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Visiting Nurse Service of NY

Company:

Account Manager (Multi-Regional) Nassau Regional Office Full-time 36.25 Hospice Channel REQ# 27451

Responsibilities: Leads business to business customer solutions through sales, implementation and account management to support the achievement of enterprise strategies and targets. Collaborates with clinical and clinical support staff to generate referrals for VNSNY services. Ensures VNSNY programs meet the needs of referral sources. Builds new and expands current VNSNY relationships with business to business customers that results in win/win business growth opportunities and effectively cross-sells all VNSNY programs and services. Provides day-to-day account management support through continual contact with facility staff and/or physicians or physician office staff.Identifies opportunities and participates in strategy development of new and/or enhanced business opportunities designed to meet/exceed sales targets and support customer outcomes goals.Gains thorough understanding of client's business needs, objectives, and processes to provide value through deliverance of high-level process management and implementation of best

practicesProfiles referral sources and identifies key opportunities to partner with new and existing customers that meet the goals of both enterprises.

Qualifications: Education: Bachelor's Degree in Marketing, Business, Health Care Administration, Nursing or related discipline or equivalent work experience required.Experience: Minimum of three years of management, marketing or sales experience required, preferably in health care, nursing, social services, or related discipline required. Ability to adapt to change and work in a team based environment required. Ability to be persuasive, negotiate to win-win outcomes and demonstrate exceptional customer service skills required. Demonstrated ability to gain commitment, build rapport with others (facility staff, physicians, etc.) required. Strong detail oriented and follow up skills required, as well as the ability to manage multiple priorities. Knowledge of managed care, Medicare/Medicaid and insurance authorization/billing preferred. Bilingual skills may be required, as determined by operational needs.Valid driver's license may be required, as determined by operational/regional needs.

Account Manager (Multi-Regional) 1250 Broadway Full-time 36.25 Physician Channel REQ# 27509

Responsibilities: Leads business to business customer solutions through sales, implementation and account management to support the achievement of enterprise strategies and targets. Collaborates with clinical and clinical support staff to generate referrals for VNSNY services. Ensures VNSNY programs meet the needs of referral sources.

Qualifications: Education: Bachelor's Degree in Marketing, Business, Health Care Administration, Nursing or related discipline or equivalent work experience required.Experience: Minimum of three years of management, marketing or sales experience required, preferably in health care, nursing, social services, or related discipline required. Ability to adapt to change and work in a team based environment required. Ability to be persuasive, negotiate to win-win outcomes and demonstrate exceptional customer service skills required. Demonstrated ability to gain commitment, build rapport with others (facility staff, physicians, etc.) required. Strong detail oriented and follow up skills required, as well as the ability to manage multiple priorities. Knowledge of managed care, Medicare/Medicaid and insurance authorization/billing preferred.Bilingual skills may be required, as determined by operational needs.Valid driver's license may be required,

Account Manager (Queens/Westchester, Sales Exp Required) Queens Regional Office Full-time 36.25 Hospice Channel REQ# 27258

Responsibilities: Leads business to business customer solutions through sales, implementation and account management to support the achievement of enterprise strategies and targets. Collaborates with clinical and clinical support staff to generate referrals for VNSNY services. Ensures VNSNY programs meet the needs of referral sources. Works under general direction.

Qualifications: Education: Bachelor's Degree in Marketing, Business, Health Care Administration, Nursing or related discipline or equivalent work experience required. Experience: Minimum of three years of management, marketing or sales experience required, preferably in health care, nursing, social services, or related discipline required. Ability to adapt to change and work in a team based environment required. Ability to be persuasive, negotiate to win-win outcomes and demonstrate exceptional customer service skills required. Demonstrated ability to gain commitment, build rapport with others (facility staff, physicians, etc.) required. Strong detail oriented and follow up skills required, as well as the ability to manage multiple priorities. Knowledge of managed care, Medicare/Medicaid and insurance authorization/billing preferred. Bilingual skills may be required, as determined by operational needs.Valid driver's license and access to a vehicle is required.

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Visiting Nurse Service of NY

Company:

Associate General Counsel 107 East 70th Street Full-time 36.25 Legal Department REQ# 27358

Responsibilities: Assists in protecting VNSNY's and its affiliates' legal interests and maintaining operations within the scope established by law. Provides legal advice and guidance, and assists senior leadership with regard to the legal implications and considerations of current or prospective programs, services, agreements and/or contracts; reviews official

correspondence and records to ensure legal compliance; determines legal impact of statutory and regulatory requirements and developments; and acts as liaison with outside counsel. Works under general direction.

Qualifications: Licensure: Current registration to practice law in New York State required. Education: Juris Doctorate required. Experience: Minimum of six years of working knowledge of corporate law, document preparation, litigation, regulatory agency procedures and contract negotiation required. Experience in a healthcare environment preferred.

Associate Project Manager, Performance & Innovation 1250 Broadway Full-time 36.25 Performance and Innovation Department REQ# 27214

Responsibilities: Provides analytical, planning, coordination, and implementation support to performance improvement activities and projects identified by the Chief Executive Officer and the various strategic business units across the VNSNY organization. Assists department senior management with tracking implementation and monitoring effectiveness of organizational changes, including designing analytical approaches, data collection and analysis, report writing, tracking project tasks, and helping to ensure the overall success of the department. Works under general supervision.

Qualifications: Education: Bachelor's Degree preferably in Business or related discipline required. Master's Degree in Business Administration, Public Administration or related field required. Experience: Minimum three years progressive experience in consulting, operations, financial analysis, or related discipline ' OR - two years progressive experience and a Master's Degree in Business Administration, Public Administration or related field required. Proficient with personal computers, including Microsoft Windows Excel, Word, Access, Power Point required. Project management and facilitation skills required.

Board Liaison (Paralegal Preferred) 1250 Broadway Full-time 36.25 Risk REQ# 27044

Responsibilities: Serves as the primary liaison between the Executive Office and the VNSNY Boards of Directors to exchange information and promote favorable relations. Oversees general corporate governance related to the Board of Directors. Develops/revises the structure and format for general Board and committee meetings, organizes meetings, coordinates logistics, ensures timely distribution of Board-related information and follows up on resulting action items to ensure completion. Helps recruit new Board members and ensures their effective orientation. Works under general supervision.

Qualifications: Education: Bachelors Degree in Business Administration, Communications, Public Relations, Public Health or a related discipline required. J.D. helpful. Experience: Minimum three years experience working as a Board Liaison, in a CEOs office OR a minimum of two years experience working in a legal or corporate governance setting required. Strong knowledge of board of director meeting activities, information requirements and protocols, and logistical planning required. Some knowledge of public, media relations preferred. Excellent verbal, written communication, interpersonal, presentation and organizational skills, and the ability to interact with staff at the highest organizational level and multi-task in a fast-paced environment required. Proficient personal computer skills, including word processing, spreadsheet, and presentation software (e.g., Word, Excel, and PowerPoint) required. Experience preparing and maintaining databases preferred.

