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...
change in patient care status. Develops action plans for unexcused and missed treatments in collaboration with the Director.... Plans, coordinates and acts as the liaison for patient care as per the disease management agreement, including initial...
in Nursing (BSN) required. Master of Science in Nursing (MSN) or a Master’s in related health care field preferred...: Licensed and currently registered to practice as a professional nurse in New York State. Physical Requirements: Position...
of Science in Nursing (BSN) required. Master of Science in Nursing (MSN) or a Master’s in related health care field preferred...: Licensed and currently registered to practice as a professional nurse in New York State. Physical Requirements: Position...
in Nursing (BSN) required. Master of Science in Nursing (MSN) or a Master’s in related health care field preferred...: Licensed and currently registered to practice as a professional nurse in New York State. Physical Requirements: Position...
of Science in Nursing (BSN) required. Master of Science in Nursing (MSN) or a Master’s in related health care field preferred...: Licensed and currently registered to practice as a professional nurse in New York State. Physical Requirements: Position...
for running necessary Clinical Delivery reports. - Participates and represents the Community Health Nurse (CHN) in all IDT... Nurse required. Additional Requirements: - Be legally authorized (for example, currently licensed, registered...
for utilization management, review referral requests that cannot be approved for continued stay and are forward to licensed physicians... current on federal and state regulatory policies related to utilization management and care coordination (CMS guidelines...
for utilization management, review referral requests that cannot be approved for continued stay and are forward to licensed physicians... current on federal and state regulatory policies related to utilization management and care coordination (CMS guidelines...
Clinical Delivery reports. - Participates and represents the Community Health Nurse (CHN) in all IDT meetings, when...: Current active and unrestricted license and registration in New York State as a Registered Nurse required. Additional...
Overview: Resolves grievances, appeals and external reviews for one of the following VNS Health Plans product lines.... Collaborates with professionals, health plan departments such as Claims and Medical Management, and the third party administrator...
Overview: Resolves grievances, appeals and external reviews for one of the following VNS Health Plans product lines.... Collaborates with professionals, health plan departments such as Claims and Medical Management, and the third-party administrator...