- 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)
- Asst Director Patient Care- Part - Time - Day Shift - Intensive Coronary CareReq #:0000191661 Category:Nursing Manager Status: Part - Time Shift:Day ... RWJ Somerset Department: Intensive Coronary Care Req#: 0000191661 Status: Part - Time Shift: Day Pay Range: $99,840.00 -...employees' physical, emotional, social, and financial health. + Paid Time Off (PTO) + Medical and Prescription… 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...expectations, and meets compliance timelines. **This is a full time work from home opportunity. Candidates may live anywhere… 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
- 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
- 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 reviewing of all...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
- 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
- CenterWell (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The National Medical Director for Home-Based Care Programs is a key clinical ... high-risk Medicare patients within a full-risk, value-based framework. The Medical Director collaborates in a dyad partnership...good faith estimate of starting base pay for full time (40 hours per week) employment at the … more