University of Utah logo
University of Utah

Located in Salt Lake City, Utah, the University of Utah is a public research and higher education institution that serves a diverse student base. Founded in 185

Pharmacist, Clinical - Hematology Oncology Specialist

Location

Utah

Posted

39 days ago

Salary

0

Seniority

Senior

No structured requirement data.

Job Description

Pharmacist, Clinical - Hematology Oncology Specialist

University of Utah

Open this listing to view full details.

Related Categories

Related Job Pages

More Clinical Research Jobs

Palliative Care Clinical Psychologist

NSW Government

The New South Wales (NSW) Government serves as the governing body for Australia’s most populous state, dedicated to delivering programs and services that enha

Title: Palliative Care Clinical Psychologist Location: Newcastle, Australia Job Description: Support children and families with compassion, connection and purpose Remuneration: $57.30 - $69.84 per hour + superannuation + salary packaging Location: John Hunter Children's Hospital Employment Type: Permanent Part Time Position Classification: Clinical Psychologist Hours Per Week: 24 Requisition ID: REQ658969 Applications Close: Thursday 21st May 2026 About the Role Join the dedicated Paediatric Palliative Care team at John Hunter Children's Hospital and make a meaningful difference in the lives of children, young people and families navigating life-limiting illness. As part of this compassionate multidisciplinary team, your work will focus on helping families adjust to diagnosis and changing circumstances, supporting young people to live rich and meaningful lives, encouraging participation in care decisions, and providing sensitive support during end-of-life care. Working collaboratively with internal and external healthcare providers, you will also deliver consultation, referral and support services across the district, contributing to high quality, family-centred care. About You We're seeking a clinician with highly developed communication and interpersonal skills, who can build strong therapeutic relationships with children, young people and families from diverse backgrounds and experiences. You will bring: - The ability to remain present, compassionate and supportive during periods of distress - Strong self-awareness and emotional resilience - Experience engaging with young people, including those experiencing communication barriers - A collaborative approach and confidence working within an interdisciplinary team model - A genuine interest in learning about and connecting families with supports and services across the district You will be someone who values person-centred care, respects the voices and choices of young people, and is committed to supporting families through every stage of their journey. Supportive Team Environment You will be joining a highly supportive and experienced team that values collaboration, reflection and professional growth. The Paediatric Palliative Care team participates in regular group supervision, with additional professional support available through the Psychology team at John Hunter Children's Hospital. This includes access to group supervision, individual support from Senior Clinical Psychologists, and opportunities for individual clinical supervision within Hunter New England Local Health District. You will also have access to ongoing professional development opportunities through Children, Young People and Families services and the wider HNELHD network. Why Join Us? - Work within a compassionate and highly specialised paediatric service - Be part of a collaborative multidisciplinary team - Access strong clinical supervision and professional support - Contribute to meaningful, family-centred care across the region - Grow your skills through ongoing learning and development opportunities Requirements: - Full registration with the AHPRA Psychology Board of Australia, with Clinical Psychology endorsement, or eligibility to progress to the same. - Completion of 2 year (minimum) full time equivalent accredited postgraduate Masters or Doctorate degree in Clinical Psychology. - Eligibility to drive in NSW and willingness to travel for work purposes What we offer At Hunter New England Local Health District (HNELHD), enjoy a career where you're challenged by interesting work and surrounded by spectacular locations. Join the team enriching health in millions of ways every day: - Hybrid working arrangements - Salary packaging options - Fitness Passport - Employee Assistance Program (EAP) for staff and family members - Opportunity to work and collaborate with a range of non-clinical and clinical professionals Additional Information: - To be eligible for permanent employment in this position you must be an Australian Citizen, or a permanent resident of Australia, or a New Zealand citizen with a current New Zealand Passport. Employment of a temporary visa holder may only occur if no suitable local candidate is identified for the position; in this instance, you may only be offered employment in line with the conditions and expiry date of your visa. - An eligibility list will be created for future permanent part time and temporary part time vacancies. - We are unable to accommodate visa sponsorship for applicants requiring a visa for this position.

Australia
$57 - $69 / hour
Med-Metrix logo

Clinical Documentation Integrity DRG Downgrade Specialist

Med-Metrix

Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.

