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Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Clinical Program Manager oversees a remote team of Behavioral Health Care Advocates responsible for utilization management (UM) and case management (CM) of inpatient and outpatient Behavioral Health services. UM is performed via an inbound telephonic queue and requires team members to work a holiday rotation. Case managers work directly with members both telephonically and in the field. The schedule is Monday - Friday, 8a - 5p EST and may include working some holidays. If you are located in New York, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: • Oversight of utilization management of adults, adolescents and children as well as dual eligible Medicare/Medicaid populations with SMI, SUD, co-occurring physical health, co-occurring disorders of MH and SUD, and co-occurring mental health and/or substance use disorders, • Manages and is accountable for professional employees and supervisors, • Sets team direction, resolves problems, and provides guidance to members of team, • May oversee work activities of other supervisors, • Adapts departmental plans and priorities to address business and operational challenges, • Influences or provides input to forecasting and planning activities, • Oversight of new product implementations, • Initiating process for state initiatives and directives, • Updating and creation of Quick Reference Guides, • Oversight and coordination of care with internal and external partners, • Experience interfacing with regulatory agencies, • Interview, hire and onboard new employees, • Review reports to insure team member adherence to established benchmarks, • Cover for management team as needed, • Foster relationship with leadership and medical directors You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: • Licensed Clinician in the State of New York with one of the following licensures. Licenses must be active and unrestricted., • Licensed Clinical Social Worker (LCSW), • Licensed Mental Health Counselor (LMHC), • Licensed Psychologist (LP), • Registered Nurse (RN) with 5+ years of Behavioral Health experience, • 6+ years of Behavioral Health experience including Mental Health and Substance Use Disorders (SUD), • 5+ years of experience working with Children / Adolescents, • 3+ years of management experience in a Behavioral Health setting, • 3+ years of experience with New York public and commercial mental health and substance abuse services delivery system, • Experience overseeing documentation in Electronic Medical Records (EMR), • Experience with Medicare and NY Medicaid regulations, • Intermediate proficiency in Microsoft Office Suite, including MS Excel, • Ability to work holidays based on business needs, • Dedicated, distraction-free workspace and access to high-speed internet in home, • Residency in New York Preferred Qualifications: • Experience working in a Managed Care Organization (MCO), • Experience working with the New York provider network, • Experience managing clinical and non-clinical phone queues, • Knowledge of evidence-based practices and procedures, • Solid customer service orientation, • Familiarity with prior authorizations, concurrent reviews, and appeal processes, • Familiarity with case management services, • Demonstrated competence in clinical care management, solid leadership and organization skills, interpretation of State and federal laws, and regulations relevant to the mental health program area *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 to $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Our groundbreaking hospice and palliative care programs offer a broad range of services in the community or facility-based to help patients and their families ease the burden of managing a life-limiting illness or end of life care. The On Call RN Supervisor provides leadership, support, and guidance to Call Center staff for clinical/non clinical issues and situations. The Supervisor elevates complex issues to Team Manager, AOC or Hospice MD on call. The RN Supervisor also provides quality professional telephonic intervention to patients based on the Plan of Care. • Graduate from an accredited School of Nursing, BSN or BS degree preferred, • Three years of Hospice nursing experience, • Supervisory or leadership experience preferred, • 2-5 years Hospice experience/On Call required, • New York State RN licensure, • NYS valid license preferred, • Current CHPN certification preferred

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Title: Registered Nurse Company: Oak Street Health Role Description: The purpose of a Registered Nurse at Oak Street Health is to build strong relationships with Oak Street Health patients by coordinating their care and providing a seamless experience to patients and their support team. At Oak Street Health you will use an integrated approach toward achieving desired patient outcomes by utilizing standards, guidelines and pathways for care delivery. Through clinical assessment, intervention and education you will ensure our patients are provided competent nursing care in a timely manner. Our Registered Nurses drive quality care, it is of vital importance that our nurses incorporate data and information to improve care and enhance our patient outcomes. You will work to create an engaging and welcoming environment through team communication and delegation to empower other members of the care team to deliver the best care to our patients. Our Registered Nurses report to the Practice Manager or Nurse