RN Clinical Consultant The Guardian Life Insurance Company of AmericaRN Clinical ConsultantNYRemote$70,340–$115,565 / yearPossess excellent verbal and written communication skills to gather and report information accurately, ask appropriate questions to facilitate partnership with treating providers, claimants, and internal partners to encourage participation of claimant in appropriate treatment goals. The Clinical Consultant collaborates with treating providers to assist individuals to obtain appropriate care and ensure optimal treatment outcomes and acts with urgency and ownership to resolve customer issues and prioritize the customer experience.
Care Manager - Utilization Management (Must Have UAS Experience) Metroplus Health Plan IncCare Manager - Utilization Management (Must Have UAS Experience)New York, NYRemoteThe Care Manager, under the direction of the Vice President of Clinical Services, is primarily responsible for managing both simple and complex medical cases to achieve high-quality patient care outcomes and minimize unnecessary medical expenses, through the coordination of services, both outpatient and inpatient. Performs care management including hospital admission certification, continued stay review, discharge planning, outpatient, and ancillary services review, etc., following established MetroPlusHealth Utilization Management policies, procedures, and protocols.
Nurse Practitioner Or Physician Assistant, Part Time (Bilingual - Spanish) Virtual Health Assessment Team Oscar Health InsuranceNurse Practitioner Or Physician Assistant, Part Time (Bilingual - Spanish) Virtual Health Assessment TeamNew York, NYRemote$65–$75 / hourAbout the role: Oscar Medical Group runs a Virtual Health Assessment (VHA) program that outreaches and virtually engages Oscar Health Insurance members in an evaluation and management visit. Responsibilities: Perform preventative care screenings, complete medication reconciliation, diagnose medical conditions and provide health coaching, referrals and treatment when clinically appropriate.
Medical Science Liaison, Hematology - Northeast Jazz Pharmaceuticals PlcMedical Science Liaison, Hematology - NortheastNew York, NYRemote$160,000–$240,000 / yearThe successful candidate may also be eligible for a discretionary annual cash bonus or incentive compensation (depending on the role), in accordance with the terms of the Company's Global Cash Bonus Plan or Incentive Compensation Plan, as well as discretionary equity grants in accordance with Jazz's Long Term Equity Incentive Plan. Consistently acts to enhance Jazz Pharmaceuticals' image as an advocate of medical advancement by using knowledge of product, disease state and pipeline products to engage healthcare providers in meaningful scientific exchange of information.
Strategic Clinical Quality Manager - Queens/LI and Brooklyn Areas - Metro NY Region Fresenius Medical CareStrategic Clinical Quality Manager - Queens/LI and Brooklyn Areas - Metro NY RegionNew York, New YorkRemotein-center, home hemodialysis and home peritoneal dialysis), and in collaboration with the IDT, is responsible for the monitoring data/information; prioritizing areas for improvement; determining potential root causes; developing, implementing, evaluating, and revising plans that result in improvements in clinical quality outcomes in dialysis facilities within a geography. Applies current knowledge of FMS clinical and administrative policies and procedures, available internal resources, working knowledge of CMS Conditions of Coverage for ESRD facilities, Value Based Payer Programs, knowledge of quality improvement concepts, principles and practices to perform tasks and duties.