Care Management & Clinical Review Lead
VNS Health
VNS Health in New York is seeking an experienced Registered Nurse to support care management and utilization review for a diverse member population. You will assess needs, determine medical necessity, and coordinate with clinicians to facilitate safe transitions and cost-effective care. The role requires strong knowledge of Medicare/Medicaid, LTSS populations, and regulatory standards, plus excellent organizational and communication skills. #J-18808-Ljbffr VNS Health
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Care Management & Clinical Review Lead in New York, NY vacancy
- ...A healthcare organization is seeking a Clinical Review Nurse – Concurrent Review to perform utilization management functions remotely. The role requires conducting concurrent reviews, collaborating with medical teams, and ensuring quality healthcare outcomes. Candidates...SuggestedWork at officeRemote work
IMCS Group
New York, NY2 days ago - ...intelligent workflows across clinical, operational, and... ...sustainably scale and manage cell and gene therapy delivery... ...on Clinical Operations Lead with exceptional... ...ensure seamless patient care from identification through... ...regular business reviews, drive issue resolution...SuggestedFull timeRemote work
Basepath Health
New York, NY3 days ago - Empower. Unite. Care. MetroPlus Health is committed... ...New York State Medicaid Managed Care, Medicare, Child... ...specialists and participating clinics. For more than 30 years... ...: The Clinical Team Lead, under the direction of... ..., continued stay review, discharge planning, outpatient...SuggestedShift work
$90k - $140k
...informed, multidisciplinary care. We partner with safety... ...team that combines clinical rigor, operational... ...multiple partner centers, lead center launches and post... ...go‑live stabilization, manage Care Coordinators, strengthen... ...recurring operating reviews, issue resolution,...SuggestedRemote workShift work- MetroPlusHealth in New York is seeking a Clinical Team Lead to manage simple and complex medical cases, coordinate outpatient and inpatient care, and guide care plans to achieve high-... ...collaborate with PCPs and specialists, review utilization, perform medical record...Suggested
- ...Job Description (RN) Quality Review Manager- Registered Nurse Brooklyn... ...been a trusted provider of home care. Our priority lies in... ...and return to work refreshed, leading to greater productivity and job... ...Details Overview: As a RN Clinical Manager/ Quality Review Manager...Full timeTemporary work
Personal Touch Home Aides of New York
New York, NY11 days ago - ...Community, Inc. in the New York City metropolitan area seeks a Clinical Supervisor to oversee clinical services and supervise... ...behavioral and psychological interventions. You will review treatment plans, coordinate care with a multidisciplinary team, and mentor staff while...Full time
- ...seeks a Residence Supervisor to oversee clinical, residential, and program operations in its... ...You will supervise staff, ensure quality care, and maintain audit readiness while... .... Responsibilities include documentation review, emergency response, program development,...Shift work
$70k - $75k
...Thursday, July 16, 2026 at 4:00 AM Title: Clinical Team Lead Program: Support and Connection Center... ...of tasks to the team. Provides direct care to guests through conducting rapid... ...treatment planning through targeted case management, and discharge planning Promotes dignity...Work at officeProject Renewal
New York, NY1 day ago- ...access to results. We are looking for a Clinical Team Lead to help us continue to grow our... ...communicated effectively. Partner with line managers and project managers to ensure... ...strategy, CMP, and risk plans. Routinely review clinical systems, dashboards, and documentation...Local area
LinkedIn
New York, NY2 days ago $130k - $165k
...disability, contact this employer to ask for an accommodation or an alternative application process. Sr Clinical Lead, Chronic Disease Management & Preventive Care Salary Range: $130,000.00 To $165,000.00 Annually Reports To : Project Director Employee Status : Full-...Full timeTemporary workPart timeWork at officeRemote workFlexible hours- ...Talkiatry in New York is seeking a Senior Manager, Clinical Collaboration to build and scale new clinical programs from concept... ...create dashboards to track performance. You will lead pilots with partners and support Care Management to drive sustainable growth. This...
- We are currently seeking an experienced Clinical Trial Manager to join our Phase I team! Homebased... ...judgement to provide a high standard of care for participants in clinical trials and... ...standards. Job Overview Clinical Team Leads (CTL) own the clinical delivery of clinical...Remote work
- The Postgraduate Center for Mental Health seeks a clinical supervisor to lead a multidisciplinary team delivering assertive community-based care to individuals with serious mental illness in New York. The role emphasizes initiative, coordination of admissions, treatment...
