Clinical Evaluation Manager, Utilization Management
VNS Health
Build the career you want and make a powerful impact.NursingAs a professional and skilled home care nurse with VNS Health, you will flourish in an environment which encourages growth and provides opportunities to advance your nursing career. While using your expertise to provide life-changing care for New Yorkers, you will thrive in the unique and dynamic practice setting. Social WorkAs a focused and dedicated social work provider with VNS Health, you will connect with people and communities in need to provide your expertise and act as their advocate. You will help them adjust to changes and challenges in their lives and to access services and resources to improve their quality of life.CorporateAs a caring and strategic corporate professional with VNS Health, you’re a key provider of services in a variety of areas across the organization. The unique skills and expertise you bring to the organization will help to impact the communities we serve.Home Health AidesAs a crucial part of the care delivery team, our home health aides play a critical role in making a difference in our patients’ lives. Whether you are assisting with the activities of daily living, checking vital signs or sharing conversation, you help patients maintain their ability to live in the comfort of their homes.Health Plans and Plan ServicesOur health plans work closely with both plan members and their health care providers to keep our members’ health on track. From managing populations requiring long term services and supports, to complex cases and end-of-life and palliative care, you will play a critical role in delivering coordinated care to plan members. Our plan services team is integral in providing administrative and health management functions necessary to deliver top quality outcomes, while simplifying the health care experience for all.Rehabilitation TherapyAs a skilled and knowledgeable therapist, you work as a key member of an interdisciplinary team treating patients in the comfort of their own homes. You have access to the newest technologies and best-practice protocols to help patients reenter the community with the strength to live rewarding lives.The future of care really does begin with you! At VNS Health, we are working every day to revolutionize health care in the home and community. As part of this effort, we are fostering a growth mindset and building strong leadership capabilities at all levels.We’re also nurturing an inclusive culture that encourages innovation and creativity, so we can generate the solutions we need for our patients, clients and plan members— a place where you can grow in your career, be challenged, and learn new things.I am continually inspired by our employees’ strong commitment to the organization and our 130-year-old mission of bringing essential care to vulnerable populations. I hope you’ll consider joining VNS Health, and becoming a part of that mission yourself.Dan Savitt President and Chief Executive OfficerWe’re excited to share that VNS Health was named to Crain's New York Business's "Best Places to Work in NYC for 2025" list! This recognition reflects the fact that VNS Health is an outstanding place to work.A big thank you to our team members — their commitment to our culture and values have been instrumental in achieving this designation.Mission & ValuesAs a team member of VNS Health, you share a passion for improving the health of patients through best-in-class care in the home and the community.
$80 - $120 per hour
...Remote | Utilization Management & Case Management Clinical Review Consultant We are sharing a specialised part-time consulting opportunity for United... ...-assisted healthcare review, utilization management evaluation, case management workflow assessment, clinical documentation...SuggestedRemote jobHourly payWeekly payContract workPart timeFor contractorsFlexible hoursNight shift$124k - $280k
...SummaryThe OpportunityAs a Provider Clinical Operations Consultant, Senior Manager, you will engage with clients in... ...enhance client service delivery- Utilizing analytical thinking and business data... ...closely with team members. We evaluate these factors thoughtfully to establish...SuggestedFull timeH1b$99k - $232k
...SummaryThe OpportunityAs a Provider Clinical Operations Consultant, Manager, you will engage with clients in... ...support and stakeholder engagement- Utilizing analytical thinking and business performance... ...closely with team members. We evaluate these factors thoughtfully to...SuggestedFull timeH1b$124k - $280k
...OpportunityAs a Payer STARS/Quality Clinical Consultant, Senior Manager, you will engage with clients in... ...with a focus on payer modernization- Utilizing analytical thinking to develop and... ...collaborating closely with team members. We evaluate these factors thoughtfully to...SuggestedFull timeH1b- ABOUT THIS POSITION The Clinical Product Consultant for Utilization Management is a member of the Customer Success Organization who will provide clinical insight into product development and testing and have an active role in implementation and delivery of the product,...SuggestedLive outLocal areaRemote workFlexible hours
$240.12k - $315.16k
...Oscar. We're hiring an Associate Medical Director to join our Utilization Management Team. Oscar is the first health insurance company built... ...inpatient, outpatient, and pharmacy services by reviewing clinical information and applying evidence-based guidelines. This role...Full timeImmediate startRemote workWork from homeHome office$85.6k - $107k
...coordinates and assists in the management of an Intensive Outpatient... ...and enforcement of clinical policies, protocols and programs... ...termination Establish and implement utilization review and quality... ...requirements Hire, supervise, evaluate, and train counseling staff...InternshipLocal areaShift work- DescriptionThe Clinical Risk Manager reports to the Director of Risk Management and Patient Safety... ...resolutions related to the reported incident.3. Evaluates reviews completed by leadership,... ...foreign healthcare experience can be utilized in lieu of licensure.3 years risk...TraineeshipLocal areaFlexible hoursShift work
- Clinical Program Manager, Specialty Population Health Join to apply for the Clinical Program Manager... ...and social resources. Monitor, evaluate, and record members’ progress according... ...physicians (s), and other providers utilizing clinical knowledge and expertise to lower...Full timeContract workFor contractorsWork at officeLocal areaRemote workMonday to Friday
$157.47k - $180k
Description TheClinical Program Manager, Clinical Command Center (Night Shift) is a Registered... ...95 inpatient units. Promotes optimum utilization of system hospital beds by conducting... ...health-system throughput activity data to evaluate operational performance and competence...TraineeshipLocal areaShift workNight shiftWeekend work$82k - $95k
...hands-on Regional Practice Operations Manager to oversee the daily non-clinical operations of our medical offices.... ...and employee accountability. Evaluate whether site leads are completing... ...improve patient throughput, room utilization and staff productivity without compromising...Full timeTemporary workWork at officeImmediate startMonday to FridayAfternoon shiftEarly shift- ...Oscar Health is hiring an Associate Medical Director to lead the Utilization Management Team and determine the medical appropriateness of inpatient, outpatient, and pharmacy services. You will oversee a physician team and align with quality standards while reporting to...Remote job
$140k - $230k
...health analytics and operations, care management, clinical integration, and population-based... ...performance through medication optimization, utilization management, quality measure... ...clinical design, strategy, and ongoing evaluation of condition management programs across...Full timeContract workTraineeshipLocal areaRemote workShift work- Overview Area Clinical Manager role is responsible for planning and coordinating a comprehensive... ...clinical outcomes and community utilization Assist in recruitment, interviewing and... ...facility Deliver Rehabilitation Services: Evaluation and Treatment as indicated based upon...
