We interpreted Morrisville, PA as Morrisville, PA. Other options include: Morrisville (Greene County), PA
- 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
- Humana (Trenton, NJ)
- …and experience with national guidelines such as NCD/LCD, MCG(R) or InterQual The Medical Director conducts clinical case reviews of requests received ... reports to the Lead Medical Director . **Other duties:** + Identify medical management operational improvements, including those within the medical … 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 (Trenton, NJ)
- 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
- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals ... (Part D & B). The Medical director work assignments involve moderately complex...or clinical group practice management + Utilization management experience in a medical management… 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
- CVS Health (Trenton, NJ)
- …NJ License without encumbrances or the ability to obtain a NJ License. In the Medical Director role you will provide oversight for medical policy ... clinical / medical programs and expand Aetna's medical management programs to address member needs...and consistent responses to members and providers. As a Medical Director you will focus primarily on… more
- Penn Medicine (Plainsboro, NJ)
- …of Arts or Science (Required) + BSN degree requiredMinimum of 3 years Medical -Surgical experience required; Case Management and Discharge Planning experience ... in inappropriate utilization due to delays in diagnostic testing, medical and surgical procedures, and physician management ;...+ Certified Case Manager (Required) + National Case Management certification preferred; or obtained within… more
- Penn Medicine (Plainsboro, NJ)
- …leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across ... your life's work? We are hiring for an Associate Director Oncology Research Operations to join our Cancer Services...oversee the processes for study start-up and on-going study management from start to finish working closely with the… more
- Highmark Health (Trenton, NJ)
- …URAC, CMS, DOH, and DOL regulations, etc.). Ensure that all aspects of the medical management process are consistent with community standards of care. + ... outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan;...need. **Preferred** + None **SKILLS** + Critical Thinking + Case Management + Customer Service + Oral… more
- Southern New Jersey Perinatal Cooperative (Pennsauken, NJ)
- …The Case Manager conducts needs assessments and provides intensive case management , wraparound services, and recovery support for pregnant/postpartum women ... characteristics. The Cooperative offers a competitive benefit package: * Medical , Dental, Life Insurance * Id Theft & Legal...assessments that include life domains. * Provides and documents case management services in compliance with program… more
- Burlington (Burlington, NJ)
- …Route 130 North Burlington NJ US 08016 **Overview** Burlington is hiring a ** Director of Asset Protection Strategy and Analytics** to protect company assets and ... Analytics team. Reporting to the VP Shortage Control the Director of AP Strategy and Analytics is a key...optimize both supply and labor spend. + Offer business case writing expertise and lead the compilation and review… more
- Gentiva (Hamilton, NJ)
- …the care they need with dignity, grace, and love. **As a Hospice RN/ RN Case Manager, you will:** + Reportdirectly to the Administrator, Executive Director or ... Manager Senior and will maintain primary control and professional management of each patient. + Act as primary liaison...supportive care to the patient's family with a reasonable case load while providing a trusting and compassionate relationship… more
- J&J Family of Companies (Trenton, NJ)
- Director , MedTech IBP Re-Ignite Leader - 2406221361W **Description** J&J MedTech is recruiting for a Director , MedTech Re-Ignite IBP Leader located in Raritan, ... locations! Remote work options may be considered on a case -by- case basis and if approved by the...across Commercial, Commercial Finance, and Supply Chain. Champion change management efforts to ensure smooth adoption of the re-engineered… more
- Sumitomo Pharma (Trenton, NJ)
- …dynamic, highly motivated, and experienced individual for the position of **Associate Director , Strategic Sourcing - R&D and Supply Chain/TOQ.** The Associate ... Director Strategic Sourcing R&D and Supply Chain/Technical Operations &...opportunities. They must provide active category leadership and change management support that challenges traditional spending behavior, service level… more
- Bright Horizons (Princeton, NJ)
- We're hiring a Steve & Kate's Camp Director ! An S&K Camp Director is responsible for all aspects of planning and executing an innovative, kid-centric summer day ... seasonal teams, and; overseeing logistics, compliance, operations and inventory management for the programs they manage. Successful Camp Directors...5 or more is preferred + During camp programs, Director is expected to be on-site. When camps are… more
- SERV Behavioral Health System (Lawrenceville, NJ)
- …a Director . + Oversees medical services with collaborations with the Medical Director and Nurse + Develops and Maintains Healthy and Productive Work ... wide range of services. We are currently seeking an experienced County Director with seven years post-master's experience; five years supervisory experience. For… more