Child Life Specialist Bronx Regional Office Full-time 36.25 Community Benefit, Pedicare Palliative Care REQ# 27217

Responsibilities: Provides individual and family intervention in home to assist patient and family in dealing with the diagnosis and disease prognosis in family life. Provides direct child life services to children/families in the Childrens and Family Services Division consistent with Division philosophy, goals, objectives, and Standards of Practice. Works under general supervision.

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Visiting Nurse Service of NY

Company:

COE Manager, RN - Wound 1250 Broadway Full-time 36.25 Clinical Transformation and Innovation REQ# 26265

Responsibilities: Plans and implements population/disease management programs and related protocols/policies based on evaluation of clinical outcomes and staff practice patterns. Collaborates with managers and staff to improve clinical outcomes. Provides expert consultations, staff development plans, and continuous quality improvement (CQI) strategies. Works under general supervision.

Qualifications: Licensure: License and current registration to practice as a Registered Professional Nurse in the State of New York required. Certification: Clinical certification in a specific specialty, such as diabetes, oncology, wound/ostomy/continence etc.) required.Education: Bachelor's or Master's degree in nursing required. For internal candidates who do not meet this requirement, the candidate is required to be accepted to an accredited program, currently registered for course(s), and committed to remaining continuously enrolled until completion of the program and attainment of the degree to meet this qualification.Experience: Minimum of five years clinical nursing experience, including at least two years in a clinical specialty, required. Experience developing and delivering disease specific educational programs preferred. Effective oral/written communication and interpersonal skills required. Proficient with personal computers, including Microsoft Office Word, Excel preferred.

COE Manager, RN (Wound) 1250 Broadway Full-time 36.25 Clinical Transformation and Innovation REQ# 26875

Responsibilities: Plans and implements population/disease management programs and related protocols/policies based on evaluation of clinical outcomes and staff practice patterns. Collaborates with managers and staff to improve clinical outcomes. Provides expert consultations, staff development plans, and continuous quality improvement (CQI) strategies. Works under general supervision.

Qualifications: Licensure: License and current registration to practice as a Registered Professional Nurse in the State of New York required. Certification: Clinical certification in a specific specialty, such as diabetes, oncology, wound/ostomy/continence etc.) required.Education: Bachelors or Masters degree in nursing required. For internal candidates who do not meet this requirement, the candidate is required to be accepted to an accredited program, currently registered for course(s), and committed to remaining continuously enrolled until completion of the program and attainment of the degree to meet this qualification.Experience: Minimum of five years clinical nursing experience, including at least two years in a clinical specialty, required. Experience developing and delivering disease specific educational programs preferred. Effective oral/written communication and interpersonal skills required. Proficient with personal computers, including Microsoft Office Word, Excel preferred.

COE Manager, RN, PD (WOCN) 1250 Broadway Per Diem Varies Clinical Transformation and Innovation REQ# 27068

Responsibilities: Plans and implements population/disease management programs and related protocols/policies based on evaluation of clinical outcomes and staff practice patterns. Collaborates with managers and staff to improve clinical outcomes. Provides expert consultations, staff development plans, and continuous quality improvement (CQI) strategies. Works under general supervision.

Qualifications: Licensure: License and current registration to practice as a Registered Professional Nurse in the State of New York required. Certification: Clinical certification in a specific specialty, such as diabetes, oncology, wound/ostomy/continence etc.) required.Education: Bachelors or Masters degree in nursing required. For internal candidates who do not meet this requirement, the candidate is required to be accepted to an accredited program, currently registered for course(s), and committed to remaining continuously enrolled until completion of the program and attainment of the degree to meet this qualification.Experience: Minimum of five years clinical nursing experience, including at least two years in a clinical specialty, required. Experience developing and delivering disease specific educational programs preferred. Effective oral/written communication and interpersonal skills required. Proficient with personal computers, including Microsoft Office Word, Excel preferred.

(4)

Visiting Nurse Service of NY

Company:

COE Manager, RN, PD (WOCN) 1250 Broadway Per Diem Varies Clinical Transformation and Innovation REQ# 27069

Responsibilities: Plans and implements population/disease management programs and related protocols/policies based on evaluation of clinical outcomes and staff practice patterns. Collaborates with managers and staff to improve clinical outcomes. Provides expert consultations, staff development plans, and continuous quality improvement (CQI) strategies. Works under general supervision.

Qualifications: Licensure: License and current registration to practice as a Registered Professional Nurse in the State of New York required. Certification: Clinical certification in a specific specialty, such as diabetes, oncology, wound/ostomy/continence etc.) required.Education: Bachelors or Masters degree in nursing required. For internal candidates who do not meet this requirement, the candidate is required to be accepted to an accredited program, currently registered for course(s), and committed to remaining continuously enrolled until completion of the program and attainment of the degree to meet this qualification.Experience: Minimum of five years clinical nursing experience, including at least two years in a clinical specialty, required. Experience developing and delivering disease specific educational programs preferred. Effective oral/written communication and interpersonal skills required. Proficient with personal computers, including Microsoft Office Word, Excel preferred.

Development Assistant (Raisers Edge Req) 107 East 70th Street Full-time 36.25 Development and Fund Raising REQ# 27508

Responsibilities: Provides data entry duties relating to Individual and Institutional Giving, including Direct Mail, Raiser's Edge (RE) database, preparation of RE and Excel documents and reports, as well as doing back-end database work as it relates to returned mail from the direct mail campaign. Ensures gifts are entered into Raiser's Edge (RE) on a daily basis. Enters Matching Gift information and assists other Development staff with Matching Gift forms. Provides direct customer service to individual donors, including responding to inquiries, processing credit cards, and sending donor acknowledgments through RE. Provides administrative support to the department.

Qualifications: Education: Associate's Degree, or the equivalent work experience required. Experience: Minimum of two years data entry experience, preferably in a fundraising for social service or health care environment, required. Proficiency with Raisers Edge required; strong computer/database skills in Excel, Word, and Outlook required. Excellent oral/written communication, attention to detail, and interpersonal skills required.

Dir., Enterprise Architecture 5 Penn Plaza Full-time 36.25 Information Technology Systems and Services REQ# 26223

Responsibilities: Establishes an enterprise and solution architecture service across VNSNY Information Technology in order to drive the delivery of fit-for-purpose, repeatable solutions that are built upon agreed standards. Establishes a reference architecture framework for VNSNY and determines and maintains the technical standards (applications, languages, tools sets, etc.) that enable VNSNY IT to maximize the delivery of repeatable, sustainable and scalable business solutions. Defines systems, technical and application architectures, and in some instances, the business systems architecture for major areas of delivery/development. Focus areas include: SaaS Application integration, definition of Service Oriented Architecture (SOA) and adoption into our Service Delivery Life Cycle (SDLC), messaging architecture, and IBM and Microsoft architectures. Works under limited direction.

Qualifications: Bachelors degree in computer science or related IT field or equivalent work experience required. Master's Degree preferred. Minimum 10 years experience working on enterprise-wide IT projects within the architectural domain required, preferably within the Health Provider and/or Payer industries. A broad range of business/clinical solutions for each of those domains required. Working knowledge of workflow, web interfaces, SOA, and telephony solutions required. Expertise in developing and architecting solutions in a collaborative environment, as well as significant experience in multiple hardware/software computing environments and system components required. Experience in business process re-engineering or process improvement, involving broad-based information systems, utilizing tools and techniques to effect business change; business systems analysis experience required. Demonstrated experience in translating business strategies, across several business units, into effective solutions required. Ability to extract and translate business strategy into architectural requirements required. Demonstrated strong interpersonal and organizational leadership skills required. Ability to collaboratively produce quality solutions to meet organizational needs required. Ability to make enterprise level decisions, think strategically and exhibit exceptional leadership skills required. Ability to be results oriented, and to participate and/or manage large scale, multi-disciplined concurrent projects required. Ability to design and implement business architecture processes and strategies required. Exceptional analytical, planning, and communication skills required. Ability to be a visionary, and to anticipate future IT direction and ability to

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Visiting Nurse Service of NY

Company:

Dir., Strategic Account Dev 1250 Broadway Full-time 36.25 Physician Channel REQ# 27569

Responsibilities: Leads business to business customer solutions through sales, implementation and account management across all regions to support the achievement of enterprise strategies and targets. Collaborates with customer c-suites to identify and develop new business opportunities. Leads account planning process. Works under general direction.

Qualifications: Education: Bachelors Degree in Marketing, Business, Health Care Administration, Nursing or related discipline or equivalent work experience required. Experience: Minimum of five years of management, marketing or sales experience required, preferably in health care, nursing, social services, or related discipline required. Ability to adapt to change and work in a team based environment required. Ability to be persuasive, negotiate to win-win outcomes and demonstrate exceptional customer service skills required. Demonstrated ability to gain commitment, build rapport with others (facility executives) required. Strong detail oriented and follow up skills required, as well as the ability to manage multiple priorities. Knowledge of managed care, Medicare/Medicaid and insurance authorization/billing preferred. Demonstrated successful strategic/solutions and/or systems integration sales experience required. Ability to collaborate with and influence others inside/outside own department/functional area required. Bilingual skills may be required, as determined by operational needs.Valid driver's license may be required, as determined by operational/regional needs.

Education Manager, IT 1250 Broadway Full-time 36.25 Clinical Transformation and Innovation REQ# 27233

Responsibilities: Plans, manages, and evaluates IT orientation and ongoing education and training programs for staff across the Enterprise. Collaborates with regional/program leadership in the delivery of new hire and ongoing IT education and competency development. Develops new and modifies existing curriculum and training materials to ensure all IT training and educational needs are met. Recommends and implements approved changes to ensure effective IT education and training support for field operations. Partners with Centers of Excellence to ensure that IT education and training is aligned with current clinical standards, guidelines, relevant statutes, rules and regulations. Facilitates enterprise-wide consistency of dissemination of standardized IT education policies, procedures and programs. Works under general direction.

Qualifications: Education: Bachelors degree in education or a related field required. Masters degree preferred. Experience: Minimum four years experience training, organizing workshops and education various levels of staff required. Experience assessing and designing IT education programs preferred. Experience in a health care setting in a teaching capacity with an understanding of adult education and learning processes preferred. Effective oral and written communication, presentation, analytical, coaching and organizational skills required. Knowledge of computer applications required. Knowledge of health care delivery systems, patient care, and care coordination preferred.

Employee Relations Specialist 1250 Broadway Full-time 36.25 Employee Relations Department REQ# 27477

Responsibilities: Responsible for providing guidance to all levels of staff regarding application of Human Resources policies and procedures and collective bargaining agreements to foster a positive working environment and to promote organizational effectiveness by concentrating efforts in assigned area(s) as described below. Develops and implement activities, services and programs to enhance employee recognition, communications, recruitment, retention and engagement. Works under general direction.

Qualifications: Education: Bachelors Degree in Human Resources Management or related area is required. Masters Degree in related discipline is preferred.Experience: Minimum of three years related experience, which depending upon the focus of the position may include, experience designing and implementing employee recognition/awards program; a proven record of successful event planning; experience with vendor negotiation; interpretation of personnel policy and procedures, supervisory training, advanced knowledge of employment legislation (FLSA, EEO, FMLA, ADA, NLRA); and experience interpreting collective bargaining agreements, required. Advanced business writing skills for varied and large audiences required. Strong presentation skills, including experience-facilitating presentations is required. Proficient with personal computers including word and excel and other software as needed required.

Facilities Assistant 107 East 70th Street Full-time 36.25 Facilities and Property Management Department REQ# 27468

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Visiting Nurse Service of NY

Company:

Home Care Consultant White Plains Hospital Full-time 36.25 Regional Intake Unit REQ# 27601

Responsibilities: Responsible for assessing/evaluating patients referred to VNS Home Care program to determine appropriateness of admission. Establishes/promotes and fosters ongoing collaborative communication system with institutional personnel to establish coordinated home care. Manages and facilitates the safe and timely transfer of patients from a hospital or skilled nursing facility to the care of the Agency. Works under general supervision.

Qualifications: Licensure: License and current registration to practice as a Registered Professional Nurse, in New York State required.Education: Diploma in Nursing from a state approved program - OR - Associates Degree in Nursing from a state approved program with at least one year experience as a full-time staff nurse in a medical or surgical nursing area - OR - Bachelors Degree in Nursing from a approved program accredited by the National League of Nursing - OR - Bachelors Degree from a non-approved program supplemented by content which can be equated to the approved program required.Experience: Minimum of one year of clinical nursing experience in a homecare, hospital or long term care facility required. Experience in case management, administration or discharge planning experience in a hospital setting preferred.

Home Care Consultant 1250 Broadway Full-time 36.25 Regional Intake Unit REQ# 27602

Responsibilities: Responsible for assessing/evaluating patients referred to VNS Home Care program to determine appropriateness of admission. Establishes/promotes and fosters ongoing collaborative communication system with institutional personnel to establish coordinated home care. Manages and facilitates the safe and timely transfer of patients from a hospital or skilled nursing facility to the care of the Agency. Works under general supervision.