- JOB DESCRIPTION The Private Care Clinical Manager serves as the clinical and operational leader... ...transitions and optimal resource utilization. Conducts team meetings to foster team... ...conducting timely introductory and annual evaluations, ensuring alignment with...Hourly payFull timeTemporary workPart timeFor contractorsFor subcontractorWork at officeLocal areaFlexible hours
- A health insurance provider is seeking a Medical Director in Pennsylvania to oversee clinical utilization management activities. This independent contract role requires at least five years of clinical experience and three years in managed care. Responsibilities include...Contract workPart time
$85k - $120k
Job Overview Data Management leadership on studies and take responsibility... ...and Fortrea. The Senior Clinical Data Manager will work with... ...managers on the performance evaluation of other team members,... ...-party data as appropriate. Utilize local laboratory systems and...Full timePart timeWork experience placementWork at officeLocal areaRemote workFlexible hoursNight shift$120k - $150k
...Job Description The Clinical Risk Manager reports to the Director of Risk Management and Patient... ...foreign healthcare experience can be utilized in lieu of licensure. ~3 years risk... ...related to the reported incident. # Evaluates reviews completed by leadership, provides...TraineeshipLocal areaFlexible hoursShift work$75.99k - $79.97k
...Job Description Job Description CLINICAL CASE MANAGER QUEENS SUPERVISED RELEASE PROGRAM... ...projects, and research under one roof. CJA utilizes procedural justice practices to... ...which are used to conduct descriptive and evaluation research on arrestee characteristics,...Work at officeRemote workMonday to FridayNight shiftWeekend workAfternoon shift$79.68k
...Job Description Job Description CLINICAL CASE MANAGER I - ICM INTENSIVE CASE MANAGEMENT... ...projects, and research under one roof. CJA utilizes procedural justice practices to... ...which are used to conduct descriptive and evaluation research on arrestee characteristics,...Work at officeWork from homeFlexible hoursNight shiftAfternoon shift$83.85k
...Job Description Job Description CLINICAL CASE MANAGER II - ICM INTENSIVE CASE MANAGEMENT... ...projects, and research under one roof. CJA utilizes procedural justice practices to... ...which are used to conduct descriptive and evaluation research on arrestee characteristics,...Work at officeWork from homeFlexible hoursNight shiftAfternoon shift$115.49k - $192.33k
DescriptionThe Clinical Program Manager is responsible for assuring compliance with mandated clinical orientation, competency assessment and... ...orients, trains, coaches, counsels, mentors, disciplines, and evaluates staff in accordance with all internal policies and...Temporary workTraineeshipLocal area$120k - $135k
...join our growing team. AMP is a Management Services Organization (MSO) that provides clinical and administrative support to... ...compliance Conduct regular performance evaluations, provide constructive feedback,... ...required certifications Utilize EPIC EMR for documentation oversight...Hourly payFull timeTemporary workFlexible hours- ...Clinical Account Manager Manhattan, NY | Surgical Robotics & Minimally Invasive Surgery Position... ...expertise while also helping drive utilization and long-term account growth.... ...expansion opportunities. Support product evaluations, in-services, and value analysis...
$94.4k - $293.8k
...work spans across strategy, operations, clinical optimization, regulatory compliance, and... ...and clinical outcomes. As a Clinical Manager you will l ead care delivery and clinical... ...that improve throughput, utilization, and frontline performance for providers...Live inWork at officeLocal areaWorldwide$159k - $190.57k
...Responsible for carrying out clinical pharmacy services, promoting... ..., medication use evaluations and institutional committee... ..., and evaluate the cost, utilization, safety and effectiveness of... ...centered medication therapy management, including medication reconciliation...Full timeTraineeshipLocal area$159k - $190.57k
...Description MSHS seeks an Ambulatory Care Clinical Pharmacy Manager that reports to the Senior Director,... ...with design, implementation and evaluation of all related pharmacy initiatives.... ...• Support financial, quality and utilization analytics and performance...Full timeTraineeshipLocal area$85k - $91k
...Position Summary The Assistant Clinical Research Manager is responsible for supporting the operational... ...goal setting and performance evaluations. Monitors staff workload, assigns... ...study-related expenditures and resource utilization. Supports reporting,...Full timeTemporary workLocal areaRemote workFlexible hours$115k - $125k
...Assistant Clinical Manager, RN Salary Range $115,000.00 - $125,000.00 Salary Level Management... ...medications and treatments; utilizing standing orders when appropriate. Provide... ...Management in implementing, monitoring and evaluating grant and quality objectives and...Permanent employmentFull timeWork at officeShift work- The Clinical Pharmacy Manager provides strategic and operational leadership for clinical pharmacy services... ...Management Supervise, mentor, and evaluate clinical pharmacy staff. Develop... ...Manage departmental budgets and resource utilization. Identify opportunities to improve...
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