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.
The Visiting Nurse Service of New York (VNSNY) is the nation's largest not-for-profit home- and community-based health care organization, serving the five boroughs of New York City, and Nassau, Suffolk, and Westchester Countries. For over 125 years, VNSNY has been committed to improving the health and well-being of people through high-quality, cost effective healthcare in the home and community. We offer a wide range of services, programs, and health plans to meet the diverse needs of our patients, members, and clients from before birth to the end of life. Each day, more than 13,000 VNSNY employees - including nurses, rehabilitation therapists, social workers, other allied professionals, and paraprofessionals - deliver compassionate care, unparalleled medical expertise, and 24/7 solutions and resources to more than 44,000 patients and members, helping them to live the best lives possible in their homes and communities.