Qualifications: Licensure: License and current registration to practice as a Registered Professional Nurse, in New York State required.Education: Diploma in Nursing from a state approved program - OR - Associates Degree in Nursing from a state approved program with at least one year experience as a full-time staff nurse in a medical or surgical nursing area - OR - Bachelors Degree in Nursing from a approved program accredited by the National League of Nursing - OR - Bachelors Degree from a non-approved program supplemented by content which can be equated to the approved program required.Experience: Minimum of one year of clinical nursing experience in a homecare, hospital or long term care facility required. Experience in case management, administration or discharge planning experience in a hospital setting preferred.

Home Care Consultant 1250 Broadway Full-time 36.25 Regional Intake Unit REQ# 27603

Responsibilities: Responsible for assessing/evaluating patients referred to VNS Home Care program to determine appropriateness of admission. Establishes/promotes and fosters ongoing collaborative communication system with institutional personnel to establish coordinated home care. Manages and facilitates the safe and timely transfer of patients from a hospital or skilled nursing facility to the care of the Agency. Works under general supervision.

Qualifications: Licensure: License and current registration to practice as a Registered Professional Nurse, in New York State required. Education: Diploma in Nursing from a state approved program - OR - Associates Degree in Nursing from a state approved program with at least one year experience as a full-time staff nurse in a medical or surgical nursing area - OR - Bachelors Degree in Nursing from a approved program accredited by the National League of Nursing - OR - Bachelors Degree from a non-approved program supplemented by content which can be equated to the approved program required. Experience: Minimum of one year of clinical nursing experience in a homecare, hospital or long term care facility required. Experience in case management, administration or discharge planning experience in a hospital setting preferred.

Home Care Consultant 1250 Broadway Full-time 36.25 Regional Intake Unit REQ# 27604

Responsibilities: Responsible for assessing/evaluating patients referred to VNS Home Care program to determine appropriateness of admission. Establishes/promotes and fosters ongoing collaborative communication system with institutional personnel to establish coordinated home care. Manages and facilitates the safe and timely transfer of patients from a hospital or skilled nursing facility to the care of the Agency. Works under general supervision.

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Visiting Nurse Service of NY

Company:

Home Care Consultant Brooklyn Regional Office Full-time 36.25 Regional Intake Unit REQ# 27605

Responsibilities: Responsible for assessing/evaluating patients referred to VNS Home Care program to determine appropriateness of admission. Establishes/promotes and fosters ongoing collaborative communication system with institutional personnel to establish coordinated home care. Manages and facilitates the safe and timely transfer of patients from a hospital or skilled nursing facility to the care of the Agency. Works under general supervision.

Qualifications: Licensure: License and current registration to practice as a Registered Professional Nurse, in New York State required.Education: Diploma in Nursing from a state approved program - OR - Associates Degree in Nursing from a state approved program with at least one year experience as a full-time staff nurse in a medical or surgical nursing area - OR - Bachelors Degree in Nursing from a approved program accredited by the National League of Nursing - OR - Bachelors Degree from a non-approved program supplemented by content which can be equated to the approved program required.Experience: Minimum of one year of clinical nursing experience in a homecare, hospital or long term care facility required. Experience in case management, administration or discharge planning experience in a hospital setting preferred.

Home Care Consultant 1250 Broadway Full-time 36.25 Regional Intake Unit REQ# 27606

Responsibilities: Responsible for assessing/evaluating patients referred to VNS Home Care program to determine appropriateness of admission. Establishes/promotes and fosters ongoing collaborative communication system with institutional personnel to establish coordinated home care. Manages and facilitates the safe and timely transfer of patients from a hospital or skilled nursing facility to the care of the Agency. Works under general supervision.

Qualifications: Licensure: License and current registration to practice as a Registered Professional Nurse, in New York State required.Education: Diploma in Nursing from a state approved program - OR - Associates Degree in Nursing from a state approved program with at least one year experience as a full-time staff nurse in a medical or surgical nursing area - OR - Bachelors Degree in Nursing from a approved program accredited by the National League of Nursing - OR - Bachelors Degree from a non-approved program supplemented by content which can be equated to the approved program required.Experience: Minimum of one year of clinical nursing experience in a homecare, hospital or long term care facility required. Experience in case management, administration or discharge planning experience in a hospital setting preferred.

Intake Associate Mt. Sinai of Queens Full-time 36.25 Regional Intake Unit REQ# 27510

Responsibilities: Responds to inbound phone calls and determines customer needs while providing accurate and responsive intake. Provides general VNSNY information to the referrer, patient and community, ensuring excellent customer service. Processes and transcribes patient information for referral entry and responds to electronic platforms, faxed or phone referrals. Follows VNSNY admission criteria and processes referrals accordingly. Facilitates the safe and timely transfer of patients from a hospital, skilled nursing facility, physician office, or other home care site to the care of VNSNY. Works under moderate supervision.

Qualifications: Education: High School Diploma or equivalency required. Associates Degree in Health Care, Business or related field preferred. Experience: Minimum one year of customer service experience required, preferably in the healthcare industry (i.e. hospital, long term care, home care setting, or medical office). Ability to quickly learn and understand medical terminology required. Experience entering data, navigating and retrieving information through a mainframe or similar computer system required. Ability to adapt to change and work in a team based environment required. Ability to be persuasive, negotiate to win-win outcomes and demonstrate exceptional customer service skills required.

Demonstrated capability to gain commitment, build rapport with others (patients, families, physicians, clinicians, institutions etc.) required. Strong follow up skills required, as well as the ability to manage multiple priorities. Knowledge of managed care, Medicare/Medicaid and insurance authorization/billing helpful but not required. Bilingual skills may be required, as determined by operational needs.

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Visiting Nurse Service of NY

Company:

Intake Associate Hospital for Special Surgery Full-time 36.25 Regional Intake Unit REQ# 27545

Responsibilities: Responds to inbound phone calls and determines customer needs while providing accurate and responsive intake. Provides general VNSNY information to the referrer, patient and community, ensuring excellent customer service. Processes and transcribes patient information for referral entry and responds to electronic platforms, faxed or phone referrals. Follows VNSNY admission criteria and processes referrals accordingly. Facilitates the safe and timely transfer of patients from a hospital, skilled nursing facility, physician office, or other home care site to the care of VNSNY. Works under moderate supervision.

Qualifications: Education: High School Diploma or equivalency required. Associates Degree in Health Care, Business or related field preferred. Experience: Minimum one year of customer service experience required, preferably in the healthcare industry (i.e. hospital, long term care, home care setting, or medical office). Ability to quickly learn and understand medical terminology required. Experience entering data, navigating and retrieving information through a mainframe or similar computer system required. Ability to adapt to change and work in a team based environment required. Ability to be persuasive, negotiate to win-win outcomes and demonstrate exceptional customer service skills required.

Demonstrated capability to gain commitment, build rapport with others (patients, families, physicians, clinicians, institutions etc.) required. Strong follow up skills required, as well as the ability to manage multiple priorities. Knowledge of managed care, Medicare/Medicaid and insurance authorization/billing helpful but not required. Bilingual skills may be required, as determined by operational needs.

