Clinical Evaluation Manager, Utilization Management (per Diem) VNS HealthClinical Evaluation Manager, Utilization Management (per Diem)New York, NY$45.09–$56.39 / hourLicenses and Certifications: Current license to practice as a Registered Professional Nurse or an Occupational Therapist or Physical Therapist in New York State requiredCertified Case Manager preferredFor SelectHealth ETE Only: Nurse Practitioner (NP) certification with background or degree in Public Health preferred. Working knowledge of Microsoft Excel, Power-Point, and Word and strong typing skills requiredKnowledge of Medicaid and/or Medicare regulations requiredKnowledge of Milliman criteria (MCG) preferredFor UM Only: Experience must be with a Managed Care Organization or Health Plan.
Clinical Evaluation Manager - Utilization Management (Per Diem) VNS HealthClinical Evaluation Manager - Utilization Management (Per Diem)New York, NY$45.09–$56.39 / hourLicenses and Certifications: Current license to practice as a Registered Professional Nurse or an Occupational Therapist or Physical Therapist in New York State requiredCertified Case Manager preferredFor SelectHealth ETE Only: Nurse Practitioner (NP) certification with background or degree in Public Health preferred. Working knowledge of Microsoft Excel, Power-Point, and Word and strong typing skills requiredKnowledge of Medicaid and/or Medicare regulations requiredKnowledge of Milliman criteria (MCG) preferredFor UM Only: Experience must be with a Managed Care Organization or Health Plan.
Manager - Clinical Operations - Global Spring Care IncManager - Clinical Operations - GlobalNew York, NYRemote$97,325–$114,500 / yearWith outcomes independently validated by JAMA Network Open and the Validation Institute, Spring Health reaches more than 170 million people worldwide through leading employers, health plans, and partners. Ensure high-quality, timely delivery of clinical services, including assessment, ongoing care management, crisis intervention and safety planning, care coordination and clinical training and presentations.
Behavioral Health Clinical Quality Improvement Specialist (LCSW Preferred) VNS HealthBehavioral Health Clinical Quality Improvement Specialist (LCSW Preferred)New York, NY$85,000–$106,300 / yearIn this role, you will partner closely with vendor partners, providers, clinical teams, analytics, and network leadership to drive improvement in HEDIS/QARR measures, access to care, transitions of care, and overall member experience. VNS Health is seeking a Behavioral Health-focused Quality Improvement Specialist to lead initiatives that improve clinical quality, member outcomes, and provider performance across our Behavioral Health network and partnerships.
Clinical Program Manager- Children Administration- Mount Sinai Hospital- Full Time Days Mount Sinai Health SystemClinical Program Manager- Children Administration- Mount Sinai Hospital- Full Time DaysNew York, NY$115,494–$192,328 / yearWe are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it.
Nursing Undergraduate Adjunct Clinical Instructor Dominican University New YorkNursing Undergraduate Adjunct Clinical InstructorOrangeburg, NYThe University offers a wide range of academic programs, including more than 30 undergraduate and graduate degree programs in business, education, liberal arts, nursing, occupational therapy, organizational leadership and communication, and physical therapy. Dominican University New York, located in Orangeburg, New York, is 17 miles north of New York City and serves approximately 1,400 students with a faculty and staff of 400.
Clinical Director, Hospice Home Care, Brooklyn/Staten Island VNS HealthClinical Director, Hospice Home Care, Brooklyn/Staten IslandBrooklyn, NY$109,900–$146,500 / yearWe're one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day. Performs all duties inherent in a director level position, including, hiring, training, supervising, evaluating, recommending salary actions and when necessary, terminating assigned staff in consultation with SVP and in accordance with Agency policies and procedures.
Clinical Case Manager, Care Management VNS HealthClinical Case Manager, Care ManagementNew York, NY$93,400–$116,800 / yearWe're one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day. Anticipate and prevent patient incidents by addressing potential care or service-related issues communicated by Clinical Case Managers (CCMs), supervisors, HHAs, RNFS, patients, and caregivers.
NewClinical Assessment Manager Matter of Care Home Health ServicesClinical Assessment ManagerBrooklyn, New York$110,000–$115,000 / yearMatter of Care is a member of the CenterLight Health System family and is dedicated to helping older adults receive high-quality, coordinated healthcare services while maintaining their independence and dignity. As part of the CenterLight Health System family, we help older adults access coordinated healthcare services that allow them to remain safely in their homes and avoid unnecessary institutional care.
Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Elevance Health IncDiagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)New York, NY$86,560–$155,808 / yearPreferred Skills, Capabilities and Experiences: One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an equivalent background.
DRG Clinical Validation Lead Elevance Health IncDRG Clinical Validation LeadNew York, NY$89,520–$161,136 / yearPreferred Skills, Capabilities and Experiences: One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. How you will make an impact: Conducts pre-certification, retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts.
Clinical Assessment Manager - Care Delivery Matter of Care Home Health ServicesClinical Assessment Manager - Care DeliveryWestchester, New YorkAs a Clinical Assessment Manager, you will play a critical role in the participant journey by conducting comprehensive assessments, identifying care needs, and helping connect older adults with the services and support they need to live healthier, more independent lives. Provide hands-on services in participants’ homes as needed, including, but not limited to, administering medications via appropriate routes, performing wound care, and carrying out other clinical procedures within the scope of practice.
Clinical Evaluation Manager (Cantonese/Mandarin/Spanish Speaking) VNS HealthClinical Evaluation Manager (Cantonese/Mandarin/Spanish Speaking)New York, New York$85,000–$106,300 / yearFull timeWorking knowledge of Microsoft Excel, Power-Point, and Word and strong typing skills requiredKnowledge of Medicaid and/or Medicare regulations requiredKnowledge of Milliman criteria (MCG) preferredFor UM Only: Experience must be with a Managed Care Organization or Health Plan. Minimum two years of experience with strong cost containment /case management background or two years acute inpatient hospital experience in chronic or complex care requiredMust have experience and qualifications demonstrating knowledge of working with the LTSS eligible population.
Clinical Team Manager (RN), Hospice Home Care, Queens VNS HealthClinical Team Manager (RN), Hospice Home Care, QueensLong Island City, New York$98,200–$130,800 / yearFull timeOverview: Manages, coordinates, facilitates and supports the members of the interdisciplinary team in provision of hospice care to patient/families of VNS Health Hospice Care Program, including After Hours. Participates in Hospice Team meetings, IDG management meetings, and serves on relevant committees for the purposes of information exchange, team collaboration, development of procedures and documentation tools, development of quality and training.
Chief Of Clinical Operations Poel Group Staffing Inc.Chief Of Clinical OperationsMonsey, NYRemoteThe ideal candidate is a licensed clinician with extensive OPWDD experience who has successfully led clinical teams, improved outcomes, and partnered with executive leadership to drive organizational growth. This is an outstanding opportunity for an accomplished clinical executive to help shape the future of a growing healthcare organization while working closely with senior leadership.
Clinical Program Manager- Selikoff Centers for Occupational Health-Staten Island, NY Mount Sinai Health SystemClinical Program Manager- Selikoff Centers for Occupational Health-Staten Island, NYStaten Island, NY$115,494–$192,328 / yearWe are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it.
Clinical Program Manager- Selikoff Centers for Occupational Health Suffern, NY Mount Sinai Health SystemClinical Program Manager- Selikoff Centers for Occupational Health Suffern, NYSuffern, NY$115,494–$192,328 / yearWe are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it.
Education Manager, Clinical (Grievance & Appeals) VNS HealthEducation Manager, Clinical (Grievance & Appeals)New York, NYRemote$98,200–$130,800 / yearEnsures clinical education programs are aligned with CMS Triple Aim framework: improving the patient's experience of care (including quality and satisfaction), improving the health of populations, and reducing the per capita cost of healthcare. We're one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day.
Clinical Lab Instructors (Part-time) PASSAIC COUNTY COMMUNITY COLLEGE (INC)Clinical Lab Instructors (Part-time)Passaic, NJNJ Defined Contribution Retirement Program provides eligible members with a tax-sheltered, defined contribution retirement benefit, along with life insurance and long-term disability coverage. Benefits: New Jersey Sick Leave: Earn 1 hour of sick leave for every 30 hours worked with a maximum of 40 hours of leave per benefit year.
CLINICAL ASSESSMENT MANAGER (UAS experience required)-CLONED Phaxis LLCCLINICAL ASSESSMENT MANAGER (UAS experience required)-CLONEDBrooklyn, NY$62–$65 / hourJoin a leading healthcare organization where you'll make a meaningful impact by helping seniors receive the care and services they need while remaining safely in their homes. Conduct UAS-NY Initial Assessments, Reassessments, and Comprehensive Clinical Evaluations in members' homes.