- 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
- The Cigna Group (Philadelphia, PA)
- …maintenance and expansion, maintain compliance with Federal and state-specific regulations, effective service delivery , meeting of SLAS, key metrics, and client ... **POSITION SUMMARY** The Senior Director , Centene Account Management provides strategic, financial, relationship,...and serve as escalation point to ensure smooth on-going delivery of all service deliverables as well… 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
- Penn Medicine (Philadelphia, PA)
- …HUP 54 (Cedar), West Chester, Exton, and Kennett Square. The Administrative Director is responsible for leading, and overseeing the Divisions' overall operations and ... managing all fiscal affairs. **Responsibilities:** Operations: + In partnership with Sr. Director , Section Chiefs, and Medical Director , responsible for ensuring… 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
- Aveanna Healthcare (Philadelphia, PA)
- …Care Worker Description of Responsibilities Working in the home responsible for the delivery of quality one on one services to individuals and implementing their ... goals as outlined in the Individualized Service Plan. Care may involve activities of daily living...under the direction, instruction and supervision of the Clinical Director and/or appropriate supervisor. The DCW receives scheduling direction… 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
- 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