Clinical Risk Manager Ryan Specialty Holdings IncClinical Risk ManagerNY$103,565–$120,000 / yearAs a Clinical Risk Manager, you will serve as a strategic clinical consultant, partnering closely with our brokers, carrier partners, TPAs, captive programs, specialty vendors, and employer-sponsored health plans to identify risk, evaluate high-cost claims, and develop innovative cost mitigation strategies. Evaluate current and future claim liabilities, including complex cases involving oncology, transplants, specialty pharmacy, gene and cell therapy, catastrophic claims, and chronic conditions.
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 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.
PICC RN PRN - Mobile Vascular Nurse Trident USA Health Services LLCPICC RN PRN - Mobile Vascular NurseNewark, NJDemonstrates ability to assess patient past and current medical history including laboratory values, venous and muscle skeletal status that is pertinent in qualifying a patient as a candidate for PICC placement. Demonstrates ability to perform PICC placement maintaining aseptic technique utilizing measures that prevent patient discomfort and trauma related to procedure.
Care Manager (Bilingual Korean) Care Design New YorkCare Manager (Bilingual Korean)Bayside, New YorkFull timeOverview: As a Care Design New York Care Manager, you will help people with intellectual and/or development disabilities identify and realize their long-term and short-term goals by developing, implementing, and monitoring their person-centered Life Plans. Responsible for scheduling, leading and actively collaborating with our members and their interdisciplinary team to conduct meetings and assessments ensuring the development of a comprehensive, person-centered Life Plan that reflects the person’s needs and desired life goals.
Care Manager Care Design New YorkCare ManagerHawthorne, New YorkFull timeOverview: As a Care Design New York Care Manager, you will help people with intellectual and/or development disabilities identify and realize their long-term and short-term goals by developing, implementing, and monitoring their person-centered Life Plans. Responsible for scheduling, leading and actively collaborating with our members and their interdisciplinary team to conduct meetings and assessments ensuring the development of a comprehensive, person-centered Life Plan that reflects the person’s needs and desired life goals.
Willowbrook Care Manager Care Design New YorkWillowbrook Care ManagerBrooklyn, New YorkFull timeOverview: As a Care Design New York Care Manager, you will help people with intellectual and/or development disabilities identify and realize their long-term and short-term goals by developing, implementing, and monitoring their person-centered Life Plans. Responsible for scheduling, leading and actively collaborating with our members and their interdisciplinary team to conduct meetings and assessments ensuring the development of a comprehensive, person-centered Life Plan that reflects the person’s needs and desired life goals.
Clinical Quality, Manager Acentra HealthClinical Quality, ManagerNY$88,480–$105,000 / yearJob Summary: Under general supervision of the Program Director and in collaboration with the administrative team and Medical Director, the Clinical Quality Manager oversees all training and quality assurance activities of the Colorado Medicaid (HCPF) Utilization Management Contract. In fact, you have all you need to take charge of your career and accelerate better outcomes - making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.
Care Manager II The Sisters of Mercy of the AmericasCare Manager II", NY$43–$57Rooted in the mission of the Sisters of Mercy, to respond with vision and compassion to the needs of those who are poor, sick, and uneducated, this role embodies compassion, mercy, and a commitment to social justice in all aspects of care and service. Provide clinical oversight and consultation for Sisters residing in Assisted Living, Rehabilitation, or Long-Term Care facilities.
Utilization Management (UM) Clinical Team Lead (RN, LPN or PT) Metroplus Health Plan IncUtilization Management (UM) Clinical Team Lead (RN, LPN or PT)New York, NY$124,000–$124,836 / yearMetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. Position Overview: The Clinical Team Lead, under the direction of the Vice President of Clinical Services, is primarily responsible for managing both simple and complex medical cases to achieve high-quality patient care outcomes and minimize unnecessary medical expenses, through the coordination of services, both outpatient and inpatient.
