- Humana (Trenton, NJ)
- …community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. The Behavioral ... Health Medical Director work assignments involve moderately complex to complex issues...Medical or ABPN Specialty + A current and unrestricted license in at least one jurisdiction and willing to… more
- Humana (Trenton, NJ)
- …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 ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Genesis Healthcare (Eatontown, NJ)
- …making a meaningful difference and want to be part of the future of rehabilitation and wellness, Powerback is the place for you. **Why Powerback?** + **Benefits:** ... with our Clinicians in Action professional development program. Responsibilities The Senior Director of Rehab (Sr. DOR) is responsible for the efficient and… more
- Humana (Trenton, NJ)
- …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 ... or data requires an in-depth evaluation of variable factors. The Medical Director provides medical interpretation and decisions about the appropriateness of services… more
- Humana (Trenton, NJ)
- …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 whether services provided by… more
- Humana (Trenton, NJ)
- …Certification in Internal Medicine, Family Medicine, Emergency Medicine or Physical Medicine and Rehabilitation + A current and unrestricted license in at least ... community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare...one jurisdiction and willing to obtain additional license , if required + No current sanction from Federal… more
- Humana (Trenton, NJ)
- …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 scope and complexity...MD or DO degree + A current and unrestricted license in at least one jurisdiction and willing to… more
- Mount Sinai Health System (NJ)
- …the Icahn School of Medicine at Mount Sinai is actively recruiting a Program Director for Hospice and Palliative Care Fellowship and Director for VMG Palliative ... in business, health services management, or public health preferred. An unrestricted license to practice medicine in New Jersey is required + Board Certification… more
- Humana (Trenton, NJ)
- …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 scope and complexity...MD or DO degree + A current and unrestricted license in at least one state and willing to… more
- CVS Health (Trenton, NJ)
- …with heart, each and every day. **Position Summary:** Ready to take your Medical Director skills to the next level with a Fortune 6 company? Checkout this ... but may support other plans when needed. This UM (Utilization Management) Medical Director will be a "Work from Home" position primarily supporting the Aetna… more