Full TimeRemoteTeam 1,001-5,000

Role Description The Clinical Documentation Integrity DRG Downgrade Specialist is responsible for reviewing, analyzing, and responding to payer‑initiated DRG downgrades. The role ensures accurate DRG assignment, protects revenue integrity, and supports compliant documentation practices through detailed review, appeal preparation, and performance tracking. The Specialist serves as an effective change agent, acting as a resource and educator for providers and interdisciplinary care teams to improve documentation quality, coding accuracy, and audit readiness. - Analyze payer DRG downgrade notifications to determine validity based on ICD‑10‑CM/PCS coding guidelines, clinical indicators, and documentation sufficiency. - Conduct comprehensive medical record reviews to validate principal diagnosis, secondary diagnoses, procedures, MCC/CC capture, and DRG assignment accuracy. - Write clear, persuasive, evidence‑based appeal letters that incorporate clinical rationale, coding guidelines, and regulatory references to support the original DRG. - Submit appeals within required timelines and track each case through all stages of the appeal lifecycle, including initial review, reconsideration, and final determination. - Maintain detailed logs of downgrade cases, outcomes, appeal success rates, and turnaround times to support throughput monitoring, trend analysis, and performance reporting. - Identify patterns in payer downgrades and escalate systemic issues or documentation vulnerabilities to leadership. - Collaborate with internal teams and providers to clarify ambiguous documentation and ensure clinical specificity. - Identify documentation gaps or inconsistencies and provide targeted feedback to improve provider documentation practices. - Participate in internal audits, retrospective reviews, and quality assurance processes related to DRG validation, coding accuracy, and documentation completeness. - Assist in developing or refining documentation templates, provider education materials, and query processes to support ongoing CDI improvement. - Ensure all coding and documentation practices align with CMS regulations, AHA Coding Clinic guidance, and organizational compliance policies. - Stay current on payer audit trends, regulatory updates, DRG methodology changes, and emerging risk areas that may impact DRG assignment or audit outcomes. - Support compliance initiatives by identifying potential vulnerabilities and recommending corrective actions or process improvements. - Partner with internal teams to resolve complex DRG issues and ensure alignment across departments. - Participate in provider education sessions, meetings, and case reviews to promote accurate documentation and DRG integrity. - Communicate effectively with leadership regarding trends, risks, and opportunities for improvement in documentation and coding practices. - Serve as a subject‑matter expert for DRG downgrade processes, providing guidance and support to internal teams. - Other duties as assigned. - Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards. - Understand and comply with Information Security and HIPAA policies and procedures at all times. - Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties. Qualifications - Bachelor’s degree in Nursing required. - Minimum of 3 years of experience in clinical documentation improvement role - adult acute care experience in medical/surgical, critical care, emergency, and/or PACU setting. - RN, CCDS and/or CDIP with CCS (CCS, CIC) certification required. - Demonstrated inpatient coding experience in an acute care setting. - Prior experience managing DRG downgrades, including appeal letter development. - Deep knowledge of ICD-10-CM/PCS, ICD-10 Official Coding Guidelines and both MS and APR DRG Reimbursement Systems. - Ability to interpret complex clinical documentation across multiple specialties. - Proficiency with EMR systems, encoder tools (e.g., 3M, Optum) and CDI workflow and reporting tools. - Proficiency in Microsoft Office Suite. - Strong interpersonal skills, ability to communicate well at all levels of the organization. - Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses. - High level of integrity and dependability with a strong sense of urgency and results oriented. - Excellent written and verbal communication skills required. Requirements - Ability to work outside of normal business hours as needed. - Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes. Physical Demands - While performing the duties of this job, the employee is occasionally required to move around the work area; sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear. Mental Demands - The employee must be able to follow directions, collaborate with others, and handle stress. Work Environment - The noise level in the work environment is usually minimal.

