Brooklyn, New York
OverviewProvides 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 ...
20d
| Job Type | Full Time |
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...
20d
| 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...
20d
| 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...
20d
| Job Type | Full Time |
Director, Network Development and Contracting
New York, New York
OverviewOversees the development and implementation of VNS Health's Health Plan Physician, Ancillary, Hospital provider networks. Includes contracting, rate setting, monitoring for and maintaining network adequacy of all providers, the deve...
20d
| 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...
20d
| Job Type | Full Time |
Manager, Utilization Management Operations (mostly remote)
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 ...
20d
| 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....
20d
| Job Type | Full Time |
Director, Behavioral Health, Health Plans
New York, New York
OverviewDirects plans, evaluates, and coordinates Behavioral Health and Social Care needs for multiple lines of business including HIV-SNP -HCBS/HARP, MAP, MAPD, and DSNP Plans. Demonstrates a commitment to delivering high-quality, personal...
20d
| Job Type | Full Time |
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...
20d
| Job Type | Full Time |