clinical care manager, registered nurse, chronic care management (mostly remote) Jobs in New York

clinical care manager, registered nurse, chronic care management (mostly remote)

director of operations

head of operations

operations coordinator

operations supervisor, medical care at home Jobs in New York

operations supervisor, medical care at home

operations supervisor medical care at home

VNS Health

<div>Overview: Oversees the Visit Operations Associate team responsible for coordinating and scheduling Advance Practice Clinicians and Medical Assistants for in-home and virtual visits across multiple programs. Ensures operational efficiency, staff performance, and service quality in support of the Medical Care at Home's (MCAH) strategic goals. Provides direct oversight, coaching, and workflow management to meet visit volume targets and maintain high standards of patient and provider support. Responsibilities:
<p><b>
What We Provide</b></p><ul><li><p>
Referral bonus opportunities</p></li><li><p>
Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays</p></li><li><p>
Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life Disability</p></li><li><p>
Employer-matched retirement saving funds</p></li><li><p>
Personal and financial wellness programs</p></li><li><p>
Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care</p></li><li><p>
Generous tuition reimbursement for qualifying degrees</p></li><li><p>
Opportunities for professional growth and career advancement</p></li><li><p>
Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities</p></li></ul><p></p><p><b><br>
What You Will Do</b></p><ul><li><p>
Supervises a team of Visit Operations Associates, including hiring, onboarding, training, and performance management.</p></li><li><p>
Ensures appropriate staffing and coverage to meet daily operational needs.</p></li><li><p>
Leads team meetings and fosters a culture of accountability, collaboration, and continuous improvement.</p></li><li><p>
Coordinate and track monthly Nurse Practitioner (NP) and Medical Assistant (MA) availability.</p></li><li><p>
Oversees daily scheduling workflows, outreach activities, and provider routing to ensure timely and efficient visit coordination.</p></li><li><p>
Monitors productivity reports, analyzes trends, and implements corrective actions to address performance or operational issues.</p></li><li><p>
Develops and implements procedures to maximize operational efficiency and effectiveness.</p></li><li><p>
Collaborates in setting productivity standards and participates in quality assurance programs for business operations.</p></li><li><p>
Provides feedback and ensures assigned staff meet established productivity benchmarks.</p></li><li><p>
Serves as the primary escalation point for operational issues, resolving barriers and communicating with AVP and clinical leadership.</p></li><li><p>
Collaborates with clinical teams to align visit logistics with provider availability, geographic coverage, and patient needs.</p></li><li><p>
Participates in strategic planning and special projects to support MCAH program growth and innovation.</p></li><li><p>
Prepares and analyzes operational reports to support decision-making and performance tracking.</p></li><li><p>
Ensures compliance with documentation standards, EMR protocols, and patient confidentiality requirements.</p></li><li><p>
Performs all duties inherent in a supervisory role. Ensures effective staff training, interviews candidates for employment, evaluates staff performance and recommends hirings, promotions, salary actions, and terminations, as appropriate.</p></li><li><p>
Participates in special projects and performs other duties as assigned.</p></li></ul>
Qualifications:
<p><b>
Education:</b></p><ul><li>
High School Diploma required</li><li>
Bachelor's Degree preferred</li></ul><p></p><p><b><br>
Work Experience:</b></p><ul><li>
Minimum 3 years of experience in healthcare administration, medical office operations, or scheduling required</li><li>
Prior supervisory or team lead experience preferred</li><li>
Strong communication, leadership, and organizational skills preferred</li><li>
Proficiency in EMR systems and Microsoft Office Suite preferred</li><li>
Experience in home-based care or mobile health services preferred</li></ul><br>
<p></p>
Pay Range: USD $62,400.00 - USD $72,000.00 /Yr.</div>

