- Highmark Health (Trenton, NJ)
- …:** Highmark Inc. **Job Description :** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed ... current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and… more
- RWJBarnabas Health (Somerville, NJ)
- Assistant Director Patient Care - Part Time Nights - Post Intensive Care Unit IIIReq #:0000195851 Category:Nursing Status: Part - Time Shift:Night ... Somerset Department: Post Intensive Care III Req#: 0000195851 Status: Part - Time Shift: Night Pay Range: $99,840.00 -...employees' physical, emotional, social, and financial health. + Paid Time Off (PTO) + Medical and Prescription… more
- BAYADA Home Health Care (Toms River, NJ)
- BAYADA Hospice is actively seeking a **Full Time National Hospice Medical Director ** to work **remotely, ideally located within commutable distance to our ... time zone **Qualifications for a National Hospice Medical Director :** + Exemplifies characteristics of The...on a spot-check basis in addition to, and as part of, ongoing QAPI programs: + a. Systematically monitor… 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. The ... Medical Director work assignments involve moderately complex to complex issues...good faith estimate of starting base pay for full time (40 hours per week) employment at the … 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. The ... Medical Director work assignments involve moderately complex to complex issues...good faith estimate of starting base pay for full time (40 hours per week) employment at the … 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 ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation...good faith estimate of starting base pay for full time (40 hours per week) employment at the … more
- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and ... to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of...good faith estimate of starting base pay for full time (40 hours per week) employment at the … more
- Wellpath (Morris, NJ)
- …training, education, and point of care support. **How you make a difference** As a Medical Director , you will be responsible for providing medical oversight ... **Perks and Benefits** In addition to comprehensive benefits including medical , dental, vision, paid time off, and...of services is provided to the Regional or Corporate Medical Director or designee to monitor services… 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. The ... Medical Director work assignments involve moderately complex to complex issues...good faith estimate of starting base pay for full time (40 hours per week) employment at the … more
- Atlantic Health System (Morristown, NJ)
- Atlantic Health System is Seeking a Full- Time Medical Director for Hospice in Morristown, New Jersey Atlantic Health System, a prominent non-profit ... healthcare network in New Jersey, is seeking a dedicated full- time Hospice Medical Director for...Prescription Coverage (22.5 hours per week or above for full- time and part - time team members)… more