
Dallas, Texas
Parkland Health and Hospital System (PHHS)
Are you looking for a career that offers both purpose and the opportunity for growth? Parkland Community Health Plan (PCHP) is a proud member of the Parkland Health family. PCHP is a Medicaid Managed Care Organization servicing Texas Medica...
15d
Job Type | Full Time |

Regional Clinical Director, Hospice Home Care (Brooklyn & Staten Island)
Staten Island, New York
Overview Directs and coordinates management/staff in the delivery of patient care services for all regions. Responsible for the delivery of quality cost effective Hospice home care services to patients/families in compliance with VNS Health...
15d
Job Type | Full Time |

Clinical Evaluation Manager, Utilization Management
New York, New York
Overview Assesses member needs and identifies solutions that promote high quality and cost-effective health care services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical determ...
15d
Job Type | Full Time |

Clinical Evaluation Manager, Utilization Management
New York, New York
Overview Assesses member needs and identifies solutions that promote high quality and cost-effective health care services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical determ...
15d
Job Type | Full Time |

Director, Home Health Clinical Excellence & Regulatory Compliance
New York, New York
Overview The Director, Home Health Clinical Excellence & Regulatory Compliance is a strategic and operational expert responsible for driving clinical excellence, ensuring regulatory compliance, and mitigating risk across the Home Care line ...
15d
Job Type | Full Time |

Clinical Evaluation Manager, Utilization Management
New York, New York
Overview Assesses member needs and identifies solutions that promote high quality and cost-effective health care services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical determ...
15d
Job Type | Full Time |

Director, Compliance and External Audit
New York, New York
Overview Directs the response to audits related to Medicare and Medicaid billing compliance for VNS Health's provider lines of business - i.e., VNS Health Home Care, VNS Health Hospice Care, VNS Health Behavioral Health, VNS Health Personal...
15d
Job Type | Full Time |

Long Island City, New York
Overview Manages and oversees the administration of a Behavioral Health Services (BHS) program, including the appropriate utilization and management of staff and the quality of program participants care with an emphasis upon an inter-discip...
15d
Job Type | Full Time |

Clinical Evaluation Manager, Utilization Management
New York, New York
Overview Assesses member needs and identifies solutions that promote high quality and cost-effective health care services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical determ...
15d
Job Type | Full Time |

Clinical Manager, Nurse Practitioner, Medical Care at Home
New York, New York
Overview Directs, coordinates, manages, and oversees the activities of ESPRIT clinical staff to ensure the highest level of patient-centered care, including quality and financial outcomes. Collaborates with ESPRIT leadership and other VNS H...
15d
Job Type | Full Time |