Operations Supervisor, Medical Care At Home

<div>Overview: Resolves grievances, appeals and external reviews for one of the following VNS Health Plans product lines &ndash; Managed Long Term Care (MLTC), Medicare Advantage (MA), or Select Health. Ensures regulatory compliance, timeliness requirements and accuracy standards are met. Coordinates efficient functioning of day-to-day operations according to defined processes and procedures. Creates and maintains accurate records documenting the actions and rationale for each grievance or appeal decision. Develops correspondence communicating the outcome of grievances and appeals to enrollees and/or providers. Assists with collecting and reporting data. Works under general supervision. Responsibilities:
<div><b>What We Provide:</b></div><div>
</div><ul><li>
Referral bonus opportunities</li><li>
Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays</li><li>
Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life Disability</li><li>
Employer-matched retirement saving funds</li><li>
Personal and financial wellness programs</li><li>
Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care</li><li>
Generous tuition reimbursement for qualifying degrees</li><li>
Opportunities for professional growth and career advancement</li><li>
Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities</li></ul><div>
</div><div><b>
What You Will Do:</b></div><div>
</div><ul><li>
Develops and maintains current knowledge of state and federal regulatory requirements related to all aspects of grievances and appeals for Medicare managed care organizations, Medicaid, home health care, managed long term care as well as contractual requirements.</li><li>
Investigates and reviews routine and complex situations and underlying issues, analyzes and solves problems, focusing primarily on issues of medical necessity, quality of care, long term services and supports, etc.. Consults with the member, family, providers and health plan departments as necessary. Identifies and communicates key points from details.</li><li>
Investigates and coordinates the resolution of routine and complex grievances and appeals according to defined processes and procedures ensuring that required timeframes and regulatory requirements are met, accurate and timely follow up is completed and activities are documented as required.</li><li>
Reviews covered and coordinated services in accordance with established plan benefits, application of medical criteria and regulatory requirements to ensure appropriate appeal resolution and execution of the plan&rsquo;s fiduciary responsibilities. Prepares records for physician review as needed.</li><li>
Conducts review of requests for prior authorization of health services, as required in certain product lines, and prepares written responses consistent with regulatory requirements.</li><li>
Coordinates external case reviews requested by enrollees, including preparing and submitting documentation according to regulatory requirements and tracking external reviews throughout the process. External reviewers include New York State (Fair Hearings), Centers for Medicare and Medicaid Services (CMS), Independent Review Entities and Quality Improvement Organizations.</li><li>
Collaborates with professionals, health plan departments such as Claims and Medical Management, and the third party administrator staff and legal, as necessary, to investigate and facilitate resolution of individual grievances and appeals. Consults with enrollees, providers and the Medical Director, as appropriate.</li><li>
Provides input and recommendations for design and development of policies, processes and procedures for improved department operations and customer service.</li><li>
Reviews information available from Medicaid, Medicare, other payers, and/or professional medical organizations regarding benefit levels and medical necessity criteria.</li><li>
Enters data and assists with compiling reports and analysis on the grievance and appeals process.</li><li>
Participates in special projects and performs other duties as assigned.</li></ul>
Qualifications:
<p><b>
Licenses and Certifications:</b>
<br>
License and current registration to practice as a registered professional nurse in New York State required
<br>
<br>
<b>Education:
</b><br>
Bachelor's Degree or Master&rsquo;s Degree in Nursing preferred<br>
<br>
<b>Work Experience:</b>
<br>
Minimum three years progressive professional experience in health care, including a minimum of two years in a grievance and appeals or related area such as medical or utilization management required Proficient verbal/written communication skills required Proficient computer and typing skills and knowledge of Microsoft Office (Word and Excel) required Ability to work in a fast paced environment and effectively manage multiple grievances and appeals simultaneously.<br>
<br>
<br>
</p>Pay Range: USD $93,400.00 - USD $116,800.00 /Yr.</div>

