Manager, Clinical Performance & Cost Optimization
New York, New York
Overview We are seeking a strategic professional to serve as the Manager of Clinical Performance and Cost Optimization. This role is responsible for overseeing and advancing Managed Care Initiatives (MCI) and Medical Expense (MedEx) optimiz...
26d
Clinical Evaluation Manager - Utilization Management
New York, New York
Overview Assesses member needs and identifies solutions that promote high quality and cost-effective health care services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical determ...
26d
Director, Home Health Clinical Excellence & Regulatory Compliance
New York, New York
Overview The Director, Home Health Clinical Excellence & Regulatory Compliance is a strategic and operational expert responsible for driving clinical excellence, ensuring regulatory compliance, and mitigating risk across the Home Care line ...
26d
Clinical Evaluation Manager, Transition of Care
New York, New York
Overview Assesses member needs and identifies solutions that promote high quality and cost-effective health care services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical determ...
26d
Clinical Evaluation Manager, Utilization Management
New York, New York
Overview Assesses member needs and identifies solutions that promote high quality and cost-effective health care services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical determ...
26d
Clinical Evaluation Manager (Cantonese and Mandarin Speaking- Mostly remote)
New York, New York
Overview Assesses member needs and identifies solutions that promote high quality and cost-effective health care services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical determ...
26d
Long Island City, New York
Overview Manages and oversees the administration of a Behavioral Health Services (BHS) program, including the appropriate utilization and management of staff and the quality of program participants care with an emphasis upon an inter-discip...
26d
New York, New York
Overview Manages the day-to-day intake operations from all referral sources. Works collaboratively with Operations and referrers to assure a safe transition to home care. Assists the department in meeting agency goals. Works under general d...
26d
Education Manager, Clinical, Registered Nurse (Health Plans Experience)
New York, New York
Overview Plans, manages, and evaluates clinical orientation and ongoing education and training programs for staff for one or more programs across VNS Health. Collaborates with regional/program leadership in the delivery of new hire and ongo...
26d
Clinical Evaluation Manager, Utilization Management, MLTC
New York, New York
Overview Assesses member needs and identifies solutions that promote high quality and cost-effective health care services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical determ...
26d