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...
5d
| Job Type | Full Time |
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...
5d
| Job Type | Full Time |
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 ...
5d
| Job Type | Full Time |
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...
5d
| Job Type | Full Time |
Director, Compliance and External Audit
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...
5d
| Job Type | Full Time |
Chief Medical Officer, Health Plans
New York, New York
Overview Provides clinical expertise and guidance to the daily operations and administration of medical management for VNS Health Plans. Assists senior leadership in planning, directing and coordinating all medical and related activities. P...
5d
| Job Type | Full Time |
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...
5d
| Job Type | Full Time |
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...
5d
| Job Type | Full Time |
Clinical Manager, Medical Care at Home
New York, New York
Overview Directs, coordinates, manages, and oversees the activities of ESPRIT clinical staff to ensure the highest level of patient-centered care, including quality and financial outcomes. Collaborates with ESPRIT leadership and other VNS H...
5d
| Job Type | Full Time |
Quality Reviewer/Auditor (Registered Nurse)
New York, New York
Overview Provides consultative services and manages quality improvement activities and initiatives for VNS Health Plans. Contributes to the development of whole system measures and annual Enterprise quality strategic plan. Implements, monit...
5d
| Job Type | Full Time |