Grievance and Appeals Specialist, Clinical

BAYADA Home Health Care

<div><h3 class="jobSectionHeader"><b>We have a </b><b>Registered Nurse </b><b>opportunity open now doing home health visits in Lebanon, Keene, New London and Surrounding NH towns!</b></h3>
<h3 class="jobSectionHeader"><b><i>Flexible schedules, 1:1 care, and great work/life balance. Join us today!</i></b></h3>
<p></p><p><b>Registered Nurse (RN) Benefits:</b></p>
<ul><li>BAYADA offers a comprehensive benefits plan that includes the following: Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance, 401k with company match, direct deposit and employee assistance program</li>
<li>To learn more about BAYADA Benefits, click here</li>
<li>Enjoy being part of a team that cares and a company that believes in leading with our values.</li>
<li><b>Feel confident, safe, and supported with PPE supplies, comprehensive infection prevention protocol, daily pre-screens, and close monitoring of the COVID-19 outbreak.</b></li>
<li>Develop your skills with training and scholarship opportunities.</li>
<li>Advance your career with specially designed career tracks.</li>
<li>Be recognized and rewarded for your compassion, excellence, and reliability.</li>
<li>Benefits may include medical, dental, vision, and life insurance; mileage reimbursement; paid time off; weekly pay and direct deposit; scholarship opportunities; one-on-one training; recognition programs; referral bonuses; 401(k) with company match; and opportunities for career advancement.</li>
</ul><p><b>Registered Nurse (RN) Responsibilities:</b></p>
<ul><li>Follow a designated care plan in accordance with patient's needs
</li><li>Make home visits to clients in designated geographic territories</li>
<li>Perform assigned duties, including administration of medication, wound care, treatments, and procedures</li>
<li>Monitor clients' conditions; reporting changes to Clinical or Client Services Manager</li>
<li>Follow up with, execute, and properly document doctors' orders</li>
<li>Perform client assessments as necessary</li>
<li>Case management and coordination</li>
<li>Accurately document observations, interventions, and evaluations pertaining to client care management and services provided, utilizing a state-of-the-art touch pad tablet</li>
</ul><p><b>Qualifications for a Registered Nurse (RN):</b></p>
<ul><li>A current license as a Registered Nurse in New Hampshire</li>
<li>A minimum of one year of recent, verifiable clinical (medical/surgical) experience.</li>
<li>Prior home care experience strongly preferred, but not required.</li>
<li>Graduation from an accredited and approved nursing program, as indicated by school transcript or diploma.</li>
<li>Ability to work independently and manage time effectively.</li>
<li>Strong interpersonal skills.</li>
<li>Solid computer skills; prior experience with electronic medical records (EMR) preferred.</li>
<li>Ability to travel to cases as assigned.
</li></ul><p>BAYADA recognizes and rewards our RNs who set and maintain the highest standards of excellence. Join our caring team today!</p><div><p><b>
As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates.</b></p>
<p>BAYADA is celebrating 50 years of compassion, excellence, and reliability. Learn more about our 50th anniversary celebration and how you can join in here.</p>
<p>BAYADA Home Health Care, Inc., and its associated entities and joint venture partners, are Equal Opportunity Employers. All employment decisions are made on a non-discriminatory basis without regard to sex, race, color, age, disability, pregnancy or maternity, sexual orientation, gender identity, citizenship status, military status, or any other similarly protected status in accordance with federal, state and local laws. Hence, we strongly encourage applications from people with these identities or who are members of other marginalized communities.</p></div></div>

