- Highmark Health (Trenton, NJ)
- …responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using ... Medical Policy criteria sets to evaluate the ... necessity and appropriateness of the requested treatment of service . Depending on the nature of the case, telephonic… more
- Humana (Trenton, NJ)
- …and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by other healthcare ... Humana policies, clinical standards, and (in some cases) contracts. The Medical Director provides medical interpretation and decisions about the… more
- Mount Sinai Health System (New York, NY)
- …Director for Primary Care Outpatient Clinic on Columbus Avenue!** The Administrative Medical Director provides clinical and administrative leadership for ... of the practice within the Mount Sinai Health System. The Medical Director serves as a key liaison between clinical staff, administration, and patients,… more
- City of New York (New York, NY)
- …engaging, and responsive. We're looking for a motivated and mission-aligned Nurse Practitioner Medical Director to help lead that vision. DUTIES WILL INCLUDE BUT ... is now available within the Division of Administration, Offices of Clinical Quality Management and Improvement/Employees' Health Program. We're building an Employee… more
- Fresenius Medical Center (New York, NY)
- …with all legal, compliance and regulatory requirements and programs. Collaborates with the Medical Director and the Clinical Coordinator /Charge Nurse or ... Clinical Coordinator /Charge RN or Nurse Supervisor and Medical Director to implement FMS quality goals...training when applicable for new hires, and works with Medical Director to ensure mandatory in- services… more
- City of New York (New York, NY)
- …The New York City Administration for Children's Services ' OCFH is seeking a Medical Director to provide clinical and administrative oversight for the ... Office of Child and Family Health (OCFH) delivers direct medical services to children entering foster care...for psychiatric inpatient admissions and case audits - Provide clinical and administrative supervision to the Assistant Director… more
- The Cigna Group (Morris Plains, NJ)
- … delivery models. They will partner with the Client's Clinical team, Pharmacy Director , Medical Director and/or clinical staff to provide a ... to locations that are listed in this posting.** **Job Summary:** The Sr. Clinical Account Executive (CAE) position is an exciting opportunity for a pharmacist who… more
- The Cigna Group (Morris Plains, NJ)
- …delivery models. They will partner with the Health Plan's Pharmacy Director , Medical Director and clinical staff to provide a comprehensive management ... to locations that are identified in this posting.** **JOB DESCRIPTION** The Clinical Account Executive (CAE) position is an exciting opportunity for a pharmacist… more
- Humana (Trenton, NJ)
- …team and fulfill day-to-day leadership responsibilities . Engage the Medical Director whenever additional leadership or clinical support is needed **Use your ... the Healthcare Quality Reporting and Improvement organization. They report to the National Medical Director and lead a diverse team driving education strategy… more
- City of New York (New York, NY)
- … and DOE teams. - Perform clinical case reviews as requested by the Medical Director . Provide clinical assistance in the event of an environmental or ... concerns. - Complete medical accommodation reviews efficiently, using sound clinical judgment, coordinating services when appropriate. - Participate in… more
- Elevance Health (New York, NY)
- ** Clinical Operations Medical Director ** **Carelon MBM** **Virtual:** This role enables associates to work virtually full-time, with the exception of ... medical appropriate information in order to make medical necessity determinations for services requested. +... Director review or policy interpretation. + Determine medical necessity of requests using applicable clinical … more
- Elevance Health (Morristown, NJ)
- ** Clinical Operations Medical Director ** ** Medical Oncology** **Carelon Medical Benefit Management** **Virtual** : This role enables associates to ... clinical domains, including radiology, cardiology and oncology._ The ** Clinical Operations Medical Director ** is... medical appropriate information in order to make medical necessity determinations for services requested. +… more
- Elevance Health (Woodbridge, NJ)
- ** Clinical Operations Medical Director ** **Carelon Medical Benefit Management** **Radiation Oncology** **Virtual:** This role enables associates to work ... clinical domains, including radiology, cardiology and oncology._ The ** Clinical Operations Medical Director ** is... medical appropriate information in order to make medical necessity determinations for services requested. +… more
- RWJBarnabas Health (Livingston, NJ)
- …general supervision of the Medical Director and the Administrative Director of Pulmonary & Sleep services to provide comprehensive evaluation and ... and evaluate sleep studies and provide appropriate feedback to staff + Assist the medical director , clinical director and/or manager in all aspects of… more
- Mount Sinai Health System (New York, NY)
- …the Mount Sinai Doctors physician practices and/or faculty practice and supports the Medical Director , Administrative, and Clinical leadership of the ... to ensure access to diabetes and cardiovascular specialty care. + Supports the clinical integration of new diagnostic tools, electronic medical records, and… more
- MTA (New York, NY)
- …follow-up of employees out due to injury on duty or sick. + Work with Assistant Medical Director and other clinical staff members as needed for medical ... opportunities. Position Objective: Under the direct supervision of the Assistant Medical Director , this position will perform general occupational health… more
- Catalent Pharma Solutions (Bridgewater, NJ)
- …execution, and continuous improvement of pricing strategies and commercial proposal processes across clinical services . This role is pivotal in driving sales and ... ** Director of Pricing, US** **Position Summary** Catalent, Inc....for patients annually. Catalent is a global leader in clinical supply services , working with clinical… more
- Atlantic Health System (Morristown, NJ)
- …with CAP and industry best practice system-wide Director of Quality, and the Medical Director under the supervision of the VP, Laboratory Services . All ... The Technical Director supports the Clinical disciplines of...technologies + Participate in strategic planning, budgeting, and system-wide medical committees to align lab services with… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Director of Clinical Pharmacy Services is part of the Mount Sinai Health System's dynamic, progressive pharmacy leadership team. This ... is charged with developing, implementing and managing programs and services that advance clinical practice at the...Sinai Health System is one of the largest academic medical systems in the New York metro area, with… more
- Aveanna Healthcare (Clark, NJ)
- …and evaluating nursing services of nursing location (non-PDHC offices). The Clinical Director (CD) is responsible for the management of all operational ... Clinical Director - Home Care -... services for their location of responsibility. Working within the...including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate. As an employer… more