- Humana (Trenton, NJ)
- …to innovate + **Resides in VA** **Additional Information** Reports to the Lead Medical Director - North Central Medicaid Markets. The Medical Director ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more
- Humana (Trenton, NJ)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests for services. The… more
- Humana (Trenton, NJ)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement...services, requested level of care, and/or requested site of service should be authorized. All work occurs within a… more
- CVS Health (Trenton, NJ)
- …benefits are administered correctly. On occasion, CMS (Centers for Medicare Medicaid Services) requires regulatory changes during the plan year. The **Medicare** ... **Benefits Standards & Guidance Lead Director ** ensures accountability for the implementation, management, and maintenance of the Medicare Part C benefits when… more
- Humana (Trenton, NJ)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... of our caring community and help us put health first** The Director , Corporate Strategy, Long-Term Financial Planning oversees an organization's strategic and… more
- Evolent (Trenton, NJ)
- …setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional cardiology to ... help ensure the delivery of high-value, evidence-based case reviews. Enjoy improved work-life...inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management… more
- Pearson (Trenton, NJ)
- …planning, and execution of the LivePsych service line. Reporting to the Director of School Service Delivery , this role collaborates closely with ... strategic service planning by working with the Director of School Service Delivery ...and parental consent forms to ensure compliance, particularly for Medicaid reimbursement purposes; Contribute to budget planning and oversight… more
- Pearson (Trenton, NJ)
- … service line serving students with diverse learning needs. Reporting to the Director of School Service Delivery , this role collaborates closely with ... strategic service planning by working with the Director of School Service Delivery ...and parental consent forms to ensure compliance, particularly for Medicaid reimbursement purposes; Contribute to budget planning and oversight… more
- Hackensack Meridian Health (Old Bridge, NJ)
- …primary caregiver(s) at their level (developmental/age, educational, literacy, etc.). + Ensures delivery of excellent customer service resulting in a positive ... to validate patient identity. Conducts intensive screening of all Medicare, Medicaid and managed care patients to identify network status and coordination… more
- Arc Mercer (Ewing Township, NJ)
- …hours Generally Monday - Friday; may include evenings and weekends Reports to: Director of Family Support & Development Location: Ewing Township, NJ What We Offer: ... will also assist individuals and families in accessing critical resources such as Medicaid , DVR, HUD, Rep Payee and other services, while also facilitating new… more
- Gentiva (Hamilton, NJ)
- …roles)** + **Tuition Reimbursement** You will report directly to the Executive Director , Administrator, or Senior Patient Care Manager. You will be responsible for ... including managing, overseeing, and directing patient care activities to ensure the delivery of quality patient care. This role is responsible for teaching,… more
- Aveanna Healthcare (Feasterville Trevose, PA)
- …and family * Review progress notes from paraprofessionals to determine appropriate service delivery * Educate paraprofessionals on individual client ISP ... caregivers under the direct supervision of the Location or Executive Director . Essential Job Functions * Provide initial evaluation to determine appropriateness… more