Registered Nurse, Home Health

Vessel Technologies

<div><div><b>About Vessel</b></div><div>
Vessel is building the future of housing. We combine breakthrough design, advanced manufacturing, and first-principles thinking to tackle one of the world&rsquo;s most pressing challenges: creating sustainable, attainable housing for all. This isn&rsquo;t just construction&mdash;it&rsquo;s a complete reimagining of how people live.</div><div></div><div><br>
Backed by <b>Mosaic Ventures</b> and <b>Lennar</b>, the nation&rsquo;s largest homebuilder, Vessel is rapidly scaling to meet growing demand. We care deeply about every detail&mdash;from beauty and durability to efficiency and accessibility&mdash;because we believe everyone deserves a thoughtfully made home.</div><div></div><div><br>
We&rsquo;re seeking a highly organized and proactive <b>Executive Coordinator </b>to support our day-to-day office operations and team needs. This is a collaborative role that touches many areas of the organization, from managing office logistics to assisting with internal communications and social media efforts.</div>
<h3 class="jobSectionHeader"><b>What You'll Do</b></h3><ul><li>
Support cross-departmental initiatives and ad hoc tasks to maintain smooth day-to-day operations.</li><li>
Handle incoming mail, deliveries, and general office logistics with efficiency and accuracy.</li><li>
Contribute to the development and management of the company&rsquo;s social media presence and content strategy.</li><li>
Ensure team members are equipped with the necessary tools, technology, and resources to perform effectively.</li><li>
Review, edit, and refine executive documents&mdash;including presentations, contracts, and memos&mdash;prior to leadership review.</li><li>
Provide proactive visibility into upcoming deadlines, priorities, and action items for executive leadership.</li><li>
Anticipate needs, minimize obstacles, and create capacity for the CEO to focus on high-impact initiatives.</li><li>
Coordinate logistics for meetings, events, and travel with meticulous attention to detail and efficiency.</li><li>
Partner with internal teams, to ensure smooth office operations.</li><li>
Maintain flexibility and availability to provide after-hours support as needed.</li></ul><h3 class="jobSectionHeader"><b>
Who You Are</b></h3><ul><li>
Bachelor&rsquo;s degree required</li><li>
Ability to take ownership</li><li>
2&ndash;4 years of experience in an administrative or office support role</li><li>
Strong organizational skills and attention to detail</li><li>
A flexible, &ldquo;no task too small&rdquo; attitude</li><li>
Great written and verbal communication</li><li>
Proficiency with Microsoft Office Suite (Excel, Word, PowerPoint, Outlook)</li><li>
Able to see around corners, connect dots, and anticipate needed before it&rsquo;s requested</li><li>
Comfortable working in ambiguity, energized by solving problems in real time</li><li>
Team-building events and activities, including social hours and celebrations</li><li>
Meticulous, fast, and unflappable&mdash;with a bias for clarity and action</li><li>
Operate with discretion and sound judgment; trusted to handle sensitive information with care</li><li>
Exposure to a start-up environment desired</li></ul><ul><li>Competitive compensation with performance bonus and equity options</li><li>401k &amp; Health Plans (Medical, Dental, and Vision), including HSA/FSA options</li><li>Life, AD&amp;D, and Disability Insurance, plus Critical Illness and Accident Insurance</li><li>Adoption Assistance, Caregiver Support, and Financial Assistance through Employee Support Programs</li><li>Commuter Benefits</li></ul><div><b>
At Vessel</b></div><div>
We believe everyone deserves a home built with care&mdash;beautiful, durable, and made to last. That starts with the people who make it happen. Join us and help reimagine what housing can be.</div></div>

