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Clinical Review Manager, RN


Oversees the completion and approval of all clinical utilization documentation, including Start of Care, Re-certification, Resumption of Care, Discharge OASIS, and Evaluation visits. Ensures clear and appropriate visit utilization using evidence-based practices to provide positive clinical outcomes and efficient use of resources. Identifies and addresses inter-professional performance issues related to documentation and provides individualized performance evaluation assessments to clinical leadership and staff. Works under general supervision. Licensure: License and current registration to practice as a Registered Professional Nurse in New York State required. Certification: OASIS certification required within one year of job entry date. Education: Bachelor's or Master's degree in Nursing or equivalent work experience required. Experience: Minimum of years nursing experience in community health care required. Prior utilization management or care management experience preferred. Proficiency in Microsoft Office applications required. Demonstrated analytical skills required.


The Visiting Nurse Service of New York (VNSNY) is one of the nation's largest not-for-profit home- and community-based health care organizations, serving the five boroughs of New York City, and Nassau, Suffolk, and Westchester Counties. For over 125 years, VNSNY has been committed to improving the health and well-being of people through high-quality, cost-effective health care in the home and community. We offer a wide range of services, programs, and health plans to meet the diverse needs of our patients, health plan members, and clients from before birth to the end of life. On any given day, VNSNY employees - including nurses, rehabilitation therapists, social workers, home health aides and other professionals - deliver compassionate care, unparalleled medical expertise, and 24/7 solutions and resources to approximately 40,000 individuals in our care helping them to live the best lives possible in their homes and communities.