Surgical Coordinator - Orthopedics - Health and Wellness Center Hackensack Meridian HealthSurgical Coordinator - Orthopedics - Health and Wellness CenterClark, New JerseyFull timeThe posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package. Responsibilities: A day in the life of a Surgical Coordinator at Hackensack Meridian Health includes: Coordinates all aspects of tests, procedures and surgeries under the direction and supervision of the Practice Supervisor or Manager and physician(s) in an efficient manner.
Wound Care Nurse - Lpn-Lvn - Full Time Project RestorixWound Care Nurse - Lpn-Lvn - Full TimeRahway, NJWhat You'll Do: Provide patient care based on scientific principles/nursing theory and evidence-based practiceImplement physician orders accurately within appropriate time framesRecognize change in the patient's condition and intervene appropriatelyPrioritize nursing actions including reflecting patient needs, acuity, and desired outcome. Qualifications: Valid LPN nursing license requiredValid CPR certification from the American Heart Association requiredPrior experience working with wound care patients preferred (Will train)Experience with billing and coding preferred.
Medicaid Risk Adjustment Market Manager CVS Health CorpMedicaid Risk Adjustment Market ManagerNJ$54,300–$145,860 / yearPartner with segment product, sales, network, clinical teams to implement processes aimed at strengthening member and provider engagement of Revenue Integrity programs resulting in improved outcomes. This is a high-visibility role responsible for driving market level engagement, delivering insights, and demonstrating the value of Medicaid risk adjustment performance to senior leaders and market partners.
NewMDS Coordinator Sunrise Senior Living ServicesMDS CoordinatorEdison, New Jersey$41–$56.65 / hourWhat You’ll Do: • Coordinate and complete MDS, CAA and Care Plans per federal and state regulations • Maintain MDS schedules and ensure timely, accurate submissions • Facilitate Triple Check and weekly Medicare meetings • Review clinical documentation for accuracy and reimbursement support • Ensure Care Plans are individualized and aligned with resident goals • Monitor Quality Indicators and analyze CASPER/iQIES reports • Participate in IDT and QAPI meetings to drive quality improvement • Provide MDS and documentation training to clinical team members • Support ICD-1 coding accuracy and skilled services documentation • Collaborate with Business Office to ensure timely billing Resident Assessment Coordinator (RN/LPN) – Lead MDS Accuracy and Drive Quality Care Outcomes MDS Coordinator | Resident Assessment Coordinator | RN | LPN | Skilled Nursing | Care Planning | RAI. The Resident Assessment Coordinator (RAC) leads the Resident Assessment Instrument (RAI) process for Skilled Nursing, ensuring accurate MDS completion, individualized care planning and regulatory compliance.
Decision Scientist - Clinical Informatics (Clinical Data Standards) CVS Health CorpDecision Scientist - Clinical Informatics (Clinical Data Standards)NJ$64,890–$158,620 / yearA&BC leverages advanced analytics, clinical informatics, and hypothesis-driven approaches to transform data into actionable, customer-centric insights that drive growth, improve health outcomes, and expand access to healthcare across all CVS Health businesses. Collaborate with data engineering teams to inform data pipeline development, ensuring clinical data is ingested, transformed, and stored in ways that support downstream analytics needs.
Medical Assistant EyeCare Partners LLCMedical AssistantMillburn, NJThis employee will use ophthalmic techniques to perform preliminary work-up of patients in a clinic setting, scribe for Physicians and may also directly assist Physician(s) with examinations and treatment of patients. Our national network of over 300 ophthalmologists and 700 optometrists provides a lifetime of care to our patients with a mission to enhance vision, advance eye care and improve lives.
Senior Clinical Research Director SanofiSenior Clinical Research DirectorMorristown, NJ$236,250–$393,750 / yearCollaborates with other CRDs within the project, ensures leadership, builds consensus, coordinates action plans with stakeholders to resolve project-related study issues, anticipates potential issues (sharing lessons learned) across the project or study teams. Collaborate with other CRDs within the project, ensure leadership, buildsconsensus, coordinate action plans with stakeholders to resolve project-related study issues, anticipate potential issues (sharing lessons learned) across the project or study teams.
