Clinical Manager-Care Management-Hybrid

VNS Health; New York (NY); On-site; USD 93,000 - 117,000; Full time

Benefits offered by this job

Referral bonus

PTO 30 days + 9 holidays

Health insurance

Employer-matched retirement plan

Pre-tax FSAs

Tuition reimbursement

Professional growth

Internal mobility

Job summary

VNS Health is seeking an experienced nurse leader to supervise clinical services and ensure high-quality home care within the organization. The role focuses on reviewing RNFS documentation, coordinating care with other providers, and developing policies that meet accreditation standards.

The position requires NY RN licensure, a BSN, and at least two years of clinical experience with managerial exposure in LHCSA/CHHA settings. Strong communication and Microsoft Office skills are essential.

Qualifications

• RN license in NY required
• Bachelor's Degree in Nursing required
• Master's Degree in Nursing preferred
• Minimum two years clinical experience required
• Minimum two years managerial experience in LHCSA or CHHA preferred
• Proficiency in Microsoft Office applications required

Responsibilities

• Review all clinical documentation by RNFS for completeness, accuracy, formatting, legibility, and compliance with standards of care.
• Maintain collaborative relationships with personnel from other provider organizations to coordinate patient services and ensure regulatory compliance.
• Develop, implement, and maintain clinical policies and procedures in collaboration with team members.
• Participate in development and maintenance of clinical evaluation tools for RNFS screening and performance assessments.
• Contribute to planning and development of business strategies to expand nursing service opportunities.
• Assist in developing marketing strategies and participate in initiatives to support business growth.
• Provide on-call coverage based on departmental needs.
• Counsel and advise individuals regarding services, levels of care, and referral pathways.
• Serve as a clinical resource and subject matter expert for staff across the organization.
• Ensure delivery of high-quality patient care by supporting schedulers and RNFS with field visits, supervision, assessment, and training.

Skills

Nursing leadership

Clinical supervision

Microsoft Office

Communication skills

Education

Bachelor's in Nursing

Master's in Nursing

Job description

Overview

Ensures the quality, safe delivery, and cost-effective home care services. Coordinates home care services that reflect VNS Health's philosophy and ensures standards of care are maintained. Works under general direction.

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 loved ones, Medical, Dental, Vision, Life and Disability
• Employer-matched retirement saving funds
• Personal and financial wellness programs
• Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care
• Generous tuition reimbursement for qualifying degrees
• Opportunities for professional growth and career advancement
• Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities

What You Will Do

• Review all clinical documentation completed by Registered Nurse Field Supervisors (RNFS) for comprehensiveness, accuracy, proper formatting, legibility, and compliance with standards of care.
• Maintain collaborative relationships with personnel from other provider organizations to coordinate patient services, develop joint educational initiatives, and ensure compliance with contractual clinical management obligations.
• Develop, implement, and maintain clinical policies and procedures in collaboration with team members while ensuring adherence to accreditation and regulatory standards.
• Participate in the development and maintenance of clinical evaluation tools used for RNFS screening, orientation, and field performance assessments.
• Contribute to the planning and development of business strategies focused on expanding nursing service opportunities.
• Assist in developing marketing strategies and actively participate in marketing initiatives to support business growth.
• Provide on-call coverage based on departmental needs.
• Counsel and advise individuals inquiring about services regarding appropriate levels of care and referral pathways for members and caregivers.
• Serve as a clinical resource and subject matter expert for staff across the organization.
• Ensure the delivery of high-quality patient care within the assigned area by supporting schedulers and RNFS in completing timely field visits for supervision, assessment, training, support, and crisis management.
• Anticipate and prevent patient incidents by addressing potential care or service-related issues communicated by Clinical Case Managers (CCMs), supervisors, HHAs, RNFS, patients, and caregivers.
• Participate in the investigation of incidents and complaints within the assigned area and collaborate with leadership on disciplinary actions when necessary.
• Support department leadership in onboarding and educating new staff members. Conduct field supervision and performance oversight for RNFS during their initial three months in a new role and annually thereafter.
• Monitor email communications to identify changes in patients` clinical conditions that may require escalation or modifications to the aide plan of care.
• Evaluate the effectiveness and efficiency of care and services provided, initiating case management conferences with healthcare team members as appropriate.
• Ensure all services are delivered in accordance with accepted nursing practices, regulatory requirements, and accrediting body standards.
• Participate in Quality Assurance and Performance Improvement (QAPI) activities as assigned.
• Assist with special projects and perform additional duties as assigned.

Qualifications

Licenses and Certifications:

License and current registration to practice as a Registered Professional Nurse, in New York State requiredCPR Certification required

Education:

Bachelor's Degree in Nursing from an approved program requiredMaster's Degree in Nursing preferred

Work Experience:

Minimum two years clinical experience requiredMinimum of two years managerial experience in a LHCSA or CHAA preferredProficiency in Microsoft Office applications requiredExcellent problem-solving and organizational, interpersonal, and verbal and written communication skills required

Pay Range

USD $93,400.00 - USD $116,800.00 /Yr.

About Us

VNS Health has been committed to meeting the needs of New Yorkers for over 130 years. We're one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day.