Manager, Care Management, Health Plan
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POST DATE 9/13/2016
END DATE 12/2/2016
Visiting Nurse Service Of New York
Visiting Nurse Service of New York (VNSNY) is the nation s largest not-for-profit community-based health system. VNSNY provides a comprehensive array of home- and community-based programs, including health plans, tailored to the needs of high-risk, vulnerable New Yorkers, improving their quality of life. Each day, more than 18,000 VNSNY employees including nurses, rehabilitation therapists, social workers, dieticians, other allied professionals, and paraprofessionals deliver compassionate care, unparalleled medical expertise, and 24/7 solutions and resources to more than 35,000 patients, helping them to live the best lives possible.
RESPONSIBILITIES AND QUALIFICATIONS:
Manages the care management or utilization management teams to ensure that standards for service delivery and team/staff performance are met or exceeded. This includes supporting the VNSNY CHOICE teams on a day- to-day basis for utilization or care management issues, problem resolution, complaint resolution and other service related issues. Manages and coordinates the activities of the VNSNY CHOICE teams by ensuring that the appropriate high quality of care management provided is consistent with Agency mission, principles, policies and regulatory compliance. Participates in internal and external marketing and provider relations. Works under general supervision.
Licensure: License and current registration to practice as a registered professional nurse in New York State required.
Valid driver's license or NYS Non-Driver photo ID card, may be required as determined by operational/regional needs.
Education: Bachelor&rsquot;s Degree or equivalent work experience in management for a health plan or utilization/case management required. Master&rsquot;s Degree in Nursing or Health Care Administration preferred. Case Management Certification preferred.
Experience: Minimum of four years experience in home care, care management or related field, including three years of progressive experience in case or utilization Management, required. Effective oral/written communication and interpersonal skills preferred.
VNSNY is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to race, color, religion, sex, national origin, disability or protected veteran status. If you would like more information about your EEO rights, then please visit: