Jobs
>
New York City

    Clinical Care Manager - New York, United States - VNS Health

    VNS Health
    VNS Health New York, United States

    1 week ago

    Default job background
    Full time
    Description
    Overview

    Provides 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.

    Compensation:

    $93, $116,800.00 Annual

    Find Balance in Your Schedule: Work Weekends with Your Choice of Weekdays on Our 4 x 10 Model

    What We Provide

    • Referral bonus opportunities
    • Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays
    • Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability
    • Employer-matched retirement saving funds
    • Personal and financial wellness programs
    • Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care
    • Generous tuition reimbursement for qualifying degrees
    • Opportunities for professional growth and career advancement
    • Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities

    What You Will Do

    • Coordinates and/or oversees the coordination of benefits and services for all members on his/her caseload.
    • Completes care management and disease specific assessments.
    • Makes timely telephonic care management calls based on risk level.
    • Resolves and coordinates complex issues and member complaints impacting the delivery of services.
    • Provides health education to member/caregiver.
    • Assess SDoH and provide care coordination to reduce/remove barriers of care to include ability to allow for changing levels of care based on assessments, trigger events and program data/reports.
    • Identifies member safety issues and intervenes as necessary or refers to appropriate resources, such as community linkages, dietary, therapy (PT/OT/ST), HHA services, behavioral health, and DME.
    • Coordinates the delivery of high quality, cost-effective care based on a customized population model of care supported by evidence based clinical practice guidelines.
    • Advocates for the member/caregiver to obtain the health care and other services needed to optimize their quality of life.
    • Utilizes the Care Management process to set priorities, plan, organize and implement interventions that are goal directed towards self-care outcomes and the transition to independent status.
    • Promotes adherence to the physician treatment plan by providing education, coaching and support.
    • Educates, coordinates, and provides resources to reduce inappropriate utilization of emergency room (ER) and hospital service.
    • Increases utilization of primary care, specialty care, preventive health and guideline-based treatments including proper pharmacotherapy within network, as appropriate.
    • Participates in interdisciplinary team (IDT) meetings and provide input on customer service-related activities.
    • Protects the confidentiality of member information and adheres to company policies regarding confidentiality.
    • Ensures compliance with payors' policies and procedures as well as all Federal and State regulations.
    • Interprets and implements VNS Health policies, state and federal regulations.
    • Participates in special projects and performs other duties as assigned.
    Qualifications
    • License and current registration to practice as a Registered Professional Nurse in NYS required
    • Population Care Coordination certification preferred
    • Care Management, Case Management, OASIS or other applicable certification preferred
    • Associate's Degree in nursing required
    • Bachelor's Degree in nursing preferred
    • Minimum two years of experience as a registered nurse required
    • Care management and/or managed care experience preferred
    • Proficiency in Microsoft Office applications required
    • Demonstrated analytical skills required

    By applying, you consent to your information being transmitted by beBee to the Employer, as data controller, through the Employer's data processor SonicJobs.
    See VNS Health Terms & Conditions at and Privacy Policy at and SonicJobs Privacy Policy at and Terms of Use at

  • Care Collab D.B.A Direct Care Management

    Care Manager

    3 weeks ago

    Care Collab D.B.A Direct Care Management New York, United States

    **Position Summary**: · - Care Collab_ provides care coordination services to high-utilization Medicaid members with chronic medical and behavioral health conditions. We're currently seeking a dynamic **Care Manager** to play a central role in the active engagement and coordinati ...

  • VNS Health

    Care Manager

    1 week ago

    VNS Health New York, United States Full time

    Overview · Conducts assessments and develops client/member centered plans of care. Provides coordination of services between the varying providers for clients / members with complex psychiatric, substance use, and/or co-morbid medical conditions. Ensures access and linkage to the ...

  • NYU Langone Health

    Care Manager

    2 weeks ago

    NYU Langone Health New York, United States

    **NYU Langone Health** is a world-class, patient-centered, integrated academic medical center, known for its excellence in clinical care, research, and education. It comprises more than 200 locations throughout the New York area, including five inpatient locations, a children's h ...

  • VNS Health

    Care Manager

    3 weeks ago

    VNS Health New York, United States Full time

    Overview · Conducts assessments and develops client/member centered plans of care. Provides coordination of services between the varying providers for clients / members with complex psychiatric, substance use, and/or co-morbid medical conditions. Ensures access and linkage to the ...

  • New Alternatives for Children, Inc.

    Care Manager

    2 weeks ago

    New Alternatives for Children, Inc. New York, United States

    New Alternatives for Children, Inc. (NAC) is an award-winning not-for-profit agency in Midtown Manhattan, with a satellite Bronx office, dedicated to serving children and families with medical complexity, chronic health conditions, significant disabilities and behavioral challeng ...

