- Determine whether healthcare services align with national guidelines (CMS requirements) and Humana standards through thorough reviews of complex clinical scenarios using computer systems.
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Service Receptionist- Hyundai of Trenton
1 month ago
Only for registered members Trenton, NJA hardworking receptionist who's eager to learn and support our fast growing organization. · ResponsibilitiesAnswering the phone, responding to emails, greet potential customers, address complaints, · handle other front desk tasks such as cashier responsibilities,cashier responsi ...
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Pharmacy Technician
1 week ago
Only for registered members Robbinsville, NJ, NJWe are seeking a Licensed Pharmacy Technician to join our team at Mediwell Pharmacy As a Pharmacy Technician, you will be receiving incoming prescriptions , checking for accuracy and inputting that information into our system. · Receive written and faxed prescriptions from both p ...
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Registered Nurse
2 days ago
Only for registered members Trenton, NJThis position is responsible for performing RN duties using established guidelines to ensure appropriate level of care as well as planning for the transition to the continuum of care. · ...
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Hotel Night Auditor
1 month ago
Only for registered members Trenton, NJWe are seeking a dedicated and detail-oriented Hotel Night Auditor to join our team. · ...
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Vaccines Account Manager
1 day ago
Only for registered members TrentonVaccine Account Managers collaborate with Pfizer partners to grow appropriate use of Pfizer Vaccines and the overall immunization rates of organized customers by identifying shared objectives aligning resources and deploying innovative solutions to achieve targeted clinical and b ...
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Construction Resident Engineer
6 days ago
Only for registered members Trenton, New Jersey, United StatesWe have an immediate need for an Resident Engineer in New Jersey. · Come join our team We are looking to build services and capabilities through the growth of our key asset- our staff. · ...
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Senior Director Data Center Sales
4 weeks ago
Only for registered members Trenton, NJLensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies and marketing partners. · ...
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Digital Product Success Lead
1 day ago
Only for registered members Trenton, NJ Remote job+ Manage end-to-end process of digital product implementation including identifying optimal paths to attain client & organizational goals assessing optimizing and uploading data tracking projects throughout their lifetime driving timely interventions that impact outcomes reportin ...
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Intern,
1 month ago
Only for registered members Trenton, NJThe intern role is designed to give students the opportunity to apply classroom theory to real world situations thus enhancing the students' academic and career goals. · Practical experience via a program project allows a student to gain knowledge and develop transferable skills, ...
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Retirement Plan Coordinator
1 month ago
Only for registered members Trenton, NJ+h2>Job Summary · The Retirement Plan Coordinator is responsible for certain day-to-day operational duties of the plan as a co-plan administrator. · +h2>Responsibilities · Review and sign Form 5500. · Maintain plan documents. · +h2>About UsWe are proud to be an Equal Opportunity ...
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Registered Nurse-Utilization Review
2 days ago
Only for registered members Trenton, NJ, USA, Trenton, NJThe position is responsible for performing RN duties using established guidelines to ensure appropriate level of care as well as planning for the transition to the continuum of care.Responsibilities: Assesses patient's clinical need against established guidelines and/or standards ...
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Customer Service Representative
9 hours ago
Only for registered members Conduent, NJ, Hamilton Township, NJ, USWe are in search of Customer Service Representatives (CSR) to handle inbound calls for our fast-paced customer care center. · Inbound Call Center – The Agent is responsible for responding to telephone inquiries and concerns using approved procedures and guidelines while ensuring ...
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Lease & Property Administrator
1 month ago
Only for registered members Trenton, NJThe Lease & Property Administrator oversees and tracks leases of rental properties in Capital Health's portfolio as well as Condo Association documents. · This position is eligible for various benefits including medical plan, dental plan, vision plan and more. · Flexible Spendin ...
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Court Services Officer 1
4 weeks ago
Only for registered members Trenton, NJThe New Jersey Judiciary seeks a Court Services Officer to maintain the Fund's case management system and provide paralegal support to the collection and subrogation program. The selected candidate will work under supervision and direction of Deputy Counsel. · Make regular entrie ...