Medical Director - ENT CVS Health CorpMedical Director - ENTNJ$174,070–$374,920 / yearLeads all aspects of utilization review/quality assurance, directing case management Provides clinical expertise and business direction in support of medical management programs through participation in clinical team activities Acts as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams Responsible for predetermination reviews ad reviews of claim determinations, providing clinical, coding, and reimbursement expertise. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Executive Medical Director, Neurology, Clinical Development Katalyst HealthCares & Life Sciences IncExecutive Medical Director, Neurology, Clinical DevelopmentBridgewater, NJThis individual will be the primary point person for medical monitoring and oversight of assigned clinical programs, including monitoring of clinical studies, review and interpretation of clinical trial data, authoring clinical study and regulatory communications and documents, and monitoring of competitor activities and data. Provide medical/clinical expertise to internal (Marketing, Sales, Manufacturing, Market Access, Patient Services, Regulatory Affairs, R&D, and Legal) and external (healthcare professionals, Data Safety Monitoring Boards, patients, advocacy groups, etc.) customers.
Resident Assessment Coord. Sunrise Senior Living LLCResident Assessment Coord.Edison, NJWhat You'll Do: • Coordinate and complete MDS, CAA and Care Plans per federal and state regulations • Maintain MDS schedules and ensure timely, accurate submissions • Facilitate Triple Check and weekly Medicare meetings • Review clinical documentation for accuracy and reimbursement support • Ensure Care Plans are individualized and aligned with resident goals • Monitor Quality Indicators and analyze CASPER/iQIES reports • Participate in IDT and QAPI meetings to drive quality improvement • Provide MDS and documentation training to clinical team members • Support ICD-1 coding accuracy and skilled services documentation • Collaborate with Business Office to ensure timely billing Resident Assessment Coordinator (RN/LPN) - Lead MDS Accuracy and Drive Quality Care Outcomes MDS Coordinator | Resident Assessment Coordinator | RN | LPN | Skilled Nursing | Care Planning | RAI. The Resident Assessment Coordinator (RAC) leads the Resident Assessment Instrument (RAI) process for Skilled Nursing, ensuring accurate MDS completion, individualized care planning and regulatory compliance.
Wound Care Nurse - RN - PRN Project RestorixWound Care Nurse - RN - PRNSomerville, NJWhat You'll Do: Provide patient care based on scientific principles/nursing theory and evidence-based practiceRecognize change in the patient's condition and intervene appropriatelyPrioritize nursing actions including reflecting patient needs, acuity, and desired outcomesImplement physician orders accurately within appropriate time framesEducate and counsel patients and their families on wound care processes and issues. Qualifications: Associate degree in nursing, Bachelor of Science in Nursing required for Magnet HospitalsValid Registered Nursing license requiredValid CPR certification from the American Heart Association requiredPrior experience working with wound care patients (Will train)Prior experience with billing and coding preferred.
Medicare Pricing Analyst Wisconsin Physicians Service Insurance CorpMedicare Pricing AnalystNJRemoteThe Medicare Pricing Procedures Analyst also researches and responds to interdepartmental requests, reviews Medicare pricing guidance, supports system testing and validation, maintains internal documentation, and assists the Technical Claims team with projects that improve the accuracy and efficiency of Medicare pricing operations. This role supports the implementation and validation of CMS pricing updates, maintains pricing information within Medicare systems, and collaborates with CMS, Shared System Maintainers, and other Medicare Administrative Contractors (MACs) to ensure accurate and timely claims payment.
