Clinical Manager-Care Management-Hybrid

Ensures the quality, safe delivery, and cost-effective home care services. Coordinates home care services that reflect VNS Health's philosophy and ensures standards of care are maintained. Works under general direction.

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

• Review all clinical documentation completed by Registered Nurse Field Supervisors (RNFS) for comprehensiveness, accuracy, proper formatting, legibility, and compliance with standards of care.
• Maintain collaborative relationships with personnel from other provider organizations to coordinate patient services, develop joint educational initiatives, and ensure compliance with contractual clinical management obligations.
• Develop, implement, and maintain clinical policies and procedures in collaboration with team members while ensuring adherence to accreditation and regulatory standards.
• Participate in the development and maintenance of clinical evaluation tools used for RNFS screening, orientation, and field performance assessments.
• Contribute to the planning and development of business strategies focused on expanding nursing service opportunities.
• Assist in developing marketing strategies and actively participate in marketing initiatives to support business growth.
• Provide on-call coverage based on departmental needs.
• Counsel and advise individuals inquiring about services regarding appropriate levels of care and referral pathways for members and caregivers.
• Serve as a clinical resource and subject matter expert for staff across the organization.
• Ensure the delivery of high-quality patient care within the assigned area by supporting schedulers and RNFS in completing timely field visits for supervision, assessment, training, support, and crisis management.
• 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.
• Participate in the investigation of incidents and complaints within the assigned area and collaborate with leadership on disciplinary actions when necessary.
• Support department leadership in onboarding and educating new staff members. Conduct field supervision and performance oversight for RNFS during their initial three months in a new role and annually thereafter.
• Monitor email communications to identify changes in patients' clinical conditions that may require escalation or modifications to the aide plan of care.
• Evaluate the effectiveness and efficiency of care and services provided, initiating case management conferences with healthcare team members as appropriate.
• Ensure all services are delivered in accordance with accepted nursing practices, regulatory requirements, and accrediting body standards.
• Participate in Quality Assurance and Performance Improvement (QAPI) activities as assigned.
• Assist with special projects and perform additional duties as assigned.

License and current registration to practice as a Registered Professional Nurse, in New York State requiredCPR Certification required

Bachelor's Degree in Nursing from an approved program requiredMaster's Degree in Nursing preferred

Minimum two years clinical experience requiredMinimum of two years managerial experience in a LHCSA or CHAA preferredProficiency in Microsoft Office applications requiredExcellent problem-solving and organizational, interpersonal, and verbal and written communication skills required

USD $93,400.00 - USD $116,800.00 /Yr.

VNS Health has been committed to meeting the needs of New Yorkers for over 130 years. 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.