Ld. Data Warehouse Developer 5 Penn Plaza Full-time 36.25 Information Technology Applications Design and Development REQ# 27149

Responsibilities: Functions as a Lead Data Warehouse (Informatica) Developer / Analyst responsible for building an Enterprise Data Warehouse that serves the reporting and analytical needs for the Enterprise, as well as IT consumers. Responsible for Service Delivery Life Cycle (SDLC) of Data Integration projects including preparing detailed technical design documents from functional requirement documents, designing and developing ETL (Extract, Transform and Load) framework, establishing DB application schemas and developing database code, participating in unit and system testing of end-to-end integration, and performing release management and production support as needed.

Qualifications: Education: Bachelors degree in Computer Science, Information Systems, a related field or equivalent work experience required. Experience: Minimum of 5 years of experience required in Data Integration projects working on ETL framework for Data Warehouse projects preferably using Informatica 9.x. Hands on experience creating mappings, mapplets, sessions, workflows, and worklets required. Experience with performance tuning techniques on mapping and session levels (DTM buffer/block size configurations, partitioning and etc.) required. Working experience in using parameters and variables required. Experience with Oracle database development for data warehouse project including writing complex SQL queries, PL SQL functions, procedures and packages required. Hands on experience in performance tuning of SQLs required. Experience in Unix shell scripting required. Experience with Advanced Scheduling tools such as Autosys, Control-M or Tivoli etc required. Working knowledge of data modeling, and understating various aspects of logical, conceptual and physical modeling of data warehouse projects required. Ability to work independently, take initiative and contribute to new ideas required.

Manager, Financial Info Systems 5 Penn Plaza Full-time 36.25 Financial Information Systems REQ# 27151

Responsibilities: Manages the day to day operations of the Financial Information Systems (FIS) and ensuring continuous improvement of the systems (Peoplesoft & Hyperion), related business processes and reporting/analytic capabilities of FIS. Assists Finance leadership in the strategic planning, improving and implementing systems related needs for the Finance Department. Oversees the established procedures for the distributed Finance System and ensures all interfaces are correct. Works under general direction.

Qualifications: Education: Bachelor's degree in Accounting, Finance, Information Systems or related field required. Master's degree in Business Administration or related field preferred. Experience: Minimum six years of experience working with Financial Information Systems, with a minimum of two years of experience in a supervisory/leadership role, required. Strong knowledge of Peoplesoft Application Suite (including Finance, HR, Accounting, Payroll, etc.) required. Excellent communication, reporting/analytical and project

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Visiting Nurse Service of NY

Company:

Per Diem Supervisor, CCC ¿ Overnight shift (RN Required) 1250 Broadway Per Diem Varies Customer Care Center REQ# 27145

Responsibilities: Licensure: License and current registration to practice as a Registered Professional Nurse in New York State, required. Education: Associates Degree in Nursing, a health or human services field or the equivalent, required. Bachelors Degree in Nursing, a health or human services field or the equivalent, preferred. Experience: Minimum of two years experience in Home Care Ambulatory Care, Emergency Room, Acute Care Telephone Triage and/or Management, required. Clinical competence in nursing, required. Ability to multi task in a fast paced setting, listen attentively /evaluate calls/ use judgement in a time sensitive environment, required. Effective oral/written communication, analytical, interpersonal and leadership skills, required. Proficient in the use of a personal computer preferably Microsoft Windows, preferred.

Qualifications:

Practice Team Supervisor, Per Diem 1250 Broadway Per Diem Varies New York University Stroke Project REQ# 27599

Responsibilities: Provides advanced nursing clinical care in collaborative practice with a physician associated with Medical Care at Home Professional Corporation. Works in collaboration with physicians and other management staff to develop policies and performance measures for a variety of patient populations within the practice. Provides clinical leadership and instruction to promote increased compliance with a range of quality and cost measures and standards. Manages service delivery of assigned multi-disciplinary teams. Acts as a key resource in providing clinical and operational guidance and support to assigned teams and other staff to achieve and enhance team outcomes. Works under general supervision.

Qualifications: Licensure: License and current registration to practice as a Registered Professional Nurse in New York State required. Certificate (license) and current registration to practice as a Nurse Practitioner in the State of New York, with a specialty in adult health, family health or gerontology, required. Valid driver's license may be required, as determined by operational/regional needs.Maintains credentialed status with ESPRIT Medical Care and associated managed care plans required. Maintains NPI, Medicaid and Medicare provider numbers. Maintains a collaborative practice agreement with a physician in compliance with New York State regulations. Must be certified by ANCC or another accrediting Nurse Practitioner body ' in order to bill Medicare and meet credentialing requirements.Education: Master of Science in Nursing, or other graduate degree from a nurse practitioner educational program registered by the New York State Education Department as qualifying for NP certification (licensure), required. Current ANCC or AANP certification as an adult, family or geriatric nurse practitioner required.Experience: Minimum of two years of experience as a nurse practitioner utilizing full scope of practice preferred. Clinical home care experience or two years managerial experience preferred. Demonstrated knowledge of Hedis and QARR quality measures, ICD-9 and CPT coding for reimbursement of services required. Bilingual skills may be required, as determined by operational needs.

Practice Team Supervisor, Per Diem 1250 Broadway Per Diem Varies New York University Stroke Project REQ# 27600

Responsibilities: Provides advanced nursing clinical care in collaborative practice with a physician associated with Medical Care at Home Professional Corporation. Works in collaboration with physicians and other management staff to develop policies and performance measures for a variety of patient populations within the practice. Provides clinical leadership and instruction to promote increased compliance with a range of quality and cost measures and standards. Manages service delivery of assigned multi-disciplinary teams. Acts as a key resource in providing clinical and operational guidance and support to assigned teams and other staff to achieve and enhance team outcomes. Works under general supervision.

