- Humana (Trenton, NJ)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Trenton, NJ)
- …part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by… more
- Aveanna Healthcare (Clark, NJ)
- …with federal and state regulations * In collaboration with the Client Relations Director , CRD/Client Relations Associate , CRA, visits with the various referral ... Executive Director - Home Care ApplyRefer a FriendBack Job...the best qualified candidates. * Staff development including orientation, in- service education and continuing education. * Assure appropriate staff… more
- Humana (Trenton, NJ)
- …the courage to innovate **Additional Information** Typically reports to a Lead Medical Director . The Medical Director conducts post- service , inpatient care ... community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement...services, requested level of care, and/or requested site of service should be authorized at the Inpatient level. All… more
- Humana (Trenton, NJ)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... whether requested services, requested level of care, and/or requested site of service should be authorized. All work occurs within a context of regulatory… more
- Rowan College at Burlington County (Mount Laurel, NJ)
- Director of Nursing Program (Associates Degree) Print (https://www.schooljobs.com/careers/rcbcedu/jobs/newprint/5011138) Apply Director of Nursing Program ... 07/17/2025 + Description + Benefits + Questions Description SUMMARY DESCRIPTION:The Director position is responsible for the management, coordination, and evaluation… more
- Spanish Peaks Mountain Club (NJ)
- …to apply internally. At Pendry , It's All Because of YOU! Director of Banquets Imagine turning your passion and talent into a fulfilling ... all because of you. Here, you're not just an associate but a passionate creator of authentic, personalized experiences....maintenance of all function spaces , public areas, and service areas on banquet levels. + Ensure the department… more
- Humana (Trenton, NJ)
- …of our caring community and help us put health first The Medical Director actively uses their medical background, experience, and judgement to make determinations ... whether requested services, level of care, and/or site of service should be authorized. All work occurs within a...operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical records,… more
- Healthy Kids Programs (Cherry Hill, NJ)
- …in Salem, NJ PAY:$45,000.00 - $50,000.00 per year HOURS:Full Time REPORTS TO: Associate Executive Director DIRECT REPORTS:Program Site Staff JOB CONSISTS OF: ... Childcare Regional Director Cherry Hill, NJ (http://maps.google.com/maps?q=Cherry+Hill+NJ+USA+08003) Job Type Full-time...a highly qualified staff to deliver a consistent, high-quality service in all sites. + Managing an operation that… more
- Humana (Trenton, NJ)
- …a part of our caring community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals (Part D & B). ... The Medical director work assignments involve moderately complex to complex issues...(collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and… more