- 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 (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 and ... of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Represents Humana at Administrative… more
- 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
- 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
- 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 ...Operations team and offers the flexibility of working from home . **Position Summary** + Responsible for performing second level… more
- Virtua Health (Pennsauken, NJ)
- …understanding of Medicare , Medicaid and managed care.Discharge planning or home health background.Excellent verbal and written communication skills, problem ... our Eat Well food access program (https://www.virtua.org/about/eat-well) , telehealth, home health , rehabilitation, mobile screenings, paramedic programs, and… more
- BAYADA Home Health Care (West Deptford, NJ)
- BAYADA Home Health Care is looking for an RN / LPN Transitional Care Manager, who will build and strengthen relationships between referral sources and BAYADA ... Home Health Care's Hospice practice. Focus on...and maintaining referral relationships. 7. Demonstrated knowledge of the Medicare COPs and other program requirements, as applicable. 8.… more
- 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
- 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
- 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