United States
Job Closed
Full TimeRemoteTeam 10,001+Since 1888H1B Sponsor

Role Description This position is a field-based position based in Youngstown, OH in the Cardiac Rhythm Management division. As a global leader in Cardiac Rhythm Technologies, we focus on innovative technologies that can improve the way doctors treat people with heart arrhythmias or irregular heartbeats. Under general direction, the CRM Product Support Specialist provides comprehensive engineering, sales, educational, and technical support. This role responds to field inquiries from physicians, healthcare professionals, patients, and field sales staff regarding CRM (Cardiac Rhythm Management) products. Key Responsibilities: - Clinical Interface: Acts as a senior clinical interface between the medical community and the business. - Relationship Building: Demonstrates the ability to build and sustain credible business relationships with customers and share product expertise accordingly. - Comprehensive Support: Provides engineering, sales, education, and clinical support in response to field inquiries on an as-needed basis. Demonstrates a thorough command of all CRM products, related product and technical knowledge, trends, and players while providing regional case coverage. - Training and Education: Develops, leads, and/or facilitates training sessions and other programs on CRM products for healthcare professionals. - Sales Support: Provides additional back-up support to Cardiac Rhythm Team in the following areas: - Sales support - Regional training seminars - Clinical studies/data collection - Trouble Shooting - New product in-service training to physicians, nurses and sales representatives - Mentors and provides leadership for less experienced Clinical Specialists. - Continuously develops engineering, sales and technical skills relative to the overall Arrhythmia Management strategy, including learning opportunities via Sr. Sales personnel and management. Qualifications - Bachelor’s degree in Bio-Medical Engineering, related field or equivalent healthcare experience. - 4+ years of related experience or a program certification from an accredited cardiac training program. - Must have certifications in CRM products. - Demonstrated knowledge of cardiology, electro-physiology, or cardiac electro-physiology procedures. - Familiarity with cath lab and operating room procedures and protocol. - Demonstrate advanced knowledge of cardiac pacing systems. - Must apply engineering skills and abilities to interpret and solve complex clinical problems. - Must possess strong written and verbal communication skills, along with excellent interpersonal, presentation, analytical, and organizational abilities. - Must be detail-oriented and capable of working independently. - Must be able to collaborate effectively with engineers, technical specialists, vendors, and customers to achieve assigned goals. - Must have extensive personal computer skills, including experience with Microsoft Office or equivalent software. Requirements - Must be capable of managing multiple assignments simultaneously and efficiently. Benefits - Career development with an international company where you can grow the career you dream of. - Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in the next calendar year. - An excellent retirement savings plan with a high employer contribution. - Tuition reimbursement, the Freedom 2 Save student debt program, and FreeU education benefit - an affordable and convenient path to getting a bachelor’s degree. - A company recognized as a great place to work in dozens of countries worldwide and named one of the most admired companies in the world by Fortune. - A company that is recognized as one of the best big companies to work for as well as the best place to work for diversity, working mothers, female executives, and scientists.

United States
$78K - $156K / year
Full TimeRemoteTeam 501-1,000

Role Description As a Utilization Management Clinical Dental Processor, you will leverage your professional judgment to evaluate service requests and determine their appropriateness, assessing the necessity of treatments prior to provision. You will apply national clinical criteria and maintain up-to-date knowledge of relevant laws, regulations, and organizational policies, utilizing clinical judgment in your evaluations. To meet our client standards, you will be required to complete 13 to 18 cases per hour, ensuring our contractual obligations are fulfilled. Additionally, you will complete clinical scripts, review patient histories, and import supporting documentation into our internal system. Work hours will be determined by your manager and may vary based on location, department needs, and workflow. Mandatory overtime may be required during peak seasons. - Conducts reviews of prior authorizations by providers. - Determines cases of recommended treatment in accordance with Avesis UM procedural guidelines or refers the case to Clinical Director or consultant for professional review of clinical denials. - Ensures that the right systems, processes, and measurements are in place to assist with accurate clinical determinations. - Understands and upholds Avesis’ policies and obligations relative to the UM reviews required by each client contract. - Documents approval decisions for treatment in accordance with prescribed UM department procedural guidance. - Provides recommendations on department policies, objectives, and initiatives. - Maintains a daily level of productivity in accordance with departmental requirements for production and quality standards. - Maintains effective intradepartmental communications through sharing of plans and actively participates in routine departmental meetings. - Other duties as assigned. Qualifications - High School Diploma/GED. - Dental Assistant or Dental Hygienist required. - Dental Assistant certificate or 2 years of chair side assisting. - 1-2 years of experience reviewing dental x-rays, models, photos, and patient charts required. - Proficiency with Microsoft Office and other Windows-based applications. - Strong reading, writing, and professional communication skills. - Ability to manage multiple tasks and prioritize work. - Adaptability to handle multiple and changing priorities. - Effective time management and organizational skills. - Access to reliable internet connection (25 MBPS upload/10 MBPS download speed) and an appropriate workspace are essential for success in this remote role. Requirements - X-Ray certification is highly preferred. - Knowledge of Medicare, Medicaid, or commercial insurance. - Experience with HCPCS, CPT, CDT, and ICD-10 coding. Benefits - Meaningful and challenging work opportunities to accelerate innovation in a secure and compliant way. - Competitive compensation package. - Excellent medical, dental, supplemental health, life and vision coverage for you and your dependents with no wait period. - Life and disability insurance. - A great 401(k) with company match. - Tuition assistance, paid parental leave and backup family care. - Dynamic, modern work environments that promote collaboration and creativity to develop and empower talent. - Flexible time off, dress code, and work location policies to balance your work and life in the ways that suit you best. - Employee Resource Groups that advocate for inclusion and diversity in all that we do. - Social responsibility in all aspects of our work.

United States
$18 - $36 / hour
Job Closed