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Judiciary Clerk 3
1 month ago
Only for registered members Trenton, NJThe New Jersey Judiciary is seeking a team-oriented individual with great customer service skills to join the Billing Unit of the New Jersey Lawyers Fund for Client Protection. · Composing non-routine correspondence. · Reviewing and updating status' in the Central Attorney Manage ...
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Product Management
1 day ago
PNC Financial Services Group TrentonWe are seeking an experienced Product Management Manager to join our team at PNC. As a key member of our organization, you will drive business and financial results for products or experiences using traditional and emerging capabilities in technology, operations, and data analyti ...
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Medical Information Systems Specialist
1 month ago
Only for registered members Trenton, NJ Remote jobThis position involves leading the implementation, maintenance, optimization, customization and continuous improvement of systems and tools supporting Medical Information. · Manage reporting and analytics deliverables. · Oversee copyright and permissions management for external d ...
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Program Specialist
4 weeks ago
Only for registered members Trenton, NJThe Board of Bar Examiners seeks a collaborative professional to support varied processes associated with handling multiple bar application types and licensing attorneys to practice law in New Jersey.Coordinate all phases of the biannual statewide bar examination. · Serve as liai ...
- Only for registered members Trenton, New Jersey, , United States
This is an opportunity to be employed or contracted with a Galt Phranchisee who is licensed to promote and market Galt Pharmaceutical's products in the Trenton, NJ territory. · ...
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EMT Supervisor
1 month ago
Only for registered members Trenton, NJCapital Health recognizes that attracting the best talent is key to our strategy and success as an organization. · ...
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Social Worker
1 week ago
Only for registered members Trenton, NJWe are hiring a Social Worker for one of our clients in Hamilton NJ Job Description · ...
Medical Director of Payment Integrity - Trenton - Humana
Description
Job Summary
The Medical Director plays a critical role in evaluating and authorizing healthcare services while ensuring compliance with regulations.
Your role involves managing daily priorities by analyzing submitted clinical records,
communicating decisions to internal teams,
collaborating with various professionals,
departments, and colleagues under mentorship. (Following training), individuals will work autonomously within a clearly defined structure adhering to departmental goals & compliance timelines.
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Service Receptionist- Hyundai of Trenton
Only for registered members Trenton, NJ
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Pharmacy Technician
Only for registered members Robbinsville, NJ, NJ
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Registered Nurse
Only for registered members Trenton, NJ
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Hotel Night Auditor
Only for registered members Trenton, NJ
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Vaccines Account Manager
Only for registered members Trenton
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Construction Resident Engineer
Only for registered members Trenton, New Jersey, United States
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Senior Director Data Center Sales
Only for registered members Trenton, NJ
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Digital Product Success Lead
Only for registered members Trenton, NJ
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Intern,
Only for registered members Trenton, NJ
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Retirement Plan Coordinator
Only for registered members Trenton, NJ
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Registered Nurse-Utilization Review
Only for registered members Trenton, NJ, USA, Trenton, NJ
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Customer Service Representative
Only for registered members Conduent, NJ, Hamilton Township, NJ, US
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Lease & Property Administrator
Only for registered members Trenton, NJ
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Court Services Officer 1
Only for registered members Trenton, NJ
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Judiciary Clerk 3
Only for registered members Trenton, NJ
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Product Management
PNC Financial Services Group- Trenton
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Medical Information Systems Specialist
Only for registered members Trenton, NJ
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Program Specialist
Only for registered members Trenton, NJ
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Pharmaceutical Sales Representative Opportunity with Galt Phranchisee, Grit Rx, LLC., for the Trenton, NJ territory
Only for registered members Trenton, New Jersey, , United States
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EMT Supervisor
Only for registered members Trenton, NJ
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Social Worker
Only for registered members Trenton, NJ