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

Clinical Evaluation Manager: Care Optimization

VNS Health

VNS Health in New York is seeking an experienced Registered Nurse for utilization review and care coordination. You will assess requests, ensure medical necessity, and coordinate with physicians and care teams to promote cost-effective, high-quality care. The role emphasizes prior authorizations, discharge planning, and adherence to state and federal regulations while supporting member education and collaboration across the care continuum. #J-18808-Ljbffr

Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Clinical Evaluation Manager: Care Optimization in New York, NY vacancy
  •  ...Overview The Executive Director, Clinical Assessment & Evaluation is a physician responsible for supporting...  ...assets that redefine the standard of care. Responsibilities Clinical...  ...success, ensuring every trial phase is optimized for speed and statistical significance... 
    Suggested
    Shift work

    Menarini Group

    New York, NY
    3 days ago
  • $85k - $106.3k

     ...high quality and cost-effective health care services. Manages providers, members, team, or care...  ...requests for medical services and renders clinical determinations in accordance with...  ...Provides analysis of initial health evaluation and comprehensive assessment of the member... 
    Suggested
    Work experience placement
    Flexible hours

    VNS Health

    New York, NY
    3 days ago
  • $71.71k - $130.17k

    DescriptionThe Clinical Research Manager oversees research projects within a department...  ...clinical trials care delivery, patient eligibility...  ...ResponsibilitiesDevelops, implements and evaluates standards of care of...  ...clinical competency for optimal unit operations.... 
    Suggested
    Traineeship
    Local area

    Mount Sinai Health System

    New York, NY
    6 days ago
  •  ...Clinical Pharmacy Manager – Kidney Transplant Location: New York, NY Organization...  ...play a critical role in optimizing medication therapy,...  ...protocols, medication-use evaluations, treatment guidelines, and...  ...Organ Transplant, Critical Care, or a related specialty strongly... 
    Suggested
    Full time

    WolfCreek Consulting

    New York, NY
    2 days ago
  • $1,000 per month

     ...Clinical Quality Manager - Medication CareSpring Health is a global mental health...  ...around the person, so care can continue through every...  ...quality operations and systems optimization initiatives. This is a full...  ...intervention compliance audits to evaluate provider improvement,... 
    Suggested
    Full time
    Contract work
    Remote work
    Worldwide
    Sleeping nights
    Shift work

    Spring Health

    New York, NY
    3 days ago
  •  ...medicine for the brain, from clinical development to clinical care. For Life Sciences...  ...methods, techniques, and evaluation criteria, including how...  ...partner with Regional Sales Managers on clean handoffs,...  ...training, adoption, workflow optimization, and customer success... 
    Contract work
    Work experience placement
    Work at office
    Remote work

    Openkrill

    New York, NY
    2 days ago
  • $65k - $70k

    At Essen Health Care, we care for that! We are the...  ...has five integrated clinical divisions offering urgent...  ...staffing and care management. The Care Manager for...  ...Conduct regular performance evaluations and provide feedback...  ..., and process optimization. Knowledge of healthcare... 

    Essen Health Care

    New York, NY
    3 days ago
  • $175k - $183k

     ...Director, Shelter Medicine Clinical Training, works within...  ...role serving as direct manager and clinical supervisor...  ...access to veterinary care programs. The Director,...  ...programs to identify optimal caseloads for the residents...  ...resourcesAttend and evaluate resident presentations... 
    Full time
    Traineeship
    Work experience placement
    Remote work
    Work from home
    Home office
    Monday to Friday
    Flexible hours
    Shift work

    ASPCA

    New York, NY
    3 days ago
  • $140k - $230k

     ...reputation for quality of care and research and education....  ...analytics and operations, care management, clinical integration, and population...  ...through medication optimization, utilization management, quality...  ...design, strategy, and ongoing evaluation of condition management... 
    Full time
    Contract work
    Traineeship
    Local area
    Remote work
    Shift work

