- Humana (Trenton, NJ)
- …us put health first** The Long-term services and supports (LTSS) Medical Director 's primary responsibility is the review of medical authorizations to determine the ... of a given service, level of care, or medical item/supply. The Medical Director 's work assignments involve moderately complex to complex issues where the analysis of… more
- Humana (Trenton, NJ)
- … Director may occasionally speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, ... 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 … more
- Humana (Trenton, NJ)
- …processes, and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, ... 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 … more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Nursing Quality Director , Mount Sinai International-Corporate-Full-Time** Mount Sinai International, LLC ("MSI") has created a line of ... growing these strategic international relationships. Under the guidance of the Medical Director of Mount Sinai International, and in collaboration with other MSI… more
- Mount Sinai Health System (New York, NY)
- … Director / Clinical Nurse Manager/Assistant Nurse Manager/Nursing Shift Manager, physician dyads and all members of the healthcare team to develop ... **Job Description** The Senior Director of Nursing is responsible for the daily...and all assigned clinical programs, which includes overall strategic planning for all clinical programs to ensure implementation of… more
- Danaher Corporation (New York, NY)
- …standard for innovation and impact wherever health care happens-from a family physician 's office to leading trauma hospitals and laboratories. Our teams collaborate ... working at the pace of change to improve patient lives! The Senior Director , Worldwide Market Access Strategy, Oncology and Hematology will lead Market Access… more
- Taiho Oncology (Princeton, NJ)
- Associate Director , PV Sciences Princeton, NJ, USA Req #444 Thursday, February 27, 2025 Looking for a chance to make a meaningful difference in the oncology space? ... Embark on a transformative journey with Taiho Oncology as an Associate Director in PV Sciences. At the forefront of pharmacovigilance innovation, we offer… more
- Merck (Rahway, NJ)
- **Job Description** **Associate Director , Strategic Forecasting** The Associate Director , Strategic Forecasting Insights, will be responsible for developing ... Responsibilities:** + Working closely with with Strategic Forecasting Insights Director , determine appropriate forecast modeling approaches, tools, and techniques… more
- Danaher Corporation (New York, NY)
- …and make treatment decisions. Wherever health care happens-from a family physician 's office to leading trauma hospitals, laboratories, and critical care units, ... Biosystems, Radiometer, and Cepheid. There are approximately 25,000 associates. The Director , Organizational Design and Development, will play a critical role in… more
- Merck (Rahway, NJ)
- …Under the guidance of a senior leader, a Senior Principal Scientist/Senior Director , has primary responsibility for developing value evidence strategies, and ... planning /managing real world and economic evidence activities in the...and epidemiology, treatment patterns, healthcare resource utilization and costs, physician and patient satisfaction surveys, clinical and patient reported… more
- Highmark Health (Trenton, NJ)
- …Programs will include but not be limited to fee for service, pay -for-value programs, episode payments, prospective bundled payments, gain share and risk share ... or related areas + 4 years Research and strategic planning around emerging trends in reimbursement, network, and payment...payments), and provider / health plan quality programs (eg pay for performance) + 5 years Familiarity with the… more
- CUNY (New York, NY)
- …of pride, distinction and excellence. POSITION OVERVIEW In collaboration with a licensed physician , and the Director of Health Services the Nurse Practitioner ... Practitioner Level 2 - Health Services **GENERAL DUTIES** In collaboration with a physician of record, provides primary health care to the students and staff. In… more
- Cardinal Health (Trenton, NJ)
- …standards; and physician and coder education. This position will also support the Director with scheduling and audit planning , as well as the development and ... policies. **_Consultant, Ethics & Compliance (Audit)_** Reporting to the Compliance Director ( Director ), this position conducts audits to determine… more
- Mount Sinai Health System (New York, NY)
- …Conducts follow-up of any delays in treatment or reporting of results. * Planning /developing specific goals with the physician , interdisciplinary team, and the ... to develop a plan of care which includes discharge planning , resource management, health education, and the provision of...to the payor, as needed, coordinating direct communication between physician and payor Medical Director as required.… more
- Mount Sinai Health System (New York, NY)
- …Conducts follow-up of any delays in treatment or reporting of results. d. Planning /developing specific goals with the physician , interdisciplinary team, and the ... clinical information to the payor, as needed, coordinating direct communication between physician and payor Medical Director as required. f. In psychiatry,… more
- Mount Sinai Health System (New York, NY)
- …Conducts follow-up of any delays in treatment or reporting of results. 4. Planning /developing specific goals with the physician , interdisciplinary team, and the ... clinical information to the payor, as needed, coordinating direct communication between physician and payor Medical Director as required. 6. In psychiatry,… more
- Elderwood (Point Pleasant, PA)
- …providing direct nursing care. Direct nursing care of residents encompasses planning , developing, organizing, implementing assessing, and evaluating the care of ... + Night Shift (6:45pm-7:15am) In addition to a competitive pay package that includes our NEW SHIFT PREMIUM, we...Registered Nurse (RN) (Pediatrics): + Actively participates in the planning and delivery of care to all assigned individuals.… more
- Mount Sinai Health System (New York, NY)
- …implementation of new Institutional initiatives. The NCM reports to and assists the Director of Case Management in providing ongoing education to Case Managers and ... Case Management has a collaborative reporting relationship with the Nursing Director for medicine and attends the monthly Nursing Leadership meeting.… more
- Hunterdon Health Care System (Flemington, NJ)
- + + Position Summary + Responsible for supervising, planning , organizing and coordinating the daily activities of the claims processing and accounts receivables for ... the ambulatory claims under the direction of the Director of the SBO. .Maintains an efficient billing process...Interface with and direct front end of the with physician offices to promote optimum patient point of service… more
- Mount Sinai Health System (New York, NY)
- …of patient care. This individual works closely with the Nursing Clinical Director , unit Dyad partner and staff to ensure that the Service/Unit setting ... to the development and implementation of an action plan. 7. Collaborates with the physician dyad and escalates concerns as appropriate. 8. Follows up on all patient… more