Clinical Manager-Care Management-Hybrid Job at VNS Health, New York, NY

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  • VNS Health
  • New York, NY

Job Description

Job Description

Overview \n
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\nEnsures the quality, safe delivery, and cost-effective home care services. Coordinates home care services that reflect VNS Health's philosophy and ensures standards of care are maintained. Works under general direction. \n
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What We Provide

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  • Referral bonus opportunities   
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  • Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays 
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  • Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability  
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  • Employer-matched retirement saving funds 
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  • Personal and financial wellness programs  
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  • Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care   
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  • Generous tuition reimbursement for qualifying degrees 
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  • Opportunities for professional growth and career advancement  
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  • Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities  
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What You Will Do

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  • Review all clinical documentation completed by Registered Nurse Field Supervisors (RNFS) for comprehensiveness, accuracy, proper formatting, legibility, and compliance with standards of care.
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  • Maintain collaborative relationships with personnel from other provider organizations to coordinate patient services, develop joint educational initiatives, and ensure compliance with contractual clinical management obligations.
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  • Develop, implement, and maintain clinical policies and procedures in collaboration with team members while ensuring adherence to accreditation and regulatory standards.
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  • Participate in the development and maintenance of clinical evaluation tools used for RNFS screening, orientation, and field performance assessments.
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  • Contribute to the planning and development of business strategies focused on expanding nursing service opportunities.
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  • Assist in developing marketing strategies and actively participate in marketing initiatives to support business growth.
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  • Provide on-call coverage based on departmental needs.
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  • Counsel and advise individuals inquiring about services regarding appropriate levels of care and referral pathways for members and caregivers.
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  • Serve as a clinical resource and subject matter expert for staff across the organization.
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  • Ensure the delivery of high-quality patient care within the assigned area by supporting schedulers and RNFS in completing timely field visits for supervision, assessment, training, support, and crisis management.
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  • Anticipate and prevent patient incidents by addressing potential care or service-related issues communicated by Clinical Case Managers (CCMs), supervisors, HHAs, RNFS, patients, and caregivers.
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  • Participate in the investigation of incidents and complaints within the assigned area and collaborate with leadership on disciplinary actions when necessary.
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  • Support department leadership in onboarding and educating new staff members. Conduct field supervision and performance oversight for RNFS during their initial three months in a new role and annually thereafter.
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  • Monitor email communications to identify changes in patients’ clinical conditions that may require escalation or modifications to the aide plan of care.
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  • Evaluate the effectiveness and efficiency of care and services provided, initiating case management conferences with healthcare team members as appropriate.
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  • Ensure all services are delivered in accordance with accepted nursing practices, regulatory requirements, and accrediting body standards.
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  • Participate in Quality Assurance and Performance Improvement (QAPI) activities as assigned.
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  • Assist with special projects and perform additional duties as assigned.
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Qualifications \n
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Licenses and Certifications: \n
\nLicense and current registration to practice as a Registered Professional Nurse, in New York State requiredCPR Certification required \n
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Education: \n
\nBachelor's Degree in Nursing from an approved program requiredMaster's Degree in Nursing preferred\n
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Work Experience: \n
\nMinimum two years clinical experience requiredMinimum of two years managerial experience in a LHCSA or CHAA preferredProficiency in Microsoft Office applications requiredExcellent problem-solving and organizational, interpersonal, and verbal and written communication skills required \n
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Pay Range \n
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\nUSD $93,400.00 - USD $116,800.00 /Yr. \n
About Us \n
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\nVNS Health has been committed to meeting the needs of New Yorkers for over 130 years. We’re one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day.

Job Tags

Work experience placement, Work at office, Flexible hours

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