- Humana (Trenton, NJ)
- …topics to the clinical operations team and healthcare organization. The Medical Director 's work includes computer based review of moderately complex to ... and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health...conferences, and other sources of expertise. The Behavioral Health Medical Directors will learn Medicare , Medicare… more
- Humana (Trenton, NJ)
- …a part of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims ... and preservice appeals. The Corporate Medical Director works on problems of diverse...represents Humana at Administrative Law Judge hearings; exercises independent clinical judgment and decision making on complex issues regarding… more
- Humana (Trenton, NJ)
- …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 ... preservice appeals. The Corporate Medical Director works on problems of diverse...+ Excellent communication skills + 5 years of established clinical experience + Knowledge of the managed care industry… more
- Aveanna Healthcare (Hackensack, NJ)
- Clinical Director - RN - Home Care ApplyRefer a FriendBack Job Details Requisition #: 207400 Location: Hackensack, NJ 07601 Category: Nursing Salary: $90,000.00 ... you when you come to Aveanna. Position Overview The Clinical Director is responsible and accountable for...or without notice. Vaccination Requirements As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
- Humana (Trenton, NJ)
- …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 ... DME, dual Medicare /Medicaid and Waiver requests. The Medical Director provides medical interpretation...clinical standards, and (in some cases) contracts. The Medical Director provides medical interpretation… more
- Humana (Trenton, NJ)
- …and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals (Part D & B). The Medical ... of the Medicare rules, Humana policies and medical necessity. The Medical Director 's...and Procedures, and clinical literature as appropriate. Medical Directors will learn Medicare Part D… 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...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
- Genesis Healthcare (Parsippany, NJ)
- …Powerback is the place for you. **Why Powerback?** + **Benefits:** We offer Medical , Dental, and Vision plans to Full-Time and Part-Time team members. + **Support ... for New Grads & Clinical Fellows:** Our Powerback Clinical Mentorship Program...Clinicians in Action professional development program. Responsibilities As a Director of Rehabilitation, you are leading a team of… 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...group practice management. + Utilization management experience in a medical management review organization, such as Medicare … more
- RWJBarnabas Health (Oceanport, NJ)
- …reports filings. In partnership with the Vice President of Corporate Reimbursement , the Director will manage the completion of DSH, Medicare Bad Debts, Wage ... Director , Corporate Reimbursement (Hybrid/Remote) - Oceanport, NJReq #:0000180233...as a key resource to department leadership for providing Medicare and Medicaid reimbursement support and implementing government payment… more