Executive Coordinator

Cooley LLP

<div><div>Cooley is seeking a Director of Marketing - Litigation to join the Marketing and Business Development team.</div><div></div><div>
Position summary: Under the supervision of the Director of Client Development, the Director of Marketing - Litigation will work closely with their assigned department and practice group chairs, firm attorneys and other marketing and business development team members to lead all client development and marketing activities for the Litigation department. The primary goals are to drive revenue, relationships and brand through new business opportunities and client expansion programs, including client targeting and cross-sell initiatives, thought leadership, events and sponsorships, digital interactions, pitches and proposals, and client development coaching and training. This leadership position oversees a large marketing team. Effective development and guidance of the marketing team is essential to success in this role. Specific duties include, but are not limited to, the following:</div><div></div><div>
Position responsibilities:</div><div></div><div>
Strategic direction:</div><ul><li>
In conjunction with the Director of Client Development, department and practice group leaders and firm leadership, develop and execute marketing and client development plans for the Litigation department and assigned practice group(s) that result in measurable growth of business for the firm, with emphasis on retention and service expansion to existing clients, as well as cultivation of new clients for the firm</li><li>
Identify targets and support programs, events, sponsorships, content creation and distribution, etc., to drive revenue from identified targets while both enhancing the department&rsquo;s brand and the overall client experience.</li><li>
Identify trends in marketplace and respond with marketing strategy recommendations</li><li>
Guide department and practice-specific marketing strategies and tactics</li><li>
Work with other marketing and business development leaders to develop and execute strategy across the firm</li><li>
Serve as liaison between lawyers and other marketing functions</li><li>
Work closely with the Innovation and Technology teams to utilize emerging technologies to both create efficiency in team operations and to provide real-time insights to other marketers and the business</li><li>
Communicate strategies and tactics to ensure implementation and coordination across practices and geographies</li><li>
Coordinate effectively with business development team on in-market activities</li><li>
Advise on marketing orientation for new arrivals including lateral partners with a focus on client portability, retention and practice expansion</li></ul><div></div><div>
Management and operations</div><ul><li>
Set the tone for service, knowledge and operational excellence. Ensure adherence to standards of excellence across the Litigation marketing team</li><li>
Provide leadership, guidance and mentoring to attorneys and staff through effective communication ensuring a well-informed and highly motivated team effort</li><li>
Work cooperatively with colleagues across functions and levels to advance goals and projects</li><li>
Serve as a role model for the use of CRM and other marketing technology tools in managing the sales pipeline and for practice group business development</li><li>
Create an annual budget and marketing plan, managing marketing functions to achieve goals within budgetary guidelines</li><li>
Encourage the development of strong working relationships across the firm</li></ul><div></div><div>
Client development:</div><ul><li>
Work with the partners to develop and maintain client relationships, identifying and prioritizing specific client opportunities and analyzing performance within the context of the firm&rsquo;s overall client development strategy</li><li>
Effectuate cross-selling between practice groups and among regions and offices</li><li>
Leverage sales pipeline information. Establish accurate reporting and forecasting systems for the tracking of business development</li><li>
Develop selling methods/strategies that lead to measurable, competitive advantages for the firm</li><li>
Effectively articulate the value proposition of firm&rsquo;s services to specifically targeted clients</li></ul><div></div><div>
Programs and visibility initiatives:</div><ul><li>
Work with marketing business development and litigation team to execute events, programs and pitches and RFP responses</li><li>
Manage litigation sponsorships and activities tied to local and global industry and business organizations</li><li>
Working with the business development and communications teams, identify and support content creation, networking, speaking and media opportunities for attorneys that support practice group business plans</li></ul><div></div><div>
Supervisory:</div><ul><li>
Serve as direct supervisor and mentor to direct reports; ensure strong leadership for junior support team members via coaching and mentoring of direct reports</li><li>
Provide day-to-day supervision of direct reports, ensure compliance with assigned work hours and monitor for compliance with all firm and department policies. Manage staffing coverage, review and process time logs/time off requests</li><li>
Support business professional development and continued educational opportunities</li><li>
In collaboration with immediate supervisor and CN HR, participate in hiring, performance appraisals, counseling, termination and other employee lifecycle events</li><li>
All other duties as assigned or required</li></ul><div></div><div>
Skills and experience:</div><div>
Required:</div><ul><li>
After orientation at Cooley LLP, exhibit proficiency in the Microsoft Office suite, iManage and other firm applications</li><li>
Ability to work extended and/or weekend hours, as required</li><li>
Ability to travel, as required</li><li>
Bachelor&rsquo;s degree</li><li>
10+ direct of sales and/or marketing experience at a management level, preferably in a professional services organization, with proven ability to manage, coach and motivate</li></ul><ul><li>
5+ years of management experience in relevant roles and with proven track record of effective leadership</li><li>
Proficient in the use of CRM and other marketing technologies</li></ul><div>
Preferred:</div><ul><li>
MBA or advanced degree in a related field and significant prior experience in marketing or sales</li><li>
Experience in a professional services environment</li><li>
Experience managing a large team of reports</li><li>
Experience develop a strategy and managing a team across the US and international locations</li><li>
Experience in both performance and brand marketing</li></ul><div></div><div>
Competencies:</div><ul><li>
Entrepreneurial by nature</li><li>
Proven leadership capabilities, including decisiveness, effective prioritization skills and a results-driven orientation with appropriate sensitivity and concern for people</li><li>
Proactive, have high energy, and be creative, quick thinking, and comfortable with risk</li><li>
Robust advanced B2B marketing strategy experience</li><li>
Strong operational orientation and ability to drive complex, multi-stakeholder projects</li><li>
Excellent analytical skills</li><li>
Ability to design, carry and achieve marketing goals</li><li>
Strong interpersonal skills with ability to facilitate and solve problems</li><li>
Strong communication, both verbal and written, and presentation skills</li><li>
Ability to work closely with practice group leadership and to achieve consensus and direction quickly</li><li>
Detail-oriented with advanced organization skills</li></ul><div></div><div>
Cooley offers a competitive compensation and excellent benefits package and is committed to fair and equitable employment practices. EOE.</div><div></div><div>
The expected annual pay range for this position with a full-time schedule is $275,000 - $345,000. Please note that final offer amount will be dependent on geographic location, applicable experience and skillset of the candidate.</div><div></div><div>
We offer a full range of elective benefits including medical, health savings account (with applicable medical plan), dental, vision, health and/or dependent care flexible spending accounts, pre-tax commuter benefits, life insurance, AD&amp;D, long-term care coverage, backup care for children and/or adults and other parental support benefits. In addition to elective benefit options, benefited employees receive firm-paid life insurance, AD&amp;D, LTD, short term medical benefits as well as 25 days of Paid Time Off (&ldquo;PTO&rdquo;) and 10 paid holidays each year. We provide generous parental leave and fertility benefits. New employees will attend a detailed benefit orientation to learn more about our many benefits and resources.</div></div>

