Director, Provider Quality and Performance Improvement

for VNS Health Provider Services (CHHA, Hospice, or Personal Care). Develops, implements and refines quality and safety... programs at the inter-professional level through consultation, program activities and collaboration across VNS Health. Ensures...

Lugar: New York City, NY | 14/12/2025 01:12:12 AM | Salario: S/. No Especificado

Clinical Evaluation Manager

not meet medical necessity criteria. Ensures compliance with state and federal regulatory standards and VNS Health policies... in approval for out-of-network services when member receives services outside of VNS Health network services. Provides case...

Lugar: New York City, NY | 13/12/2025 00:12:18 AM | Salario: S/. $85000 per year

Clinical Evaluation Manager, Utilization Management

not meet medical necessity criteria. Ensures compliance with state and federal regulatory standards and VNS Health policies... in approval for out-of-network services when member receives services outside of VNS Health network services. Provides case...

Lugar: New York City, NY | 12/12/2025 23:12:58 PM | Salario: S/. $85000 per year

Clinical Evaluation Manager - Utilization Management

not meet medical necessity criteria. Ensures compliance with state and federal regulatory standards and VNS Health policies... in approval for out-of-network services when member receives services outside of VNS Health network services. Provides case...

Lugar: New York City, NY | 12/12/2025 22:12:16 PM | Salario: S/. $85000 per year

Care Management Navigator (Bilingual Chinese Speaking)

confidentiality. • Ensures compliance with the VNS Health Plans OICE policies and procedures as well as all Federal and State.... Communicates with members and their families regarding information about MLTC services. Provides summary reports, analysis...

Lugar: New York City, NY | 07/12/2025 19:12:27 PM | Salario: S/. No Especificado

Family Advocate-Children Mobile Crisis Team

opportunities Interdisciplinary network of colleagues through the VNS Health Social Services Community of Professionals...Overview: VNS Health Family Advocates embody our core values of Empathy, Integrity, and Agility by helping children...

Lugar: Long Island City, Queens, NY | 06/12/2025 03:12:06 AM | Salario: S/. No Especificado

Family Advocate-Children Mobile Crisis Team

opportunities Interdisciplinary network of colleagues through the VNS Health Social Services Community of Professionals...Overview: VNS Health Family Advocates embody our core values of Empathy, Integrity, and Agility by helping children...

Lugar: The Bronx, NY | 06/12/2025 02:12:35 AM | Salario: S/. No Especificado

Clinical Evaluation Manager, Utilization Management

not meet medical necessity criteria. Ensures compliance with state and federal regulatory standards and VNS Health policies... in approval for out-of-network services when member receives services outside of VNS Health network services. Provides case...

Lugar: New York City, NY | 30/11/2025 00:11:30 AM | Salario: S/. $85000 per year

Director, Care Management

and surpassing financial organizational targets through excellent care management. VNS Health is a trusted government partner... exceptional strategic thinking to VNS Health leadership to fulfill that commitment. Get the chance to implement programs...

Lugar: New York City, NY | 27/11/2025 22:11:37 PM | Salario: S/. No Especificado

Manager, Regulatory Affairs (Hybrid)

Overview: Oversees compliance and regulatory functions to ensure VNS Health's managed Medicaid (i.e., mainstream, HIV... SNP, Partial Cap/MLTC) and Medicare Advantage (i.e., MA-PD, D-SNP, FIDE SNP) products in accordance with federal and New...

Lugar: New York City, NY | 19/11/2025 23:11:37 PM | Salario: S/. No Especificado