Qualifications: Licensure: License and current registration to practice as a Registered Professional Nurse in New York State required. Certificate (license) and current registration to practice as a Nurse Practitioner in the State of New York, with a specialty in adult health, family health or gerontology, required. Valid driver's license may be required, as determined by operational/regional needs.Maintains credentialed status with ESPRIT Medical Care and associated managed care plans required. Maintains NPI, Medicaid and Medicare provider numbers. Maintains a collaborative practice agreement with a physician in compliance with New York State regulations. Must be certified by ANCC or another accrediting Nurse Practitioner body ' in order to bill Medicare and meet credentialing requirements.Education: Master of Science in Nursing, or other graduate degree from a nurse practitioner

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Visiting Nurse Service of NY

Company:

Recruitment Specialist (Clinical Recruiter) 1250 Broadway Full-time 36.25 Recruitment and Staffing Department REQ# 27465

Responsibilities: Sources, evaluates and interviews exempt and non-exempt candidates using the most timely and cost-effective methods.Communicates regularly with hiring managers to develop and maintain strong partnerships, manages portfolio of job openings and advises on recruitment issues and trends, pre-employment compliance, and interview

techniques.Prepares salary offers utilizing HR reports and queries to ensure internal equity and market competitiveness and extends/negotiates employment and salary offers using established hiring practices. Oversees and performs recruitment administration (e.g., verifying candidate information, facilitating pre-employment physicals, inputting/ensuring input of required data into HR systems, completing new employee files to ensure Agency/Governmental requirements are met. Conducts in-depth reference checks with

candidates' previous employers and colleagues to obtain substantive information regarding nature and quality of candidates' prior work performance, competencies, skills and knowledge.Ensures required data is input into HR systems in an accurate and timely manner up through the offer phase. Identifies, coordinates and represents VNSNY at appropriate recruitment venues such as career fairs, open houses, and other outreach activities.Keeps informed of latest issues and trends in recruitment and health care and is up-to-date on Agency compensation and benefits plans and practices.

Qualifications: Bachelor's DegreeMinimum of three (3) years recruiting experience for positions in a variety of disciplines and levelsStrong knowledge of applicant tracking systems preferredEffective communication and presentation skills Experience in the development and execution of recruitment and project management plans General knowledge of applicable Federal, State and Local employment laws, regulations, rules and practices

Research Interviewer, Per Diem, Bronx (Spanish Preferred) 5 Penn Plaza Per Diem Varies Research Center REQ# 27479

Responsibilities: Responsible for collecting primary data for research projects by interviewing study subjects and recording and organizing study subject interview status. Telephones potential study subjects (e.g., VNSNY patients, staff) to solicit cooperation for research study participation, provides information and answers questions about protocol process. Prescreens study subjects via the telephone using a structured questionnaire or other data collection tool(s). Schedules appointments for in-home interviews and/or telephone interviews with eligible study subjects and conducts follow up interviews, as needed per specific study protocol. Travels to study participants' homes and/or other facilities with varying

environments (e.g., elevated buildings, walk-ups, care facilities, single/multiple family homes, presence of pets, etc.) using approved transportation options to conduct personal interviews with study subjects. Works under close supervision.

Qualifications: Education: High School diploma or equivalency required. Bachelors degree in health care, social services or social sciences preferred. Experience: Prior experience working in a health care setting, home care or geriatrics preferred. Preferred candidates will also have prior interviewing experience and strong communication skills. Excellent customer service and organizational skills required, along with the ability to work autonomously without direct day-to-day supervision required. Candidates must also have access to a personal computer with internet access to receive daily communications from research group. Must be self-motivated to set own work schedule and interviews with patients. This is a Part-Time position mainly located in the Bronx.

Senior Accountant, Grant Program (Grant exp required) 1250 Broadway Full-time 36.25 Specialized Services Operations REQ# 27213

Responsibilities: Assist the Grant Financial Manager in preparation of financial reports, accounting and statistical analysis and operating reports. Prepares operating reports and financial statements from general and subsidiary ledgers. Enters monthly closing data into various databases to ensure accuracy of financial statements. Prepares account analyses to ensure accuracy of financial statements and to ensure correct documentation and proper allocation among departments. Provides manager and Corporate Finance with understanding of budget to actual variances and any known extraordinary items as necessary. Monitors monthly expenses to ensure compliance with grant awards.

Qualifications: Education: Bachelor's Degree in Accounting, Finance or related field, required. Experience: Minimum of two years experience in grant accounting or auditing, required. Working knowledge of Microsoft Word and Excel, required. Knowledge of PeopleSoft General Ledger system, preferred.

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Visiting Nurse Service of NY

Company:

Sr. Financial/Budget Analyst 5 Penn Plaza Full-time 36.25 Financial Planning and Reimbursement Department REQ# 27216

Responsibilities: Responsible for assisting the Director and/or Manager of Financial Analysis/Budget with Agency-wide financial analysis and budgeting activities, focusing on data analysis, budget preparation and cost containment. Works under general direction.

Qualifications: Education: Bachelor's degree in Accounting, Finance, Business Administration or related discipline required. Master's degree in Business Administration, Public Administration or Public Health preferred. Experience: Demonstrated proficiency utilizing PC software, preferably Microsoft Office (Windows Word, Excel), and ability to work with on-line databases and data warehouses required. PeopleSoft n'Vision preferred. Minimum of five years of budgeting/financial analysis in a healthcare setting or related experience preferred.

Statistical Analyst 1250 Broadway Full-time 36.25 Visiting Nurse Service of New York Outcomes Initiatives REQ# 27523

Responsibilities: Responsible for compiling, analyzing and interpreting varied and complex healthcare, clinical and utilization data for Outcome Initiative Team / Research Center. Performs statistical analysis and develops complex reports, tables, graphs and other supporting documentation. Retrieves and compiles data from mainframe and other constructed databases, reviews accuracy of data prior to analysis and corrects discrepancies, analyzes data from internal and external sources using appropriate software. Develops research reports, handles routine, complex and special projects, including research design and methodology, data-gathering protocols, analysis, etc. Recommends and implements efficient means of data collection, management and analysis. Documents all programs and updates as changes occur. Creates, maintains and updates analysis instructions. Works under general supervision.

Qualifications: Education: Bachelors degree, preferably computer science, statistics or social sciences. Masters degree with course works in statistics, preferably statistics or social sciences. Experience: Minimum of five years progressive experience performing increasingly complex data analysis and interpretation required, preferably in a health care setting. Advance proficiency with statistical programs, Microsoft Word, Access and Excel or other statistical or reporting software packages required (i.e., complex formulas (If filters, sorts, conditional/criteria statements, table links, report creation). Effective oral, written and interpersonal communication skills required. Experience with Sas, Spss, or Stata required. Strong analytical and statistical skills (both qualitative and quantitative) required.

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VNSNY CHOICE

Company:

Account Manager, CHOICE (Bilingual English/Cantonese Required) 1250 Broadway Full-time 36.25 VNSNY CHOICE Health Plan - Provider Relations REQ# 26952

Responsibilities: Manages all aspects of provider relations within a specified geographic region. Regularly visits and maintains ongoing contact with existing/potential providers for recruitment, credentialing, re-credentialing and relationship building. Manages and oversees the implementation of provider contracts within assigned territory. Works under general supervision.

Qualifications: Education: Bachelor's degree or equivalent related work experience, preferably in health care setting required. Experience: Minimum three years health care experience, preferably in the area of Provider Relations required. Knowledge of government programs, including Medicare and Medicaid preferred. Bilingual English/Cantonese required.