    Mount Sinai Health System

    New York, NY
    8 days ago
  • $159k - $190.57k

     ...Responsible for carrying out clinical pharmacy services,...  ...sound pharmaceutical care through the...  ...guides pharmacists on the optimal provision of care to ensure...  ...interventions, medication use evaluations and institutional...  ...medication therapy management,including medication reconciliation... 
    Traineeship
    Local area

    mountsinai.com

    New York, NY
    3 days ago
  •  ...THE COMPANY Resilience Care, a leading player in...  ...monitoring and a partner in clinical research, is a French...  ...them to measure and manage their symptoms using...  ...resources. Our solutions optimize patient care,...  ...tests for applicants, evaluating and assessing the results... 
    Remote work

    OpenKrill

    New York, NY
    3 days ago
  •  ...drive alignment between care providers and payers,...  ...while improving risk management, quality and revenue growth...  ...with executive and clinical leadership teams. The...  ...work relationships to optimize operations Oversees...  ...continuous improvement Evaluate emerging trends to inform... 
    Work at office
    Remote work

    UnitedHealth Group

    New York, NY
    2 days ago
  •  ...seeking a Medical Director of Utilization Management to join a leading Medicare Advantage...  ...play a critical role in ensuring the clinical integrity of inpatient and post-acute care reviews, evaluating medical necessity to support optimal outcomes and regulatory compliance.... 
    Full time
    Remote work
    Monday to Friday

    HJSRLLC

    New York, NY
    4 days ago
  • $153.4k - $170.4k

     ...Job Title: Clinical Affairs Director Location: USA –...  ...providers deliver exceptional care. And that starts with...  ...patient care, optimizing clinical solutions, and...  ...medication safety protocols. Manage and guide a team of...  ...this information to evaluate your candidacy for the... 
    Work at office
    Remote work
    Flexible hours

    PointClickCare

    New York, NY
    5 days ago
  • $270k - $310k

     ...transforming whole-person care. We deliver integrated behavioral...  ...Rico, our model combines clinical expertise, compassionate...  ...health programs, utilization management activities, and quality...  ...skills. Ability to develop, optimize, and evaluate clinical programs, care models... 
    Full time
    Remote work
    Work from home
    Flexible hours

    Lucethealth

    New York, NY
    9 hours ago
  • $157k - $193k

     ...Clinical Pharmacy Manager–Liver Transplantation At NewYork-Presbyterian/Weill Cornell...  ...outstanding pharmaceutical care is integral to our success....  ...activities to promote optimal, cost-effective patient care...  ...Should Be Medication use evaluations Treatment protocols/guidelines... 
    Local area

    NewYork-Presbyterian Hospital

    New York, NY
    4 days ago
  • $58 - $75 per hour

     ...organization in Bronx, NY is seekinga Temporary Clinical Assessment Manager to support clinical intake,...  ...operations within a managed care environment. This opportunityis ideal...  ...manner Perform clinical onboarding evaluations and post-discharge follow-up assessments... 
    Hourly pay
    Temporary work
    Work at office
    Remote work
    Monday to Friday

    Northeast Healthcare Recruitment

    New York, NY
    5 days ago
  •  ...Company of America is seeking an RN Clinical Consultant to support disability claim evaluations, assess functional capacity, and...  ..., claimants, and internal teams to optimize outcomes. Candidates should be an active RN with acute care experience and a background in LTD/... 
    Remote work

    The Guardian Life Insurance Company of America

    New York, NY
    4 days ago
  • $83.85k

     ...Description Job Description CLINICAL CASE MANAGER II - ICM INTENSIVE CASE...  ...to conduct descriptive and evaluation research on arrestee...  ...housing specialists, and client care coordinators to promote better...  ...Sunday & Monday ) To provide optimal coverage for client... 
    Work at office
    Work from home
    Flexible hours
    Night shift
    Afternoon shift

    NYC Criminal Justice Agency

    New York, NY
    16 days ago
  • $85k - $101k

     ...philosophy of patient-centered care. The system is anchored...  ...center. Maimonides' clinical programs rank among the...  ...all services provided. Manages and monitors provider...  ...market share. Ensures optimal operation of physician...  ...on a monthly basis to evaluate trend/patterns and develops... 
    Work at office

