Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

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

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
  •  ...health, with a core emphasis on weight management and diabetes care. Our practice operates outside of...  ...clinician to deliver patient care, develop clinical protocols, and shape the care model...  ...Participate in weekly operational reviews, surfacing clinical workflow friction... 
    Suggested
    Contract work
    For contractors
    Remote work
    Shift work

    Clinical Operations Group

    New York, NY
    1 day ago
  •  ...a CFTSS Supervisor to provide clinical and administrative leadership...  ...role oversees Service Provider Managers and per-diem providers, ensures...  .... The successful candidate will review clinical documentation, supervise staff, coordinate client care, and #J-18808-Ljbffr
    Suggested
    Daily paid

    Kinsley Power Systems

    New York, NY
    4 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... 
    Suggested
    Full time

    Argus Community

    New York, NY
    4 days ago
  •  ...Utilization Management (UM) Clinical Team Lead (RN, LPN or PT) Empower. Unite. Care. MetroPlus Health is committed to empowering New Yorkers by uniting communities through...  ...admission certification, continued stay review, discharge planning, outpatient, and ancillary... 
    Suggested
    Shift work

    MetroPlusHealth

    New York, NY
    1 day ago
  •  ...platform to unlock access to care today and raise the...  ...growing quickly. Our clinical program — the protocols...  ...conversations when they’re needed Review and act on clinical...  ...5+ years building and leading clinical operations or...  ...clinical quality management: managing teams, setting... 
    Suggested

    Marble Health

    New York, NY
    4 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... 
    Full time
    Remote work

    Basepath Health

    New York, NY
    1 day ago
  •  ...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

    Catholic Charities Brooklyn and Queens, Inc.

    New York, NY
    4 days ago
  •  ...AI Trainer Jobs is seeking a remote contractor to evaluate AI-generated clinical review outputs. You will assess differential reasoning, dosing logic, and guideline adherence, flag safety issues, and document corrected reasoning for model improvement. Ideal candidates... 
    For contractors
    Remote work

    AuraOne

    New York, NY
    4 days ago
  • $225k - $300k

     ...Thesis is building the AI-powered care team platform for infinitely scalable clinical capacity. We radically increase...  ...impact clinical operations and care management activities for healthcare...  ...strategy, custom content creation, and leading discussions with senior customer... 
    Work at office
    Flexible hours
    3 days per week

    Trov

    New York, NY
    16 hours ago
  •  ...OPCO Skilled Management is seeking a Nurse Consultant / Regional Director of Clinical Operations to serve as the primary clinical resource for assigned facilities...  ...Operations and other leaders, conducts facility reviews, leads education, and oversees QA and compliance... 
    Relocation

    OPCO Skilled Management

    New York, NY
    17 hours ago
  • $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 work
    Local area

    Biogen

    New York, NY
    16 hours ago
  • $220k - $270k

     ...Overview Senior Director, Clinical Program Lead Remote - US Opportunity The Global Clinical...  ..., and procedures, as well as managing clinical project timelines, budgets, deliverables...  ...in January 2023 under priority review and successfully oversaw a strong launch... 
    Contract work
    Part time
    Work at office
    Remote work

    Menarini

    New York, NY
    4 days ago
  • MedRisk LLC in New Jersey seeks a Manager of Network Quality & Management to lead a team ensuring clinical quality, regulatory compliance, and performance improvement across...  ..., and guide staff to deliver high standards of care while expanding network reach. The role requires... 
    Remote job

    MedRisk LLC

    New York, NY
    4 days ago
  • €58k - €96.5k per year

     ...Clinical Operations LeaderResponsible for the clinical operations of a project within a...  ...develop study tools for site and CRA use, review visit reports, review and track protocol...  ...related to other departments (e.g. Data Management, TMF Operations, etc.)Oversee regional startup... 
    Permanent employment
    Temporary work
    Local area

    Alimentiv

    New York, NY
    3 days ago
  •  ...seeking a dedicated Registered Nurse to join Montefiore Medical Center in New York. The successful candidate will coordinate patient care, comply with established standards, and ensure high-quality nursing practices. This role requires an Associate Degree in Nursing,... 

