinical Site Budget Planning and Strategy, Study Startup and Closeout, Global Clinical Operations, Finance, Treasury, Accounts Payable, Procurement, Compliance, Quality, Internal Audit, and payment vendors to ensure payment processes are clear, scalable, compliant, and audit-ready. This role is also accountable for configuring clinical sites in the vendor payment platform for initial CTAs and subsequent CTA or budget amendments, and for producing validated metrics that support leadership visibility, vendor oversight, and operational decision-making.
Clinical Nurse Manager Ambulatory Medical Practices MSO, IncClinical Nurse ManagerWestchester, NY$120,000–$135,000 / yearWith more than 50 Columbia-affiliated providers and multiple locations throughout Westchester, Rockland, and Orange Counties, including Valhalla, Hawthorne, White Plains, Yonkers, Scarsdale, Suffern, and Monroe, we’re committed to delivering exceptional patient care across the region. AMP is a Management Services Organization (MSO) that provides clinical and administrative support to ColumbiaDoctors, one of the largest and most respected multi-specialty practices in the Northeast.
RN Clinical Quality Manager VillageCareRN Clinical Quality ManagerNew York, NY$102,549.17–$115,367.82 / yearVillageCare is a community-based, not-for-profit organization serving people with chronic care needs, as well as seniors and individuals in need of continuing care and managed care services. Throughout the week, you'll balance independent, detail-heavy review with structured collaboration-ending the day with concise notes on decisions, next steps, and items needing escalation to maintain momentum.
Business Development Operations Manager - Cardiology Iterative HealthBusiness Development Operations Manager - CardiologyNew York, NY$130,000–$155,000 / yearIn this highly cross-functional role, you will partner closely with business development, clinical operations, finance, legal, and sponsor teams to drive the successful execution of new study opportunities from initial sponsor engagement through contract execution. Reporting to the VP of Growth, you will own the operational infrastructure behind our commercial efforts—including pipeline management, study scoping, cross-functional coordination, and performance reporting—ensuring we deliver an exceptional sponsor experience while accelerating access to innovative cardiovascular therapies.
Senior Manager, Clinical Supply Chain BeOne Medicines AGSenior Manager, Clinical Supply ChainNY$131,800–$176,800 / yearActual compensation packages are determined by several factors that are unique to each candidate, including but not limited to job-related skills, depth of experience, certifications, relevant education or training, and specific work location. General Description: The Sr Manager of Clinical Supply Chain manages drug supply activities related to planning, label development, label & pack, and distribution for one or more clinical studies.
Project Manager, Contracts & Operations Lupus Research Alliance Inc.Project Manager, Contracts & OperationsNew York, NY$75,000–$85,000In 2018, the LRA established a clinical affiliate organization, Lupus Therapeutics (LT), which is responsible for the coordination, conduct and management of a North American-based clinical trial network, the Lupus Clinical Investigators Network (LuCIN), as well as Patient Engagement and Equity efforts to foster clinical research for the development of new therapies and clinical care approaches for the diverse lupus community. This position blends project management — planning, tracking, and driving initiatives to completion — with contract administration, including preparing agreements and invoices; tracking and monitoring agreements with biopharmaceutical and biotech partners, vendors, individuals living with lupus,, study sites, and member organizations.
Sr. Manager, Medical Writing Terumo Medical CorpSr. Manager, Medical WritingSomerset, NJ$150,000–$198,000 / yearD, MA/MS or MPH) in a medical/biomedical/scientific discipline with a minimum of 5 years of experience in medical writing of regulatory documentation (clinical research documentation is optional) OR Bachelor's Degree, preferably in life sciences with 10 years of relevant work experience; OR equivalent combination of education, training and relevant experience. TMC places a premium on providing customers with world-class products, training and education programs that drive clear economic value, better clinical outcomes and improved quality of life for patients.
Senior Medical Director, Clinical Development Spyre Therapeutics IncSenior Medical Director, Clinical DevelopmentNY$343,000–$365,000 / yearThe Senior Director will play a pivotal role as a key clinical contributor within our global clinical development programs, partnering with cross-functional teams to support the design, planning, and implementation of study protocols and regulatory activities that advance the development of our cutting-edge antibody portfolio. We also embrace differences in experience and background, and welcome diversity of opinions and thought with active recruitment designed to create a stronger and better Spyre that is focused on developing life-changing products for patients.
Clinical Data Scientist/ Methodologist SanofiClinical Data Scientist/ MethodologistBridgewater, NJ$100.50–$145.17 / hourMinimum 4-5 years for Master's degree holder or 2-4 years for Doctoral degree holder of relevant experience in real-world data, commercial analytics, real-world evidence, health outcomes research, fit-for-purpose feasibility assessment, data quality assessment or a related field within the pharmaceutical, biotech, or health technology industry. This role serves as a methodological authority and RWD data domain expert, ensuring best-in-class data selection and optimal data usage to generating reliable insights or evidence to better understanding gaps in patient care and healthcare providers involved in patient care.