  • Sun River Health

    Care Manager

    3 weeks ago

    Sun River Health New York, United States

    _Sun River Health provides the highest quality of comprehensive primary, preventative and behavioral health services to all who seek it, regardless of insurance status and ability to pay, especially for the underserved and vulnerable. Sun River Health is a Federally Qualified, No ...

  • Selfhelp Community Services Inc

    Care Manager

    1 day ago

    Selfhelp Community Services Inc New York, United States

    **Position Summary**: Care Managers bridge the gap between health systems and community-based aging services. Care Managers work with health systems and providers to identify and serve older adults and their informal caregivers that would benefit from programs and opportunities t ...

  • Care Design New York

    Care Manager

    1 week ago

    Care Design New York New York, United States

    Overview: · 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. These plans help our ...

  • VNS Health

    Clinical Care Manager

    1 week ago

    VNS Health New York, United States Full time

    Overview · Our clinical care management services are anchored in evidence-based practices to optimize the utilization of healthcare benefits and services. We are dedicated to delivering personalized care that empowers patients to safely manage their health within the comfort and ...

  • VNS Health

    Clinical Care Manager

    1 week ago

    VNS Health New York, United States Full time

    Overview · Our clinical care management services are anchored in evidence-based practices to optimize the utilization of healthcare benefits and services. We are dedicated to delivering personalized care that empowers patients to safely manage their health within the comfort and ...

  • VNS Health

    Clinical Care Manager

    1 week ago

    VNS Health New York, United States Full time

    Overview · Provides 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. · Compensation: · $93, $116,800.00 A ...

  • MetroPlusHealth

    Care Management Associate

    3 weeks ago

    MetroPlusHealth New York, United States

    **Position Overview**: · The Care Management Associate, under the direction of the CMA Supervisor, is responsible for the daily activities of the member case intake functions and associated workflow, as well as for performing other duties associated with the coordination of membe ...

  • MetroPlusHealth

    Um Care Manager

    2 days ago

    MetroPlusHealth New York, United States

    **Empower. Unite. Care.**: · **MetroPlusHealth** is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud ...

  • MetroPlusHealth

    Harp Care Manager

    1 day ago

    MetroPlusHealth New York, United States

    **POSITION OVERVIEW** · The HARP Care Manager develops, facilitates, and communicates a plan of care in partnership with the member, his/her assigned Health Home, the primary caregiver, the primary and attending physicians, and various Behavioral Health and/or Substance Use Disor ...

  • NYC Health + Hospitals

    Accountable Care Manager

    4 days ago

    NYC Health + Hospitals New York, United States

    **About NYC Health + Hospitals**: · Woodhull Medical and Mental Health Center is attuned to the healthcare issues that matter to the people of North Brooklyn. Woodhull focuses on preventing disease and promoting healthy lifestyles by reaching out to the community at various locat ...

  • Cam Bay Health Care

    Rn Care Manager

    4 days ago

    Cam Bay Health Care Manhattan, United States

    **Care Manager duties and responsibilities** · Care Managers work to assess the medical needs of a person and provide recommendations and care plans that support those needs. They may also work to coordinate services with other professionals and act as a point of contact for fami ...

  • HCLS Consulting LLC

    Chronic Care Management

    2 days ago

    HCLS Consulting LLC New York, United States

    We are seeking a compassionate and Case Manager to join our team at HCLS Consulting. We work with medical practices in NY and California. In this role, you will be responsible for remotely managing and coordinating the care of patients with complex medical needs. This position is ...

  • Jemcare

    Care Manager- Bilingual

    1 week ago

    Jemcare New York, United States

    RESPONSIBILITIES · - Perform all enrollment activities as required by the Department of Health (DOH) and the Lead Health Home requirements. This includes conducting outreach contacts, obtaining necessary consents, and assisting in gathering supporting documentation. · - Conduct c ...

  • NYC Health + Hospitals

    Accountable Care Manager

    5 hours ago

    NYC Health + Hospitals New York, United States

    **About NYC Health + Hospitals**: · NYC Health + Hospitals/Bellevue is America's oldest public hospital, established in 1736. Affiliated with the NYU School of Medicine, the 844-bed hospital is a major referral center for highly complex cases, with its 6,000 employees including h ...

  • VNS Health

    Clinical Care Manager RN

    2 days ago

    VNS Health New York, United States Full time

    Overview · Our clinical care management services are anchored in evidence-based practices to optimize the utilization of healthcare benefits and services. We are dedicated to delivering personalized care that empowers patients to safely manage their health within the comfort and ...