• Behavioral Health Medical Director…

    Humana (Trenton, NJ)
    …on quality management, utilization management, case management, discharge planning and/or home health or post-acute services such as inpatient rehabilitation ... teaching conferences, and other sources of expertise. The Behavioral Health Medical Directors will learn Medicare , ...quality of care, audit, grievance and appeal and policy review . The Behavioral Health Medical Director will… more
    Humana (08/09/25)
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  • R-381302 - Medical Director - Medicare

    Humana (Trenton, NJ)
    **Become a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims. The ... of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Represents Humana at Administrative… more
    Humana (08/15/25)
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  • Medical Director - Medicare Grievances…

    Humana (Trenton, NJ)
    … first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate Medical Director works ... clinical experience + Knowledge of the managed care industry including Medicare , Medicaid and/or Commercial products + Must be passionate about contributing… more
    Humana (08/08/25)
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  • Medical Director - Medicare Appeals

    CVS Health (Trenton, NJ)
    At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...care resources. This is a remote based (work from home ) role. Preferred candidates will have Internal Medicine or… more
    CVS Health (08/08/25)
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  • Home Health Aide - Full Time - Penn…

    Penn Medicine (Princeton, NJ)
    …employees shape our future each day. Are you living your life's work? **Job Title:** Home Health Aide **Department:** Princeton Home Health South ... shift, every 4th weekend **Join Our Team as a Home Health Aide at Penn Medicine Princeton...document patient care in a timely manner according to Medicare /JCAHO standards. Communicate schedule changes and verify care provided… more
    Penn Medicine (08/07/25)
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  • Clinical Supervisor - RN / Home Care

    Aveanna Healthcare (Hamilton, NJ)
    …Supervisor (RN) (Nursing Supervisor) Aveanna Healthcareis a leading national provider of home health services to medically fragile children and adults. Our ... Clinical Supervisor - RN / Home Care ApplyRefer a FriendBack Job Details Requisition...Why Choose a Nursing Supervisor Role at Aveanna? + Health , Dental, Vision, and Company-paid Life Insurance + Paid… more
    Aveanna Healthcare (07/30/25)
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  • Medical Director - Care Plus - Florida

    Humana (Trenton, NJ)
    …management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience ... focusing on quality management, utilization management, case management, discharge planning and/or home health or post acute services such as inpatient… more
    Humana (06/28/25)
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  • Associate Chair of Oncology - Physician - Valley…

    Mount Sinai Health System (NJ)
    …sitting and lifting with intermittent standing and walking._ **CONTACTS/CUSTOMERS** : Health System, Hospital, Home Care personnel, physicians both employed ... **Job Description** **Valley Health System is actively recruiting an Oncologist to...for The Valley Hospital, The Valley Hospital Foundation, Valley Home Care, Valley Medical Group, ColigoCare, and Valley Research… more
    Mount Sinai Health System (07/22/25)
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  • Hospice Physician - Virtua Health - Per…

    Virtua Health (Marlton, NJ)
    …our Eat Well food access program (https://www.virtua.org/about/eat-well) , telehealth, home health , rehabilitation, mobile screenings, paramedic programs, and ... with the latest technologies, treatments, and techniques to provide exceptional care close to home . A Magnet-recognized health system ranked by US News and World… more
    Virtua Health (06/04/25)
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  • Medical Director- South Central

    Humana (Trenton, NJ)
    …management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience ... on quality management, utilization management, case management, discharge planning and/or home health or post-acute services (such as inpatient rehabilitation).… more
    Humana (07/11/25)
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