Medical Assistant - Internal Medicine UnitedHealth Group IncMedical Assistant - Internal MedicineSpringfield, NJIreland & UK ›India ›Philippines ›Culture of Belonging›Employee Benefits›BlogJob seeker resources Login Bookmarked jobs 0 Career areas Clinical PhysiciansAdvanced practice cliniciansPharmacyBehavioral healthNursingMedical codingClinical support Corporate and business operations Administrative supportConsultingFinance and business analyticsLegal and complianceMarketing and communicationsPeople teamProject management Customer and support services BillingClaimsCustomer ServiceData entryEarly careers Sales and account management Account managementSalesSales management Technology and data Artificial intelligenceArchitectureBusiness systems analysisData analyticsData engineeringData scienceNetwork infrastructureProduct management & developmentSecurity and riskSoftware engineering Life here U.S. Culture of BelongingEmployee BenefitsMilitary Fellowship Program Ireland & UK Culture of BelongingEmployee Benefits India Culture of BelongingEmployee Benefits Philippines Culture of BelongingEmployee BenefitsJoin our talent communityOpen search formKeyword or job numberLocationGoExplore remote jobsPursue your passion and potentialMedical Assistant - Internal Medicine Springfield New Jersey Apply Internal apply Bookmark job Jump to Our values Job description Benefits Testimonial Awards & recognitions Related content Caring. BlogsJob seeker resources Login Bookmarked jobs 0 Career areasLife hereJoin our talent communitySearch jobsClinical ›Corporate and business operations ›Customer and support services ›Early careers›Sales and account management ›Technology and data›Physicians›Advanced practice clinicians›Pharmacy›Behavioral health›Nursing›Medical coding›Clinical support›U.S.
Medical Director - Radiation Oncology - MD or DO CVS Health CorpMedical Director - Radiation Oncology - MD or DONJ$174,070–$374,920 / yearThe Radiation Oncology Medical Director supports the CVS Health Specialty oncology business in managing oncology specific utilization of providers, clinical reviews of oncology specific data, and assist with growing our oncology footprint. In the Medical Director role, you will provide oversight for medical policy implementation; you will support the ensuring timely and consistent responses to members and providers; you will focus on prior authorization cases and consultation cases.
Ophthalmic Technician Eye Care PartnersOphthalmic TechnicianMillburn, NJThis employee will use ophthalmic techniques to perform preliminary work-up of patients in a clinic setting, scribe for Physicians and may also directly assist Physician(s) with examinations and treatment of patients. Our national network of over 300 ophthalmologists and 700 optometrists provides a lifetime of care to our patients with a mission to enhance vision, advance eye care and improve lives.
Tech Lead Yantran LLCTech LeadParsippany, NJThe ideal candidate will collaborate with cross functional teams to deliver high quality solutions that meet business requirements and enhance user experience. We are seeking a skilled and motivated Software Developer to design, develop, test, and maintain software applications.
Service Center Clerical Support-FT Ward Transport & Logistics Corp.Service Center Clerical Support-FTSouth Plainfield, NJ$20–$25 / hourJob Title: Service Center Clerical Support-FT Advertising Title: Req #: 12601 Company: Ward Trucking, LLC Job Code: SVCCTRCS Location: South Plainfield Employment Status: Full Time City: South Plainfield Area of Interest: Administrative Support State: NJ Rate of Pay: $20 to $25 an hour. All linehaul driver envelopes are to include: trailer number, Pro number of one shipment on the trailer, road driver's name, tractor number, seal number, weight, driving (route) instructions and any hazardous placards that may be required (if applicable).
Ophthalmic Technician EyeCare Partners LLCOphthalmic TechnicianMillburn, NJThis employee will use ophthalmic techniques to perform preliminary work-up of patients in a clinic setting, scribe for Physicians and may also directly assist Physician(s) with examinations and treatment of patients. Our national network of over 300 ophthalmologists and 700 optometrists provides a lifetime of care to our patients with a mission to enhance vision, advance eye care and improve lives.
Business Analytics Advisor - Clinical & Affordability Trend Analytics - Hybrid CignaBusiness Analytics Advisor - Clinical & Affordability Trend Analytics - HybridMorris Plains, NJ$98,200–$163,600 / yearThese states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
Certified Prosthetist Orthotist Mobility Ideal HealthCertified Prosthetist OrthotistEdison, New JerseyThe ideal candidate will demonstrate expertise in patient care, fabrication, and fitting of custom devices, documenting all care and properly and ethically coding correctly along with a strong commitment to enhancing patient mobility and independence. The Certified Prosthetist Orthotist (CPO) will be responsible for evaluating, designing, and fitting prosthetic and orthotic devices for patients with limb loss, disabilities, or musculoskeletal issues.