Supervisor (where applicable). Core Responsibilities: • Provide competent nursing care by displaying proficiency in this role and executing job responsibilities in a safe and consistent manner, • Respond to incoming telephonic requests in a dependable manner, ensuring we are responsive to their needs and exceeding expectations, • Provide clinically competent triage and symptom management to patients who may or may not be physically present, • Utilize standardized protocols for medication management, prescription refills and prior authorizations., • Conduct thorough and accurate reviews of patient medications and update as needed, • Provide comprehensive education and direct patient care, particularly around chronic conditions; may occur in person, over the phone or in group settings, • Actively collaborate and monitor the implementation and progress of the care plan for patients on multiple provider panels, • Form relationships with patients and their caregivers to support preventative care and ED/hospital diversion where appropriate, • Create a welcoming and engaging environment to meet the needs of our patients, communities, families and teams where they are, • Delegation of activities to other clinical care team members to support the needs of our patients, • Participate in care team meetings to discuss patient care and clinic operations, • Deliver an exceptional patient experience through service, responsiveness and respectful care, • Perform point of care testing, procedures and specimen collection (including phlebotomy) as needed, • Performs other related duties as assigned What we're looking for Required Qualifications: • Active Registered Nurse (RN) Licensure in good standing with the applicable state, • BLS Certification, • Electronic Medical Record (EMR) experience, • Ability to maintain patient confidentiality and process information in a confidential manner, • US work authorization, • Ability to assess patients without face-to face interaction, strong communication and assessment skill Strongly Preferred Qualifications: • Ability to collaborate and communicate with members of an interdisciplinary care team, • Excellent computer skills with ability to read, interpret and analyze data from various computer systems, • Effective problem solving and prioritization skills, • 2+ years of healthcare experience, working as an RN Preferred Qualifications: • Previous experience in clinic setting, • Ability to work independently, • Fluency in Spanish, Polish, Russian, or other languages spoken by people in the communities we serve Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $72,627.00 - $155,538.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will close on: 07/06/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Title: Center Nurse Location: 1953 University Ave Bronx, NY 10453 Role Description The purpose of a Center Nurse at Oak Street Health is to build strong relationships with Oak Street Health patients by coordinating their care and providing a seamless experience to patients and their support team. At Oak Street Health you will use an integrated approach toward achieving desired patient outcomes by utilizing standards, guidelines and pathways for care delivery. Through clinical assessment, intervention and education you will ensure our patients are provided competent nursing care in a timely manner. Our Center Nurses drive quality care, it is of vital importance that our nurses incorporate data and information to improve care and enhance our patient outcomes. You will work to create an engaging and welcoming environment through team communication and delegation to empower other members of the care team to deliver the best care to our patients. Check out this pamphlet for a sneak peek into the life of an Oak Street Center Nurse! Our Center Nurses report to the Practice Manager or Nurse Supervisor (where applicable). Core Responsibilities: * Provide competent nursing care by displaying proficiency in this role and executing job responsibilities in a safe and consistent manner * Respond to incoming telephonic requests in a dependable manner, ensuring we are responsive to their needs and exceeding expectations * Provide clinically competent triage and symptom management to patients who may or may not be physically present * Utilize standardized protocols for medication management, prescription refills and prior authorizations. * Conduct thorough and accurate reviews of patient medications and update as needed * Provide comprehensive education and direct patient care, particularly around chronic conditions; may occur in person, over the phone or in group settings * Actively collaborate and monitor the implementation and progress of the care plan for patients on multiple provider panels * Form relationships with patients and their caregivers to support preventative care and ED/hospital diversion where appropriate * Create a welcoming and engaging environment to meet the needs of our patients, communities, families and teams where they are * Delegation of activities to other clinical care team members to support the needs of our patients * Participate in care team meetings to discuss patient care and clinic operations * Deliver an exceptional patient experience through service, responsiveness and respectful care * Perform point of care testing, procedures and specimen collection (including phlebotomy) as needed * Performs other related duties as assigned What we're looking for Required Qualifications: * Active Registered Nurse (RN) Licensure in good standing with the applicable