Director of Marketing - Litigation

Allied Universal

<div><p>Security Shift Supervisor - Unarmed</p><h2 class="jobSectionHeader"><b>
Overview</b></h2><p><b>
Company Overview:</b></p><br>
<p></p><p>Allied Universal&reg;, North America's leading security and facility services company, offers rewarding careers that provide you a sense of purpose. While working in a dynamic, welcoming, and collaborative workplace, you will be part of a team that contributes to a culture that positively impacts the communities and customers we serve. We offer a comprehensive benefits package that may include medical, dental, and vision coverage, life insurance, a retirement plan, employee assistance programs, company discounts, and other perks, depending on the position and eligibility.</p><p><br>
</p><p><b>Job Description:</b>
</p><h2 class="jobSectionHeader"><b>Job Description</b></h2><p><b>
Allied Universal is hiring Security Shift Supervisors to oversee a Transit Stations located throughout Manhattan</b>
</p><ul><li>Positions Are: Full Time</li>
<li>Work Shifts Available: 2PM - 10PM</li>
<li>Workdays Available: Monday - Friday</li>
<li>Pay Rate: $20.65 / hour</li>
<li>Must exhibit great customer service skills, will be interacting with the general public on a daily basis and interaction with client and staff</li></ul><br>
<p></p>
<p>The Shift Security Supervisor will supervise and coordinate the delivery of quality services on a specific shift at an assigned customer. The <b>Security Shift Supervisor</b> will act as a liaison between site supervisor, Account Manager/Field Operations Manager and professional security officers. Supervise staff on assigned shift, providing coaching, recognition and discipline within approved empowerment range.</p><p><br>
</p><p><b>Qualifications/Requirements:</b>
</p><ul><li>At least 18 years of age</li>
<li>Possess a high school diploma or equivalent, or 5 years verifiable experience</li>
<li>Must possess effective written and oral communication and interpersonal skills with ability to deal with all levels of personnel and the general public in a professional and effective manner; must be able to use initiative and independent judgment within established guidelines</li>
<li>Must have at least 2+ Years Security Experience</li>
<li>Must be able to frequently prepare written reports and logs in neat, legible handwriting;
</li><li>Must be able to read and understand all operating procedures and instructions</li>
<li><p>Licensing requirements are subject to state and/or local laws and regulations and may be required prior to employment.</p></li>
<li><p>Driving Positions: must possess a valid Driver's License with at least one year of driving experience, a clean driving record (no major violations within last 36 months, no more than 1 accident in last 24 months, no more than one minor moving violation in last 24 months), a minimum level of insurance as required by Company policy, and the ability to safely operate a vehicle required.</p></li>
<li>As a condition of employment, employee must successfully complete a background investigation and a post-offer/pre-employment drug/alcohol test, may be required to pass Drivers Record check</li>
<li>Intermediate computer skills to utilize innovative, wireless technology at client specific sites</li>
<li>Ability to handle both common and crisis situations at the client site, calmly and efficiently</li>
<li>Display exceptional customer service and communication skills</li>
<li>Ability to handle crisis situations at the client site, calmly and efficiently</li>
<li>Able to:</li><li><ul><li>
Work in various environments such as cold weather, rain/snow or heat</li>
<li>Occasionally lift or carry up to 40 pounds</li>
<li>Climb stairs, ramps, or ladders occasionally during shift</li>
<li>Stand or walk on various surfaces for long periods of time</li></ul></li></ul><h2 class="jobSectionHeader"><b>
Closing</b></h2><p>
Allied Universal&reg; is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, age, color, religion, sex, sexual orientation, gender identity, national origin, genetic information, disability, protected veteran status or relationship/association with a protected veteran, or any other basis or characteristic protected by law. For more information: www.aus.com</p><p><br>
</p><p>If you have any questions regarding Equal Employment Opportunity, have difficulty using the online system and require an alternate method to apply, or require an accommodation at any time during the recruitment and/or employment process, please contact our local Human Resources department. To find an office near you, please visit: www.aus.com/offices.</p><h2 class="jobSectionHeader"><b>
Requisition ID</b></h2><br>
2025-1455542</div>

