Overview Reviews and audits claims for billing, coding, services and other compliance or reimbursement issues. Assists with non clinical aspects of the claims review process and acts as a coding resource. Provides training and support to Medical Care at Home Clinicians and staff to provide best practices of claims coding. Applies coding skills to various initiatives to en

Overview Manages all aspects of provider relations within a specified geographic region. Regularly visits and maintains ongoing contact with existing/potential providers for relationship building, recruitment, credentialing, re credentialing and assisting with provider issues and education. Works under general supervision. Compensation $30.71 $38.41 Hourly What We Provide

Overview Leads the actuarial aspects of Medicare Advantage bid process, ensuring accuracy, compliance and strategic alignment with organizational goals. Compensation $137,800.00 $183,800.00 Annual What We Provide Referral bonus opportunities Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays Health insurance plan for you and your lov

Overview Trains and assesses the competency of Certified Home Health Aides (HHAs) and trainees. Works under general supervision. Compensation $40.95 $51.19 Hourly Provides classroom instruction and clinical assessment of students enrolled in the Home Health Aide (HHA) Training Program in accordance with New York State Department of Health regulations. Supervises and evalu

Overview VNS Health Physical Therapists help New Yorkers get back on their feet and out of the hospital so they can heal where they are most comfortable in their homes and communities. Our Physical Therapists design and deliver personalized 1 1 rehabilitative therapy programs for patients recovering from a surgery, illness, or accident and can assess progress by being a p

Overview Assesses member needs and identifies solutions that promote high quality and cost effective health care services. Manages requests for services from providers, members, and care management team and renders clinical determinations in accordance with VNS Health Plans policies as well as applicable state and federal regulations. Delivers timely notification detailin

Overview VNS Health Home Care RNs redefine the standard of patient centered care for New Yorkers while keeping them out of the crowded hospital system so they can heal and age where they are most comfortable in their homes and community. Our nurses provide the Future of Care by meeting patients where they are. We design and deliver individualized care plans and exceptiona

Overview The Senior Customer Service Assistant promptly receives and addresses incoming calls, ensuring each caller is directed to the appropriate service. Assesses the purpose of incoming calls with precision to facilitate efficient service delivery. Proactively engages with members through outbound calls to resolve issues and participates in quality improvement initiati

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

Overview Supervises Home Health Aides delivering service to clients in the home care setting and coordinates all related administrative responsibilities. Works under general supervision. Compensation $20.98 $26.23 Hourly What We Offer Referral bonus opportunities Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays Health insurance pla

Overview VNS Health Physical Therapists help New Yorkers get back on their feet and out of the hospital so they can heal where they are most comfortable in their homes and communities. Our Physical Therapists design and deliver personalized 1 1 rehabilitative therapy programs for patients recovering from a surgery, illness, or accident and can assess progress by being a p

Overview VNS Health Physical Therapists help New Yorkers get back on their feet and out of the hospital so they can heal where they are most comfortable in their homes and communities. Our Physical Therapists design and deliver personalized 1 1 rehabilitative therapy programs for patients recovering from a surgery, illness, or accident and can assess progress by being a p

Overview Behavioral Health Counselors provide supportive counseling, advocacy, and education to help patients and their families navigate mental illness, access community resources, and manage symptoms to help them remain safely in the community This is an experienced, master's level social services role that provides direct care as part of a team. Join us in building on

Overview Compiles, analyzes, and interprets healthcare clinical and utilization data for the Data Science Team. Participates in developing statistical analysis design plans and utilizes data to support strategic business decisions. Conducts basic statistical analysis, forecasting, predictive modeling, and simulations according to the statistical analysis plan and assists

Overview Provides and coordinates post orientation field support and skills development activities to support the onboarding of newly hired RNs and LPNs during their transition to VNS Health; provides similar support to incumbent staff, as needed. Works under general supervision. Compensation $111,456.00 $136,856.00 Annual Acts as a preceptor for newly hired field RNs and