• Medical Director - Medicaid N. Central

    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
    Humana (05/14/25)
    - Related Jobs
  • Medical Director - National Medicare

    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
    Humana (05/29/25)
    - Related Jobs
  • Medical Director - OneHome

    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, DME, skilled nursing facility and waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by other… more
    Humana (05/31/25)
    - Related Jobs
  • Medical Director - Care Plus - Florida

    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 ... requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement...+ MD or DO degree + **Valid Florida Medical license ** + 5+ years of direct clinical patient care… more
    Humana (04/24/25)
    - Related Jobs
  • Program Director of Hospice/Palliative Care…

    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
    Mount Sinai Health System (03/04/25)
    - Related Jobs
  • 7-3 Full Time RN LPN

    Imperial Healthcare Rehabilitation and Nursing (Neptune City, NJ)
    …have been signed upon resident's admission and placed in the Admission Director 's mailbox for processing the next day.* Other related duties and responsibilities ... age or olderLICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:* Current Basic Life Support (CPR) certification* Current Licensed Practical Nurse license in the state more
    Imperial Healthcare Rehabilitation and Nursing (05/21/25)
    - Related Jobs
  • Medical Director - Medicare Grievances…

    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
    Humana (05/14/25)
    - Related Jobs
  • Medical Director , Global Medical Affairs,…

    J&J Family of Companies (Raritan, NJ)
    …**Job Description:** Johnson and Johnson is currently seeking a **Medical Director , Global Medical Affairs, Biosurgery located** in **Raritan, NJ** **About Surgery** ... more at https://www.jnj.com/medtech This position will report to the Senior Director , Medical Affairs, Biosurgery and will provide medical leadership globally to… more
    J&J Family of Companies (05/23/25)
    - Related Jobs
  • Medical Director - Medicare Grievances…

    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
    Humana (04/24/25)
    - Related Jobs
  • Field Medical Director , Physical Medicine…

    Evolent (Trenton, NJ)
    …the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director , Physical Medicine and Rehab you will be a key member of the utilization ... timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation,… more
    Evolent (05/30/25)
    - Related Jobs