Security Shift Supervisor - Unarmed

<div>Overview: Provides telephonic clinical care management services using evidence-based practices to ensure effective utilization of benefits, services, and care is provided to the patients allowing them to remain safely in their home/community. Responsibilities:
<p><b>
What We Provide</b></p><ul><li>
Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays</li><li>
Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life Disability</li><li>
Employer-matched retirement saving funds</li><li>
Personal and financial wellness programs</li><li>
Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care</li><li>
Generous tuition reimbursement for qualifying degrees</li><li>
Opportunities for professional growth and career advancement</li><li>
Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities</li><li>
Referral bonus opportunities</li></ul><p></p><p><b><br>
What You Will Do</b></p><ul><li>
Coordinates and/or oversees the coordination of benefits and services for all members on his/her caseload.</li><li>
Completes care management and disease specific assessments.</li><li>
Makes timely telephonic care management calls based on risk level.</li><li>
Resolves and coordinates complex issues and member complaints impacting the delivery of services.</li><li>
Provides health education to member/caregiver.</li><li>
Assess SDoH and provide care coordination to reduce/remove barriers of care to include ability to allow for changing levels of care based on assessments, trigger events and program data/reports.</li><li>
Identifies member safety issues and intervenes as necessary or refers to appropriate resources, such as community linkages, dietary, therapy (PT/OT/ST), HHA services, behavioral health, and DME.</li><li>
Coordinates the delivery of high quality, cost-effective care based on a customized population model of care supported by evidence based clinical practice guidelines.</li><li>
Advocates for the member/caregiver to obtain the health care and other services needed to optimize their quality of life.</li><li>
Utilizes the Care Management process to set priorities, plan, organize and implement interventions that are goal directed towards self-care outcomes and the transition to independent status.</li><li>
Promotes adherence to the physician treatment plan by providing education, coaching and support.</li><li>
Educates, coordinates, and provides resources to reduce inappropriate utilization of emergency room (ER) and hospital service.</li><li>
Increases utilization of primary care, specialty care, preventive health and guideline-based treatments including proper pharmacotherapy within network, as appropriate.</li><li>
Participates in interdisciplinary team (IDT) meetings and provide input on customer service-related activities.</li><li>
Protects the confidentiality of member information and adheres to company policies regarding confidentiality.</li><li>
Ensures compliance with payors&rsquo; policies and procedures as well as all Federal and State regulations.</li><li>
Interprets and implements VNS Health policies, state and federal regulations.</li><li>
Participates in special projects and performs other duties as assigned.</li></ul>
Qualifications:
<p><b>
Licenses and Certifications:</b></p><ul><li>
License and current registration to practice as a Registered Professional Nurse in NYS required</li><li>
Certified Case Manager - Commission for Case Manager Certification within 1 year of employment required</li></ul><p><b><br>
Education:</b></p><ul><li>
Associate's Degree in nursing required</li><li>
Bachelor's Degree in nursing preferred</li></ul><p><b><br>
Work Experience:</b></p><ul><li>
Minimum two years of experience in health related field required</li><li>
Care management and/or managed care experience preferred</li><li>
Proficiency in Microsoft Office applications required</li><li>
Demonstrated analytical skills required</li></ul>
Pay Range: USD $93,400.00 - USD $116,800.00 /Yr.</div>

Clinical Care Manager, Registered Nurse, Chronic Care Management (Mostly Remote)

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