    Montefiore Orthopedics

    New York, NY
    4 days ago
  • $162k - $190k

     ...Northeast Healthcare Recruitment, Inc. is seeking an experienced Clinical Lead Nurse Practitioner to join our TeamCare program in Bronx, New...  ...assigned to a TeamCare site, delivering comprehensive adult care while acting as a clinical leader within the practice. The role... 
    Monday to Friday

    Northeast Healthcare Recruitment

    New York, NY
    4 days ago
  •  ...Wellness Nurse (RN) to oversee resident health, support clinical systems, and ensure high-quality, compliant care delivery in a vibrant senior living community....  ...coordinate care with families and physicians, and lead clinical training while promoting resident wellness... 

    Sunrise Senior Living

    New York, NY
    4 days ago
  •  ...P Addabbo Family Health Center Inc is seeking a Site Manager to oversee clinical operations under the Director of Clinical Operations,...  ...efficiency, and revenue while prioritizing quality patient care. The role leads clerical staff, resolves complaints, manages... 

    Joseph P. Addabbo Family Health Center

    New York, NY
    2 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 package
    Day shift

    2510 Cobb Hospital, Inc.

    New York, NY
    17 hours ago
  • $140k

     ...(ADON) / Infection Control Lead Long-Term Care / Rehabilitation Center...  ...nursing leadership to support clinical operations while coordinating...  ...nursing leadership to help manage daily clinical operations...  ...Participate in internal reviews, audits, and performance improvement... 

    HC Company, Inc.

    New York, NY
    4 days ago
  •  ...Essen Health Care is seeking an Operations Manager to oversee clinical operations across key areas such as the call center and lab management. This role ensures high-quality patient care, manages workflows, and implements process improvements. Candidates should possess... 

    Essen Health Care

    New York, NY
    2 days ago
  •  ...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... 

    mountsinai.com

    New York, NY
    16 hours ago
  •  ...Job Description Job Description Clinical Education Manager medi USA is growing, and we need you to join...  ...needs. The Clinical Education Manager leads efforts in the training and educational...  ...in Phlebology, Lymphology and Wound Care with regards to the disease states, product... 
    Temporary work
    Work at office

    Medi USA - Medi Manufacturing, Inc.

    New York, NY
    19 hours ago
  •  ...CAI is seeking a Senior Clinical Lead to provide vision and leadership for the National Technical Assistance Program, guiding health centers in improving chronic disease management, nutrition, preventive care and operational effectiveness. The role leads clinical strategy... 

    ADP

    New York, NY
    2 days ago
  •  ...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... 

    Montefiore Orthopedics

    New York, NY
    2 days ago
  •  ...Behavioral Health Nursing Team Lead - Night Shift - Regular. Provide clinical oversight and day‑to‑day...  ...ensure safe medication management, support regulatory...  ...behavioral health care. Serve as clinical lead...  ...related quality assurance reviews and infection control monitoring... 
    Full time
    Night shift
    Rotating shift

    RHA Health Services, LLC

    New York, NY
    4 days ago
  • 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

    Fortrea

    New York, NY
    16 hours ago
  • $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 office

    Project Renewal Inc.

    New York, NY
    2 days ago
  • Project Renewal Inc. seeks a Clinical Team Lead to supervise a team of CASACs andPeers at the Support and Connection...  ...to community services while overseeing case management and data entry. Strong leadership and trauma-informed care are essential. The ideal candidate has 4+... 

    Project Renewal Inc.

    New York, NY
    2 days ago
  •  ...Physicians (ACPNY) is a growing primary and specialty care practice serving half a million patients in the New York...  ...safety and satisfaction. The Nurse will function as a clinical liaison, manage daily huddles, review patient charts, and facilitate care plans and patient... 

    EmblemHealth

    New York, NY
    19 hours ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Care Management & Clinical Review Lead. Be the first to apply!