$209k - $287.75k
About This Role As the Clinical Pharmacology Lead you will provide strategic leadership... ...strategy, and lifecycle management. The successful candidate... ..., health authority review, responses to information requests... ...vital part in our mission. Caring Deeply. Achieving Excellence...Temporary workLocal area$220k - $270k
Overview Senior Director, Clinical Program Lead Remote - US Opportunity The Global Clinical Program... ..., and procedures, as well as managing clinical project timelines, budgets, deliverables... ...in January 2023 under priority review and successfully oversaw a strong launch...Contract workPart timeWork at officeRemote work$63.1k - $94.65k
...Ensemble! Ensemble is a leading provider of technology... ...enabled revenue cycle management solutions for health... ...nurses with experience caring for neonatal, infant,... ...populations. Candidates with clinical backgrounds in NICU,... ...: Our Utilization Review team provides coverage...Temporary workWork at officeLocal areaRemote workFlexible hoursShift workEnsemble Health Partners
New York, NY5 days ago$50 - $55 per hour
...RN – Utilization Management New York, NY – Midtown $50–$55/hour... ...health insurance or managed care background and strong experience... ...including medical necessity reviews, prior authorizations,... ...Medical Consultants on denials and clinical determinations ~ Strong clinical...Permanent employmentTemporary workMonday to FridayGreen Key Resources
New York, NY4 days ago- ...Compass Group USA through Unidine in Newtown Square, PA, is seeking a Clinical Nutrition Manager to lead a dynamic team of dietitians in a long-term care setting and elevate patient care through evidence-based practice. The ideal candidate is a Registered Dietitian with...
Compass Group
New York, NY3 days ago - Wellstar Health System seeks a dedicated RN Clinical Charge Nurse to oversee daily unit... ...involves ensuring safe, high-quality patient care through effective teamwork and communication... ...Charge Nurse will assist in staffing, manage resources, and uphold the values of compassion...Relocation packageDay shift
- Mount Sinai seeks a Clinical Nurse who provides safe, competent care to a designated patient group, applying nursing theory and evidence-based practice as part of a collaborative care team. You will implement the nursing process, educate patients and families, and work...
- ...license and LTAC leadership experience. We offer Daily Pay and premium health coverage through Aetna. Duties include supervision, policy implementation, mentoring staff, and maintaining high standards of care with resident records review. #J-18808-Ljbffr Centers Health CareDaily paidWeekend work
- .... Join a dedicated team delivering compassionate, high‑quality resident care in a supportive environment that values dignity and growth. As RN Supervisor you will supervise nurses and CNAs, review care plans, observe resident status, and ensure regulatory compliance while...
- Trinity Health Mid-Atlantic's Community Hospice in the Columbia/Greene County area is seeking a full-time RN Clinical Lead to support patient care planning and coordination. The role runs Monday through Friday, 8:00 am to 4:30 pm, and involves delivering end-of-life care...Full timeMonday to Friday
- A leading medical institution in New York is seeking a Nurse Practitioner to provide clinical services to cancer research patients. The role involves... ..., diagnosis, and treatment management, working closely with a... ...position contributes to patient care coordination and quality...
- UPMC is seeking a Clinical Manager for an on-site role responsible for the overall quality of clinical care and coordination for designated patients and teams. This position supports... ..., participating in hiring and orientation, leading regular clinical meetings, and guiding...
$110k - $150k
PrimaryMD in New York City is seeking a Clinical Operations Manager to ensure smooth backend operations for our clinical team. This full-time role is essential for facilitating exceptional patient care by managing care coordination and navigating NYC's healthcare landscape...Full time- Sun River Health in Bronx, NY seeks a Nurse Manager to provide professional nursing care in an assigned unit and lead staff, education, and performance reviews. You will conduct quality audits, ensure compliance with SRH standards, and collaborate with site leadership to...Full timeRelocation package
- VNS Health is seeking a nurse manager to lead the hospice care program, coordinating an interdisciplinary team to assess and meet patient and family... ..., including After Hours coverage. The role emphasizes clinical leadership, staff development and collaboration with quality...
$7,626 per month
...providing exceptional resident care, supporting nursing staff, and ensuring smooth daily clinical operations. Pay: $7,626/Monthly... ...changes in resident condition Review nursing documentation and ensure... ...skills Ability to lead and motivate nursing staff Strong...Full timeRelocation packageFlexible hoursShift work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Care Management & Clinical Review Lead. Be the first to apply!
Related searches
- home care coordinator New York, NY
- patient care coordinator work from home New York, NY
- palliative care coordinator New York, NY
- care team leader New York, NY
- client care coordinator New York, NY
- care coordinator rn New York, NY
- resident care coordinator New York, NY
- behavioral health care coordinator New York, NY
- social service coordinator New York, NY
- home health care coordinator New York, NY