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Medical outcomes specialist jobs in United States

  • Clinical Pharmacy Specialist
    Clinical Pharmacy Specialist
    2 days ago
    $133099.2–$173035.2 yearly
    Full-time
    Uniondale

    Clinical Pharmacy Specialist Job LocationsUS-NY-Cooperstown ID 2025-13065 Category Pharmacy Position Type Regular Full-time Shift Days Overview Are you looking to make a difference by improving the health of our patients? Here you will find an innovative culture that is patient-focused and dedicated to making a difference. We are committed to helping the population we serve, and our communities, achieve optimum health and enjoy the best quality of life possible. Responsibilities The Clinical Pharmacy Specialist (CPS) is a credentialed member of the Bassett Medical Staff who provides excellence in the continuum of care as a member of the patient care team, and facilitates a culture that engages employees, fosters innovation, and sustains program implementation. The CPS is responsible for assuring that optimal clinical services as offered under the auspices of the Section of Clinical Pharmacology, Department of Pharmaceutical Care Services are provided to patients on a daily basis. To achieve this, the CPS: Facilitates the development, implementation, and maintenance of systems/programs that promote desirable patient outcomes through the use of appropriate, safe, and cost-effective therapies, as well as promoting education and understanding of the same throughout the healthcare system. Serves as a clinical liaison and primary source of medication information for Network stakeholders including Departments of Pharmacy, Medicine, and Nursing Recommends appropriate, safe, and effective therapies including pharmacological for patients Performs wide range of clinical services including in- or outpatient services, critical care, antimicrobial stewardship, anticoagulation management services, pain management recommendations Develops or contributes to the development of various policies, protocols and service implementations Provides clinical support to other pharmacists and pharmacy unit activities Acts as an active member of various committees, subcommittees, and workgroups as appointed. The CPS is expected to dedicate approximately 70% time-effort to clinical practice as generally explained above and 30% time-effort to teaching, research, scholarship, and service (including committee functions). Inpatient staffing may be employed on an as needed basis. Facilitate the development, implementation, and maintenance of systems/programs that promote desirable patient outcomes through the use of appropriate, safe, and cost-effective medication therapies Serve as a clinical liaison and primary source of medication information for various stakeholders including the Departments of Pharmacy, Medicine, Nursing, and other relevant individuals or departments Facilitate a culture that engages employees, fosters innovation, and sustains program implementation Initiate, and maintain, and advance individual teaching, research, and scholarship efforts Provide effective teaching in the area of clinical pharmacology for various healthcare professionals. Precept pharmacy and medical students and residents Qualifications Education: Doctor of Pharmacy Degree - from an ACPE (Accredited School of Pharmacy), required Experience: Post-Doctoral Residency and/or Fellowship training in Clinical Pharmacy and/or one of its sub-specialties such as Critical Care, Infectious Disease, Anticoagulation, or Pain Management, required Licensure/Certifications: NYS License as a Pharmacist or eligible to obtain prior to beginning employment and must maintain NY State Pharmacist license in good standing throughout employment, required Board Certification in Pharmacotherapy or a pharmaceutical sub-specialty (BCPS, BCACP, BCCCP, etc.) or other recognized national certification in area of expertise (CACP), or intent to obtain upon acceptance of position, required Skills: Clinical Skills Coaching Teaching Problem Solving Computer Skills Reading/Writing/Comprehension Focusing Adaptability Leadership Physical Requirements: Medium Work - Exerting up to 50 lbs. for force occasionally, and/or up to 20 lbs. of force frequently, and/or up to 10 lbs. of force constantly to move objects Occasional balancing, climbing, crouching, grasping, hearing, kneeling, lifting, pulling, pushing, reaching, repetitive motion, standing, stooping, walking Frequent typing/clerical/dexterity, seeing/monitor/computer use, talking, visual acuity (color, depth, perception) Travel: Occasional Travel - The job may require travel from time- to-time, but not on a regular basis Total Rewards Bassett Healthcare Network’s commitment to our employees includes benefit programs carefully designed with the needs and values of all our employees in mind. Many of the benefits we offer are paid fully or in large part by Bassett. Our generous benefits offerings include: Paid time off, including company holidays, vacation, and sick time Medical, dental and vision insurance Life insurance and disability protection Retirement benefits including an employer match And more! Specific benefit offerings may vary by location and/or position. Pay Transparency Statement (Text Only) Salary is based on a variety of factors, including, but not limited to, qualifications, experience, education, licenses, specialty, training, and fair market evaluation based on industry standards. The above compensation range represents a good faith belief of the compensation range by Bassett Healthcare Network, and its entities and affiliates, at the time of this posting or advertisement. Min USD $133,099.20/Yr. Max USD $173,035.20/Yr. EEO Statement (Text Only) We provide equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, creed, sex (including pregnancy, childbirth, or related condition), age, national origin or ancestry, citizenship, disability, marital status, sexual orientation, gender identity or expression (including transgender status), genetic predisposition or carrier status, military or veteran status, familial status, status as a victim of domestic violence, or any other status protected by law.

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  • Nursing Home Medicaid Specialist
    Nursing Home Medicaid Specialist
    23 days ago
    Full-time
    Hewlett

    Job Overview We are seeking a dedicated and detail-oriented Nursing Home Medicaid Specialist to join our team. In this vital role, you will serve as a key resource in navigating the complex Medicaid reimbursement process for nursing home residents. Your expertise will ensure compliance with state and federal regulations, facilitate accurate documentation, and support residents' access to necessary benefits. This position offers an exciting opportunity to make a meaningful impact on patient care and facility operations through proactive case management and thorough knowledge of healthcare policies. Duties • Review and interpret medical records, discharge summaries, and clinical documentation to determine Medicaid eligibility for nursing home residents, • Collaborate with social workers, healthcare providers, and discharge planners to gather necessary documentation and ensure timely processing of Medicaid applications, • Conduct intake assessments, verify patient information, and facilitate the submission of Medicaid claims in accordance with state guidelines, • Utilize CPT (Current Procedural Terminology) coding, ICD-9, and ICD-10 coding systems to accurately classify diagnoses and procedures for billing purposes, • Maintain comprehensive medical records, ensuring HIPAA compliance and confidentiality at all times, • Assist with case management by coordinating services, supporting discharge planning, and addressing behavioral health or pediatric needs when applicable, • Proven experience in hospital or healthcare settings, particularly with acute care environments or discharge planning processes, • Strong knowledge of medical terminology, CPT coding, ICD-9/ICD-10 coding systems, and medical records management, • Familiarity with social work practices, behavioral health considerations, pediatrics (if applicable), and patient service protocols, • Understanding of HIPAA regulations to safeguard patient information during all stages of case management, • Excellent organizational skills with the ability to manage multiple cases efficiently under tight deadlines, • Effective communication skills to collaborate across multidisciplinary teams and explain complex processes clearly

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