    Maimonides Medical Center

    New York, NY
    3 days ago
  •  ...LBA / ABA Practice Clinical Director White Glove is seeking a Licensed Behavior Analyst...  ...culture, standards, and quality of care. The Opportunity We are looking for...  ...compliance Participate in hiring and evaluating clinical personnel Develop clinical... 
    Full time

    White Glove Community Care

    New York, NY
    9 hours ago
  • $95.45k - $143.18k

     ...Description The Clinical Research Manager Licensed has oversight of the research...  ...clinical trials care delivery, patient eligibility...  ...inclusive of recruitment, hiring, evaluation, retention, progressive...  ...across studies. Develop and optimize cross-departmental workflows... 
    Traineeship
    Work at office
    Local area
    Shift work

    mountsinai.com

    New York, NY
    10 hours ago
  • $153.72k - $230.58k

    DescriptionThe Director of Clinical Pharmacy Services...  ...responsible for formulary management, clinical practice...  ...standardization, medication-use optimization, and the development...  ...the continuum of care. The role also...  ...dedicated expertise to evaluate clinical value, monitor... 
    Full time
    Traineeship
    Local area

    Mount Sinai Health System

    New York, NY
    7 days ago
  •  ...the “Center”) provides care and wellness for young...  ...a leading center of clinical care, specialized training...  ...are developed and managed in accordance with MSAHC...  ...success.Supervision, Evaluation and CollaborationSupervise...  ...work supervisor to optimize provision of mental... 
    Full time
    Traineeship
    Local area
    Flexible hours

    Mount Sinai Health System

    New York, NY
    6 days ago
  • $79.72k - $161.2k

     ...Sinai Heath System’s Clinical Command Center (CCC),...  ...which includes: capacity management, centralized clinical...  ...requirements to maintain optimal results and high...  ...Participates in the review and evaluation of department...  ...service of better patient care.12. Produces metrics... 
    Temporary work
    Traineeship
    Local area

    Mount Sinai Health System

    New York, NY
    4 days ago
  • $115.49k - $173.24k

     ...Licensed) is a licensed clinical professional,...  ...overseeing staff and resource management, quality assurance,...  ...management to ensure optimal results and high employee...  ...mentors, disciplines, and evaluates staff in accordance...  ...outstanding patient care. When you join us, you... 
    Temporary work
    Traineeship
    Work at office
    Local area
    Flexible hours
    Shift work

    Mount Sinai Health System

    New York, NY
    6 days ago
  • $127.04k - $190.57k

     ...responsible for leading and managing hospital coding...  ...teams, collaborate with clinical, financial, and IT...  ...Support implementation and optimization of coding technology...  ...coding integration. • Evaluate and deploy automation...  ...and value-based care models. ? Proven success... 
    Traineeship
    Local area

    mountsinai.com

    New York, NY
    2 days ago
  •  ...through data-driven, personalized care. We're breaking away from...  .... Position Summary The Clinical Manager is a leadership role responsible...  ...skills to support staff, optimize workflows, and contribute to...  ...Management Supervise, mentor, and evaluate the performance of NPs and... 
    Local area
    Remote work
    Work from home
    Home office

    Openkrill

    New York, NY
    4 days ago
  • $117.5k - $132k

     ...receive the highest-quality care, and deliver outstanding...  ...ASPCA Spay/Neuter Mobile Clinics throughout the five boroughs...  ...Lead a team of managers working together to optimize clinic operations: client...  ...developmental coaching, performance evaluation and fun Partner with the... 
    For contractors
    Work experience placement
    Work at office
    Local area
    Work from home
    Relocation package
    Monday to Friday
    Flexible hours
    Shift work
    Early shift

    Aspcapro

    New York, NY
    10 hours ago
  •  ...Clinical Coordinator III - NPThe Clinical Coordinator...  ...comprehensive outpatient care for hepatobiliary and...  ...surgeons, the APP manages pre and post-operative...  ...hepatobiliary and transplant evaluations, ensuring timely...  ...disease, preoperative optimization, and post-operative expectations... 
    Work at office
    Local area

    Columbia University

    New York, NY
    4 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Clinical Evaluation Manager: Care Optimization. Be the first to apply!