services for members in VNS Health Plans products. Leads and directs the overall operation of the utilization management...Overview: Directs the Utilization Management department operations and programs across all product lines in VNS Health...
and/or Charge Registered Nurse, utilizing standard nursing techniques to assist the physician in optimum patient outcomes following... direct nursing care pre, during and post procedure, under the direction of the Facility Manager, Director of Nursing...
and/or Charge Registered Nurse, utilizing standard nursing techniques to assist the physician in optimum patient outcomes following... direct nursing care pre, during and post procedure, under the direction of the Facility Manager, Director of Nursing...
and regulatory requirements and programs. Collaborates with the Medical Director and the Clinical Coordinator /Charge Nurse or Nurse... tools. Works with the Clinical Coordinator /Charge RN or Nurse Supervisor and Medical Director to implement FMS quality...
are met. • Ensures that plans of care are individualized and appropriate, executed as written, and reassessed by the appropriate health... years managerial experience Required Prior utilization management or care management experience Required Thorough knowledge...
are met. Ensures that plans of care are individualized and appropriate, executed as written, and reassessed by the appropriate health... years managerial experience Required Prior utilization management or care management experience Required Thorough...
health Required Minimum of two years managerial experience Required Prior utilization management or care management... to practice as a Registered Professional Nurse in New York State Required Education: Bachelor's Degree or Master’s degree...
as a Registered Professional Nurse in New York State Required Education: Bachelor's Degree or Master’s degree in Nursing... Required Minimum of two years managerial experience Required Prior utilization management or care management experience...
benefits: Including health, dental and vision insurance, retirement plans, employee assistance programming and more. POSITION.... Collaborate with physicians and nurse practitioners to refine and optimize patient care plans. Assist with patient triage...
Health Plans product lines – Managed Long Term Care (MLTC), Medicare Advantage (MA) or Select Health. Ensures compliance..., investigation and resolution of member grievances and appeals for one of the following VNS Health Plans product lines - Managed Long...