Administrative Coordinator 1250 Broadway Full-time 36.25 VNSNY CHOICE Fully Integrated Dual Advantage Medical Manageme REQ# 27612

Responsibilities: Administrative Coordinator

Qualifications:

Assoc Operations/Data Analyst 1250 Broadway Full-time 36.25 VNSNY CHOICE Health Plan - Quality Management REQ# 27447

Responsibilities: Assoc Operations/Data Analyst

Qualifications:

Care Mgmt Support Coord Staten Island Regional Office Full-time 36.25 Managed Long Term Care Care Coordination REQ# 27455

Responsibilities: Provides support to the Care Coordinators and other staff in the resolution of member related issues. Communicates with members and their families regarding information about MLTC services. Provides summary reports, analysis and support for care coordination related activities. Participates in non-clinical customer service for members enrolled in the VNSNY CHOICE MLTC plan in collaboration with Care Coordination department and other healthcare professionals. Works under general supervision.

Qualifications: Licensure: Valid driver's license or NYS Non-Driver photo ID card, may be required as determined by operational/regional needs. Education: Bachelor's Degree in Business or other related discipline or equivalent work experience required. Experience: Minimum of two years experience in telephonic customer service required. Experience in a health care organization preferred. Proficiency in MS Word, Excel, and data systems required. General office experience including billing, accounts receivables and/or bookkeeping

preferred. Bilingual skills may be required, as determined by regional/operational needs.

Claims Auditor 1250 Broadway Full-time 36.25 VNSNY CHOICE Health Plan - Claims REQ# 27255

Responsibilities: Responsible for the auditing functions of VNS CHOICE claims. Collaborates with other Health plan departments to ensure claims are processed in accordance with established guideline and/or policies and procedures. Assists in compliance reviews of internal and Third Party Administrator's ("TPA") claims processing policies and procedures. Provides feedback or suggestions to enhance current processes and/or systems. Works under general supervision.

Qualifications: Education: Associates degree or the equivalent combination of education and experience required. Bachelors preferred. Experience: Minimum of 5 years of related claims experience with a minimum of 1year in an auditing capacity required. Experience working in a TPA or HMO or managed care environment preferred. Knowledge of Medicare claims required. Prior training and knowledge of DRG, ICD9 and CPT4 required. Proficient PC skills, including Microsoft Windows required. Knowledge of HIPAA guidelines required.

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VNSNY CHOICE

Company:

Claims System Configuration Analyst 1250 Broadway Full-time 36.25 VNSNY CHOICE Health Plan - Claims REQ# 26422

Responsibilities: Assists in the configuration and maintenance of the claims system used to administer operations of current and new business for VNSNY CHOICE products. Translates business rules to action. Analyzes, documents, and tests all new configurations. Assists in preparing and delivering reports, recommendations, and updates/revisions to address existing and potential issues in related processes across the organization. Works under general supervision.

Qualifications: Education: Bachelors degree in Business Administration, Healthcare Administration or related field of study required. Masters degree in related field preferred. Experience: Minimum of three years managed health care operations experience required. Experience with health care information system development required. Experience managing complex projects across departments required. Effective communication skills, both written and oral, and proficiency in PC software applications (i.e. Microsoft Office) required.

Clinical Evaluation Manager (Case Management, RN required) 1250 Broadway Full-time 36.25 Managed Long Term Care Utilization Management REQ# 27298

Responsibilities: Manages the clinical, customer service and cost decisions relating to the utilization of services provided to members enrolled in the VNSNY CHOICE Medicare plan in collaboration with physicians and other healthcare professionals. Provides telephonic medical case management to members. Ensures all services provided are in compliance with VNSNY CHOICE Medicare policies and procedures as well as applicable state and federal regulations, while at the same time balancing cost and customer service concerns. Works under general supervision.

Qualifications: Licensure: License and current registration to practice as a registered professional nurse in New York State required. Valid driver's license or NYS Non-Driver photo ID card may be required as determined by operational/regional needs.Education: Bachelors or Masters Degree in Nursing, Experience: Minimum of two years of experience in a managed care organization Minimum of two years in utilization review with strong cost containment/case management background preferred. Excellent organizational and time management skills, interpersonal skills, verbal and written communication skills required. Strong computer and typing skills required. Bilingual skills preferred. Knowledge of Medicare/Medicaid and/or commercial regulations preferred.

Clinical Evaluation Manager (Care Manager, LSW required) 1250 Broadway Full-time 36.25 VNSNY CHOICE Fully Integrated Dual Advantage Medical Manageme REQ# 27551

Responsibilities: Leads the Inter-Disciplinary Team (IDT) which provides each participant with an individualized, comprehensive care plan designed to maximize and maintain individual's functional potential and quality of life. Authorizes and manages the clinical and customer service decisions relating to the case management and services provided to FIDA participants. Provides telephonic case management to members. Ensures all services provided are in compliance with VNSNY CHOICE FIDA policies and procedures as well as applicable state and federal regulations, while at the same time balancing clinical and customer service concerns. Works under general supervision.Licensure: Current registration to practice as a Licensed social worker in New York State required. Valid driver's license or NYS Non-Driver photo ID card, may be required as determined by operational/regional needs. Education: Master's degree in Social Work after successfully completing a prescribed course of study at a graduate school of Social Work accredited by the Council on Social Work Education and the Education Department required. Experience: Minimum of three years of experience in a managed care organization working with Medicare and Medicaid guidelines, including familiarity with Medicare Part A, B, and D, required. Prior experience working with regulators, medical, behavioral health and social service providers and all levels of staff to care manage and coordinate services required. Demonstrated understanding of a fully capitated program from a regulatory perspective for care management and the ability to apply capitation to care management practice required. Working knowledge of FIDA model of care required. Familiarity with NY State assessment tools (UAS, SAMM, PRI, DSM-1, etc.) preferred. Experience in utilization review with strong cost containment/case management background preferred. Excellent organizational and time management skills, interpersonal skills, verbal and written communication skills and computer skills required. Must have experience and qualifications reflective of needs of the FIDA Population (i.e., communication, cognitive, or other barriers); and knowledge of physical health, aging and loss, appropriate support services in the community, frequently used medications and their potential negative side-effects, depression, challenging behaviors, Alzheimer's disease and other disease-related dementias, behavioral health and issues related to accessing and using durable medical equipment, as appropriate.

