• Utilization Management

    CVS Health (Trenton, NJ)
    …internal and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and ... skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and knowledge in… more
    CVS Health (10/26/25)
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  • Consultant - Clinical Operations,…

    Guidehouse (New York, NY)
    …efficiency, quality, and reliability. Areas of expertise include care and utilization management , throughput, post-acute care and readmissions, pharmacy and ... and operational improvement across business and purchased services, supply cost, and clinical supply utilization at client provider organizations. Our team of… more
    Guidehouse (11/02/25)
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  • Clinical Research Operational…

    Vitalief (New Brunswick, NJ)
    …and achieve sustainable growth. The Role We are seeking a highly experienced Clinical Research Operational Management Consultant to lead a short-term ... and accelerate breakthroughs that improve patient care. We bring deep clinical research expertise together with practical, results-driven consulting to help… more
    Vitalief (08/17/25)
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  • Senior Consultant - Clinical

    Guidehouse (New York, NY)
    …efficiency, quality, and reliability. Areas of expertise include care and utilization management , throughput, post-acute care and readmissions, pharmacy and ... and operational improvement across business and purchased services, supply cost, and clinical supply utilization at client provider organizations. Our team of… more
    Guidehouse (11/02/25)
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  • Employee Assistance Program Management

    CVS Health (Trenton, NJ)
    …+ Human Resource and/or Supervisory experience. + Case management , Utilization Review, or Utilization Management background preferred. **Education** ... Friday, 11:00 am to 8:00 pm Eastern Time.** The Consultant provides management consultation to corporate clients...clinical assessments and triage into care. Performs case management across scope of all types of management more
    CVS Health (11/01/25)
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  • Senior Manager, US Events & Meetings…

    Bristol Myers Squibb (Princeton, NJ)
    …including tiering, FMV, contracting, logistics, payments, transparency reporting, risk management , and ensures compliance with consultant engagement processes ... careers.bms.com/working-with-us . The Senior Manager, US Events & Meetings Consultant Engagements role drives business-centric partnerships and collaborates with key… more
    Bristol Myers Squibb (10/31/25)
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  • Specimen Management Sales Consultant

    BD (Becton, Dickinson and Company) (New York, NY)
    **Job Description Summary** The Specimen Management Consultant , SMC (NYC) Manhattan, Brooklyn & Queens, will sell existing and new BD IDS consumable products to ... In this role you will sell existing and new BD specimen management consumable products to include blood collection, safety phlebotomy, transfer devices, accessories… more
    BD (Becton, Dickinson and Company) (10/30/25)
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  • Pharmacy Benefit Consultant

    Highmark Health (Trenton, NJ)
    …**Job Description :** **JOB SUMMARY** Dynamic and results-oriented Pharmacy Benefit Consultant , serving as the client-facing expert, driving growth and retention of ... Consultation: Provide in-depth pharmacy benefit expertise, offering strategic guidance, clinical recommendations, and solutions tailored to individual client needs.… more
    Highmark Health (08/26/25)
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  • Clinical Nurse-Wound Care-WOCN-Mount Sinai…

    Mount Sinai Health System (New York, NY)
    …Patient screening 2) Patient/Family education 3) D/C planning and follow-up 4) Case management 5) Research d. Maintains clinical expertise in area of ... as a consultant by: Serves as a consultant by: 1) Assisting clinical nurses and...of nursing the application of theory and research in clinical practice. i. Participates in development and utilization more
    Mount Sinai Health System (08/16/25)
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  • Director of Nursing Professional Practice, RN…

    Mount Sinai Health System (New York, NY)
    …CENP) or similar preferred Non-Bargaining Unit, 700 - Nursing Operations Management - MSH, Mount Sinai Hospital **Responsibilities** ** Clinical Leadership** ... Daily Management Board process/practice improvement activities to facilitate the utilization of evidence and data related to Nurse Sensitive Indicators and… more
    Mount Sinai Health System (10/13/25)
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  • Medical Director

    Elevance Health (New York, NY)
    …a State agency.*_ **Preferred Skills, Capabilities and Experiences:** + 1-2 years Utilization Management experience strongly preferred. + Strong oral, written, ... clinical reviews. The Medical Director typically has program management responsibilities including clinical policy development, program… more
    Elevance Health (11/01/25)
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  • Behavioral Health Clinician (LCSW or LPC) Full…

    Atlantic Health System (Morristown, NJ)
    …and revises treatment goals in collaboration with medical providers and psychiatric consultant , using clinical data and validated screening measures during ... and families on diagnoses, treatment options, relapse prevention, and self- management strategies. 04. Provides brief, evidence-based behavioral interventions such as… more
    Atlantic Health System (10/04/25)
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  • Community Linkage & Referral Liaison, Bureau…

    City of New York (New York, NY)
    …linkage referrals. - Build and maintain relationships with Bronx hospital, clinical , mental health and social service providers which oversee services/programs ... priority for Bronx FWS clients. - Lead in the management and facilitation of the Birth Equity Advisory Board,...or soon to be CLC, provide support in increasing utilization of the FWS lactation room and other lactation… more
    City of New York (09/20/25)
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