Medical Director, Hospice Home Care
New York, New York
Overview The Hospice Medical Director serves as the senior clinical executive for VNS Health Hospice. This physician leader provides strategic, operational, and clinical oversight for all medical aspects of hospice care. In partnership with...
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
Brooklyn, New York
Overview Provides care management for clients in collaboration with the Wellness case management team consistent with WeCARE and the VNS Home Care policy and requirements of the Wellness Care Management program. Facilitates the coordination...
26d
Director, Compliance and External Audit (Clinical)
New York, New York
Overview Directs the response to audits related to Medicare and Medicaid billing compliance for VNS Health's provider lines of business - i.e., VNS Health Home Care, VNS Health Hospice Care, VNS Health Behavioral Health, VNS Health Personal...
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
Director, Utilization Management (Health Plans, RN Required)
New York, New York
Overview Directs the Utilization Management department operations and programs across all product lines in VNS Health Plans Participates in the development of the departmental strategic goals and objectives consistent with the overall VNS H...
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
New York, New York
Overview Conducts assessments and develops client/member centered plans of care. Provides coordination of services between the varying providers for clients / members with complex psychiatric, substance use, and/or co-morbid medical conditi...
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, Outpatient Behavioral Health Clinic
Bronx, New York
Overview The Director, Outpatient Behavioral Health Clinic provides strategic, clinical, and operational leadership for the integrated Article 31 and Article 32 clinic. This role oversees clinical service delivery, administrative operations...
26d