Care Manager I, Specialty Programs (Morris/Sussex/Warren Counties) Blue Cross and Blue Shield AssociationCare Manager I, Specialty Programs (Morris/Sussex/Warren Counties)Newark, NJ$70,500–$94,395 / yearThe Care Manager I - Specialty Programs is responsible for performing care coordination duties using established guidelines to ensure appropriate level of care as well as planning for the transition to the continuum of care for specialty populations. This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity.
Scaled Customer Success Manager K-12 Education & AI Pride GlobalScaled Customer Success Manager K-12 Education & AINew York City, NY$155–$170 / hourYou’ll operate in a one-to-many model, building the programs, training infrastructure, enablement content, and repeatable playbooks that allow a broad portfolio of school districts to successfully adopt the platform at scale. Russell Tobin is partnering with a leading AI company to hire a Scaled Customer Success Manager – K-12 Education & AI to support the rollout and expansion of a new AI solution for educators and large school districts.
Clinical Assessment Manager - Care Delivery Matter of Care Home Health ServicesClinical Assessment Manager - Care DeliveryBrooklyn, New York$110,000–$115,000 / yearAs 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.
NewClinical Assessment Manager - Chinese Bilingual Matter of Care Home Health ServicesClinical Assessment Manager - Chinese BilingualBrooklyn, New YorkMatter 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.
Project Manager I-Clinical Education-CAPC Mount Sinai Health SystemProject Manager I-Clinical Education-CAPCNew York, NY$65,885–$98,827 / yearProject management of CAPC projects related to online clinical education courses and learning pathways, including: Working closely with the rest of the clinical education team (Director of Clinical Education, Clinical Education Project Manager, Instructional Designers, and Senior Manager of CE) on clinical education curricular projects. 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.
Picc RN PRN - Mobile Vascular Nurse TridentUSA Health ServicesPicc RN PRN - Mobile Vascular NurseNewark, NJDemonstrates ability to assess patient past and current medical history including laboratory values, venous and muscle skeletal status that is pertinent in qualifying a patient as a candidate for PICC placement. Demonstrates ability to perform PICC placement maintaining aseptic technique utilizing measures that prevent patient discomfort and trauma related to procedure.
Chinese-speaking Full-Time Health Home Care Manager Doral Medical and Multi Specialty FacilityChinese-speaking Full-Time Health Home Care ManagerBrooklyn, New YorkThe care manager will play a critical role in coordinating person-centered services for Medicaid-enrolled clients with chronic medical, behavioral health, or substance use needs. At Doral Health & Wellness, you’ll be part of a mission-driven team of care managers and healthcare professionals committed to improving access and outcomes for underserved communities.
Chinese-speaking Full-Time Health Home Care Manager Doral Medical and Multi Specialty Facility LLCChinese-speaking Full-Time Health Home Care ManagerBrooklyn, NY$52,000–$55,000 / yearThe care manager will play a critical role in coordinating person-centered services for Medicaid-enrolled clients with chronic medical, behavioral health, or substance use needs. At Doral Health & Wellness, you’ll be part of a mission-driven team of care managers and healthcare professionals committed to improving access and outcomes for underserved communities.
Director Case Development - Contact Center LiveOnNYDirector Case Development - Contact CenterLong Island City, New YorkThe Director leads and develops the contact center team, collaborates across departments to optimize the end-to-end donation process, and serves as a key member of LiveOnNY’s leadership team in advancing the organization’s mission of organ and tissue donation. Serving a vibrant and diverse population of 13 million across New York City and the counties of Nassau, Suffolk, Westchester, Orange, Putnam, Dutchess, and Rockland, LiveOnNY is proud to be one of the highest-performing OPOs in the country.
Care Manager Sourced HireCare ManagerUnion, New JerseyCare Managers RNs lead the effort to help prevent costly and traumatic episodes such as avoidable hospitalizations, readmissions, and unexpected kidney failure. Educate members and facilitate conversations around proactive care decisions, especially relating to transplantation, home modalities, and proactive AV fistula placement.