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Visiting Nurse Service of New York Vice President, Clinical Operations in Manhattan, New York

RESPONSIBILITIES
Develops, implements and oversees cost-effective, quality focused services that meet or exceed all regulatory and corporate standards for assigned product lines of VNSNY CHOICE Health Plans. Ensures regulatory compliance in all aspects of clinical operations including medical management, utilization management, and UAS assessments for the assigned product lines. Provides leadership in the development and oversight of plan-wide initiatives that form the basis for continuous improvement and customer satisfaction. Works under limited direction. Education: Bachelor's Degree in Business or a related discipline or the equivalent work experience required. Experience: Minimum ten years of clinical experience and a minimum of five years of Utilization Management experience in a managed care/HMO organization required. Minimum five years managerial experience required. Experience with State and external accreditation managed care audits and reviews required Experience with writing and implementing program level policy and procedures required. Proficient with computer and software programs (e.g.; Microsoft Word, Excel) and the Internet required. Experience applying medical management treatment guidelines, such as InterQual / McKesson, Milliman, or other practical management guidelines required.
Visiting Nurse Service Of New York
VNSNY is an equal opportunity employer M/F/D/V
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Employer's Job# 1936471872
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