- CVS Health (Trenton, NJ)
- …members and providers related to precertification, concurrent review, and appeal request. The medical director is a work-at- home position located anywhere in ... At CVS Health , we're building a world of health...services to its membership. Aetna is looking for a medical director to be part of a...membership. Aetna is looking for a medical director to be part of a centralized team that… more
- Atlantic Health System (Morristown, NJ)
- System Medical Director , Neurosciences Service Line Atlantic Health System is seeking an accomplished and visionary System Medical Director of ... Multiple Sclerosis, Neurocritical Care and Neurosurgical services. Additionally, the System Medical Director will collaborate with hospital chairs of Neurology… more
- Atlantic Health System (Morristown, NJ)
- The Executive Director of Medical Staff Services provides strategic leadership and executive oversight for all credentialing, privileging, medical staff ... medical staff support functions, encompassing all Atlantic Health hospitals, ambulatory sites, and physician enterprises. This role...NJ + CentraState Healthcare System, Freehold, NJ + Atlantic Home Care and Hospice + Atlantic Mobile Health… more
- Mount Sinai Health System (NJ)
- …parent corporation for The Valley Hospital, The Valley Hospital Foundation, Valley Home Care, Valley Medical Group, ColigoCare, and Valley Research Institute. ... Medicine at Mount Sinai is actively recruiting a Program Director for Hospice and Palliative Care Fellowship.** **About Valley...the top physician leaders in medicine today. The Valley Medical Group is part of the Valley Health… more
- CenterWell (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews ... health claims. The Medical Director , Primary Care work assignments involve...of care, quality management,utilizationmanagement, case management, discharge planning and/or home health or post-acute services such as… more
- CVS Health (Trenton, NJ)
- At CVS Health , we're building a world of health ...when needed. This UM (Utilization Management) Medical Director will be a "Work from Home " position ... ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health ...and every day. **Position Summary:** Ready to take your Medical Director skills to the next level… more
- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. ... of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and… more
- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. ... quality management, utilization management, case management, discharge planning and/or home health or post acute services such...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… more
- Humana (Trenton, NJ)
- **Become a 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… more
- Humana (Trenton, NJ)
- **Become a 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… more