- Adams and Associates, Inc. (Philadelphia, PA)
- …Readiness staff to provide exiting students with comprehensive and individualized case management to identify and remediate students transitional. Ensures ... for the Job Corps Program. Secures and evaluates applicants behavioral, medical and educational records. Denies applicant enrollment and refers applicants to… more
- CVS Health (Trenton, NJ)
- …continuum of our members' health care and social determinant needs. The Duals Care Management (CM) Medical Director will participate in designing, developing ... and socioeconomic needs. * Partner closely with the Executive Director of Duals and other Duals Care Management...and quality objectives are met. * Consults with plan medical staff regarding adverse determinations, addresses issues related to… more
- Humana (Trenton, NJ)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... caring community and help us put health first** The Medical Director relies on medical ...in teams focusing on quality management , utilization management , case management , discharge planning… more
- Humana (Trenton, NJ)
- …relationships, value-based care, quality metrics, population health, and disease or care management . The Behavioral Health Medical Director may develop ... and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health...in teams focusing on quality management , utilization management , case management , discharge planning… more
- Humana (Trenton, NJ)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... caring community and help us put health first** The Medical Director actively uses their medical...in teams focusing on quality management , utilization management , case management , discharge planning… more
- Penn Medicine (Plainsboro, NJ)
- … programs across the system. 8. Collaborates with the department's Inpatient Care Management Medical Director and Physician Advisors regarding complex cases, ... related healthcare field - preferred + Registered Nurse - NJ (Required) + Case Management certification preferred; or obtains within 2 years of employment… more
- Humana (Trenton, NJ)
- … medical management operational improvements, including those within the medical director area + Participate in call rotation + Develop collaborative ... in teams focusing on quality management , utilization management , case management , discharge planning...on size of region or line of business. The Medical Director conducts Utilization Management … more
- Evolent Health (Trenton, NJ)
- …training classes as needed for new hires to educate and train on Utilization management system and Field Medical Director process, standards and resources. ... Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Medical Director for the Musculoskeletal department, you will be a key member of… more
- J&J Family of Companies (Spring House, PA)
- Director , Regulatory Medical Writing (1 of 4)...countries. Remote work options may be considered on a case -by- case basis and if approved by the company. ... - 2406211847W **Description** Johnson & Johnson is currently seeking a Director , Regulatory Medical Writing. The primary location for this position is the United… more
- Highmark Health (Trenton, NJ)
- **Company :** Endorsed **Job Description :** **GENERAL OVERVIEW** The Medical Director will provide qualified medical direction and consultation for care ... delivery and complex case management for our community-based palliative care...leadership and guidance to the regional interdisciplinary team. The medical director collaborates clinically with the APP… more
- Spectrum Health Services (Philadelphia, PA)
- …+ Nurse Practitioner + Three years minimum managerial experience + FQHC experience preferred Keyword: Senior Medical Director From: Spectrum Health Services, Inc ... Director under the direction of the Chief Medical Officer and in collaboration with the Chief Operating...out of care. This requires working closely with the Director of Integrated Services, Case Managers, Clinicians,… more
- J&J Family of Companies (Titusville, NJ)
- Director , Medical Safety Officer (Neurovascular) - 2406209070W **Description** **Johnson & Johnson, is recruiting for a Director , Medical Safety Officer ... considered. Remote work options may be considered on a case -by- case basis and if approved by the...Duties & Responsibilities:** + Assess product risk-benefit and offer medical input/review to: Risk Management Reports, Product… more
- Taiho Oncology (Princeton, NJ)
- Sr. Director , PV Medical Surveillance Princeton, NJ, USA Req #378 Monday, July 15, 2024 Looking for a chance to make a meaningful difference in the oncology ... a transformative journey with Taiho Oncology as a Sr. Director , PV Medical Surveillance . At the...and causality, coding, review of narrative summary and providing case comments; provide medical inquiries for follow-up… more
- Evolent Health (Trenton, NJ)
- …the mission. Stay for the culture. **What You'll Be Doing:** As a Behavioral Health Field Medical Director will be a key member of the utilization management ... Opportunities:** Evolent Health is looking for a Behavioral Health Medical Director to be a member of...in risk management , claim adjudication, pharmacy utilization management , catastrophic case review, outreach programs, +… more
- Bristol Myers Squibb (Princeton, NJ)
- …work and in their personal lives. Read more: careers.bms.com/working-with-us . ** Director , Medical Safety Assessment Physician (Immunology)** **Functional Area ... for global submission document production. Review draft summary documents. . Lead medical safety development and execution of benefit-risk management strategies… more
- Humana (Trenton, NJ)
- …our caring community and help us put health first** The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The ... Behavioral Health Medical Director work assignments involve moderately complex...experience post-training providing clinical services + Experience in utilization management review and case management … more
- BluePearl (Conshohocken, PA)
- …clinical experience to lead our team of emergency and specialty clinicians in the role of ** Medical Director ** . As Medical Director you will partner in ... offer a competitive salary and relocation assistance. Your primary responsibilities as Medical Director include **upholding medical quality standards**… more
- Merck (West Point, PA)
- …drive revenue and productivity, thereby advancing our Company's contribution to global medical innovation. Enterprise IT (EIT) is an essential component of the ... of immediate and future state business objectives. This Associate Director role will report into our Planning & Execution...role will report into our Planning & Execution Role Management & Training (RM&T) function. This function manages processes… more
- Merck (Upper Gwynedd, PA)
- **Job Description** The Executive Director , Global Medical and Scientific Affairs (EDMA) GYN Malignancies is accountable for the development and execution of ... scientific & medical affairs Value and Implementation (V&I) plans for their...and Implementation (V&I) plan, in collaboration with the Executive Director of Scientific Affairs (EDSA), that guides TA scientific… more
- CVS Health (Trenton, NJ)
- …**Position Summary** Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Cardiology) that can be remote based, work from home. This ... can be remote based anywhere in the US. The Medical Director (Cardiology) will be a Subject...will lead all aspects of utilization review/quality assurance, directing case management . In this role you will… more
