
Manager, Grievance and Appeals, RN
New York, New York
OverviewAre you passionate about making a difference in the lives of individuals navigating the complexities of healthcare? VNS Health Plans is seeking a dedicated Manager, Grievance and Appeals (RN)to lead the daily operations of our griev...
5d
Job Type | Full Time |

Clinical Evaluation Manager-mostly remote (Cantonese or Mandarin preferred)
New York, New York
OverviewAssesses 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 determi...
5d
Job Type | Full Time |

Clinical Evaluation Manager, Utilization Management (mostly remote)
New York, New York
OverviewAssesses 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 determi...
5d
Job Type | Full Time |

Manager, Utilization Management Operations (Hybrid)
New York, New York
OverviewManages the utilization management team to ensure that standards for service delivery and team/staff performance levels are met or exceeded. This includes supporting the VNS Health Plans teams on a day- to-day basis for utilization ...
5d
Job Type | Full Time |

Clinical Care Manager (RN) -- CMO
New York, New York
OverviewProvides telephonic clinical care management services using evidence-based practices to ensure effective utilization of benefits, services, and care is provided to the patients allowing them to remain safely in their home/community....
5d
Job Type | Full Time |

Brooklyn, New York
OverviewManages 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-discipl...
5d
Job Type | Full Time |

Social Work Director Inpatient Behavioral Health
Yakima, Washington
You Belong Here. At MultiCare, we strive to offer a true sense of belonging for all our employees. Across our health care network, you will find a dynamic range of meaningful careers, opportunities for growth, safe workplaces, and flexible ...
5d
Job Type | Full Time |

Manager of Business Operations Hospice
San Diego, California
Overview Find Your Passion and Purpose as a Business Operations Manager Reimagine Your Career in Hospice As a medical professional, you know that what you do impacts you as much as your patients and their families, and at AccentCare, we are...
5d
Job Type | Full Time |

Raleigh, North Carolina
Job Description Description Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary: The AVP Physician Practices will oversee the...
5d
Job Type | Full Time |

Director Nursing - REX Skilled Nursing Facility - Raleigh
Raleigh, North Carolina
Job Description Description Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary: The Director of Nursing is responsible for m...
5d
Job Type | Full Time |