(14)

VNSNY CHOICE

Company:

Clinical Evaluation Manager (Case Manager, RN required CCM preferred 1250 Broadway Full-time 36.25 VNSNY CHOICE Fully Integrated Dual Advantage Medical Manageme REQ# 27505

Responsibilities: Leads the Inter-Disciplinary Team (IDT) which provides each participant with an individualized, comprehensive care plan designed to maximize and maintain individual¿s functional potential and quality of life. Authorizes and manages the clinical and customer service decisions relating to the case management and services provided to participants. Provides telephonic medical case management to members. Ensures all services provided are in compliance with VNSNY CHOICE policies and procedures as well as applicable state and federal regulations, while at the same time balancing clinical and customer service concerns. Works under general supervision.Licensure: License and current registration to practice as a registered professional nurse in New York State required. Education: Bachelor's Degree in Nursing (BSN) from an approved program preferred. Certification in Case Management preferred.Experience: Minimum of three years of experience in a managed care organization working with Medicare and Medicaid guidelines, including familiarity with Medicare Part A, B, and D, required. Prior experience working with regulators, medical, behavioral health and social service providers and all levels of staff to care manage and coordinate services required. Demonstrated understanding of a fully capitated program from a regulatory perspective for care management and the ability to apply capitation to care management practice required. Working knowledge of FIDA model of care required. Familiarity with NY State assessment tools (SAMM, PRI, DSM-1, etc.) preferred. Experience in utilization review with strong cost containment/case management background required. Excellent organizational and time management skills, interpersonal skills, verbal and written communication skills required. Must have experience and qualifications reflective of needs of the FIDA Population (i.e.,

communication, cognitive, or other barriers); and knowledge of physical health, aging and loss, appropriate support services in the community, frequently used medications and their potential negative side-effects, depression, challenging behaviors, Alzheimer¿s disease and other disease-related dementias, behavioral health and issues related to accessing and using durable medical equipment, as appropriate.

Qualifications:

Clinical Evaluation Manager (Case Manager, RN Required) 1250 Broadway Full-time 36.25 VNSNY CHOICE Fully Integrated Dual Advantage Medical Manageme REQ# 27506

Responsibilities: Leads the Inter-Disciplinary Team (IDT) which provides each participant with an individualized, comprehensive care plan designed to maximize and maintain individual¿s functional potential and quality of life. Authorizes and manages the clinical and customer service decisions relating to the case management and services provided to participants. Provides telephonic medical case management to members. Ensures all services provided are in compliance with VNSNY CHOICE policies and procedures as well as applicable state and federal regulations, while at the same time balancing clinical and customer service concerns. Works under general supervision.Licensure: License and current registration to practice as a registered professional nurse in New York State required. Education: Bachelor's Degree in Nursing (BSN) from an approved program preferred. Certification in Case Management preferred.Experience: Minimum of three years of experience in a managed care organization working with Medicare and Medicaid guidelines, including familiarity with Medicare Part A, B, and D, required. Prior experience working with regulators, medical, behavioral health and social service providers and all levels of staff to care manage and coordinate services required. Demonstrated understanding of a fully capitated program from a regulatory perspective for care management and the ability to apply capitation to care management practice required. Working knowledge of FIDA model of care required. Familiarity with NY State assessment tools (SAMM, PRI, DSM-1, etc.) preferred. Experience in utilization review with strong cost containment/case management background required. Excellent organizational and time management skills, interpersonal skills, verbal and written communication skills required. Must have experience and qualifications reflective of needs of the Population (i.e., communication, cognitive, or other barriers); and knowledge of physical health, aging and loss, appropriate support services in the community, frequently used medications and their potential negative side-effects, depression, challenging behaviors, Alzheimer¿s disease and other disease-related dementias, behavioral health and issues related to accessing and using durable medical equipment, as appropriate.

(15)

VNSNY CHOICE

Company:

Clinical Evaluation Manager (Case Manager, RN required) 1250 Broadway Full-time 36.25 VNSNY CHOICE Fully Integrated Dual Advantage Medical Manageme REQ# 27499

Responsibilities: Leads the Inter-Disciplinary Team (IDT) which provides each participant with an individualized, comprehensive care plan designed to maximize and maintain individual's functional potential and quality of life. Authorizes and manages the clinical and customer service decisions relating to the case management and services provided to participants. Provides telephonic medical case management to members. Ensures all services provided are in compliance with VNSNY CHOICE policies and procedures as well as applicable state and federal regulations, while at the same time balancing clinical and customer service concerns. Works under general supervision.Licensure: License and current registration to practice as a registered professional nurse in New York State required. Education: Bachelor's Degree in Nursing (BSN) from an approved program preferred. Certification in Case Management preferred.Experience: Experience in a managed care organization working with Medicare and Medicaid guidelines, including familiarity with Medicare Part A, B, and D, required. Prior experience working with regulators, medical, behavioral health and social service providers and all levels of staff to care manage and coordinate services required. Demonstrated understanding of a fully capitated program from a regulatory perspective for care management and the ability to apply capitation to care management practice required. Familiarity with NY State assessment tools (SAMM, PRI, DSM-1, etc.) preferred. Experience in utilization review with strong cost containment/case management background required. Excellent organizational and time management skills, interpersonal skills, verbal and written communication skills required. Must have experience and qualifications reflective of needs of the Population (i.e., communication, cognitive, or other barriers); and knowledge of physical health, aging and loss, appropriate support services in the community, frequently used medications and their potential negative side-effects, depression, challenging behaviors, Alzheimer's disease and other disease-related dementias, behavioral health and issues related to accessing and using durable medical equipment, as appropriate.

Qualifications:

Clinical Evaluation Manager (Case Manager, RN required) 1250 Broadway Full-time 36.25 VNSNY CHOICE Fully Integrated Dual Advantage Medical Manageme REQ# 27503

Responsibilities: Leads the Inter-Disciplinary Team (IDT) which provides each participant with an individualized, comprehensive care plan designed to maximize and maintain individual¿s functional potential and quality of life. Authorizes and manages the clinical and customer service decisions relating to the case management and services provided to participants. Provides telephonic medical case management to members. Ensures all services provided are in compliance with VNSNY CHOICE policies and procedures as well as applicable state and federal regulations, while at the same time balancing clinical and customer service concerns. Works under general supervision.Licensure: License and current registration to practice as a registered professional nurse in New York State required. Education: Bachelor's Degree in Nursing (BSN) from an approved program preferred. Certification in Case Management preferred.Experience: Minimum of three years of experience in a managed care organization working with Medicare and Medicaid guidelines, including familiarity with Medicare Part A, B, and D, required. Prior experience working with regulators, medical, behavioral health and social service providers and all levels of staff to care manage and coordinate services required. Demonstrated understanding of a fully capitated program from a regulatory perspective for care management and the ability to apply capitation to care management practice required. Working knowledge of FIDA model of care required. Familiarity with NY State assessment tools (SAMM, PRI, DSM-1, etc.) preferred. Experience in utilization review with strong cost containment/case management background required. Excellent organizational and time management skills, interpersonal skills, verbal and written communication skills required. Must have experience and qualifications reflective of needs of the FIDA Population (i.e.,

communication, cognitive, or other barriers); and knowledge of physical health, aging and loss, appropriate support services in the community, frequently used medications and their potential negative side-effects, depression, challenging behaviors, Alzheimer¿s disease and other disease-related dementias, behavioral health and issues related to accessing and using durable medical equipment, as appropriate.

References

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