Clinical Grievance & Appeals Education Lead

VNS Health; New York (NY); On-site; USD 98,000 - 131,000; Full time

Benefits offered by this job

Referral bonuses

generously paid PTO 30 days + 9 hols

Health insurance for you & family

Employer-matched retirement plan

Tuition reimbursement

Professional growth opportunities

Job summary

VNS Health is seeking an experienced nursing education specialist to plan, develop, deliver, and evaluate training programs supporting Grievance & Appeals operations. The role focuses on compliance with Medicare, Medicaid, and organizational policies, coordinating with multiple departments to create educational materials and performance support resources.

The candidate will lead clinical staff development, align programs with CMS Triple Aim, and drive improvements in training effectiveness and

Qualifications

• Nurse licensure valid in jurisdiction.
• Bachelor's Degree in Nursing or equivalent work experience required.

Responsibilities

• Designs and delivers clinical education programs to improve care quality and compliance.
• Collaborates to create annual training calendar for organization-wide programs.
• Ensure programs align with CMS Triple Aim principles and patient-centered care.
• Oversee orientation, in-services, and staff development within budget constraints.
• Evaluate program outcomes and implement improvements.

Skills

Grievance & Appeals experience

Communication skills

Analytical skills

Coaching

Education

Bachelor's Degree in Nursing

Tools

Computer applications

Job description

VNS Health is seeking an experienced nursing education specialist to plan, develop, deliver, and evaluate training programs supporting Grievance & Appeals operations. The role focuses on compliance with Medicare, Medicaid, and organizational policies, coordinating with multiple departments to create educational materials and performance support resources.

The candidate will lead clinical staff development, align programs with CMS Triple Aim, and drive improvements in training effectiveness and