state * BLS Certification * Electronic Medical Record (EMR) experience * Ability to maintain patient confidentiality and process information in a confidential manner * US work authorization * Ability to assess patients without face-to face interaction, strong communication and assessment skill Strongly Preferred Qualifications: * Ability to collaborate and communicate with members of an interdisciplinary care team * Excellent computer skills with ability to read, interpret and analyze data from various computer systems * Effective problem solving and prioritization skills * 2+ years of healthcare experience, working as an RN Preferred Qualifications: * Previous experience in clinic setting * Ability to work independently * Fluency in Spanish, Polish, Russian, or other languages spoken by people in the communities we serve (where necessary - suggestion to add this as an optional data point for specific demographics, removing from our generic central posting) * Somebody who embodies being 'Oaky' What does being 'Oaky' look like? * Radiating positive energy * Assuming good intentions * Creating an unmatched patient experience * Driving clinical excellence * Taking ownership and driving for results * Be relentlessly determined Why Oak Street? Oak Street Health offers our coworkers the opportunity to be at the forefront of a revolution in healthcare, as well as: * Collaborative and energetic culture * High levels of responsibility and rapid advancement * Competitive benefits; including paid vacation/sick time, generous 401K match with immediate vesting, as well as health benefits Oak Street Health is an equal opportunity employer. Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $72,627.00 - $155,538.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: * Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. * No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. * Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit We anticipate the application window for this opening will close on: 05/29/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Title: Registered Nurse Company: Oak Street Health Role Description: The purpose of a Registered Nurse at Oak Street Health is to build strong relationships with Oak Street Health patients by coordinating their care and providing a seamless experience to patients and their support team. At Oak Street Health you will use an integrated approach toward achieving desired patient outcomes by utilizing standards, guidelines and pathways for care delivery. Through clinical assessment, intervention and education you will ensure our patients are provided competent nursing care in a timely manner. Our Registered Nurses drive quality care, it is of vital importance that our nurses incorporate data and information to improve care and enhance our patient outcomes. You will work to create an engaging and welcoming environment through team communication and delegation to empower other members of the care team to deliver the best care to our patients. Our Registered Nurses report to the Practice Manager or Nurse Supervisor (where applicable). Core Responsibilities: • Provide competent nursing care by displaying proficiency in this role and executing job responsibilities in a safe and consistent manner, • Respond to incoming telephonic requests in a dependable manner, ensuring we are responsive to their needs and exceeding expectations, • Provide clinically competent triage and symptom management to patients who may or may not be physically present, • Utilize standardized protocols for medication management, prescription refills and prior authorizations., • Conduct thorough and accurate reviews of patient medications and update as needed, • Provide comprehensive education and direct patient care, particularly around chronic conditions; may occur in person, over the phone or in group settings, • Actively collaborate and monitor the implementation and progress of the care plan for patients on multiple provider panels, • Form relationships with patients and their caregivers to support preventative care and ED/hospital diversion where appropriate, • Create a welcoming and engaging environment to meet the needs of our patients, communities, families and teams where they are, • Delegation of activities to other clinical care team members to support the needs of our patients, • Participate in care team meetings to discuss patient care and clinic operations, • Deliver an exceptional patient experience through service, responsiveness and respectful care, • Perform point of care testing, procedures and specimen collection (including phlebotomy) as needed, • Performs other related duties as assigned What we're looking for Required Qualifications: • Active Registered Nurse (RN) Licensure in good standing with the applicable state, • BLS Certification, • Electronic Medical Record (EMR) experience, • Ability to maintain patient confidentiality and process information in a confidential manner, • US work authorization, • Ability to assess patients without face-to face interaction, strong communication and assessment skill Strongly Preferred Qualifications: • Ability to collaborate and communicate with members of an interdisciplinary care team, • Excellent computer skills with ability to read, interpret and analyze data from various computer systems, • Effective problem solving and prioritization skills, • 2+ years of healthcare experience, working as an RN Preferred Qualifications: • Previous experience in clinic setting, • Ability to work independently, • Fluency in Spanish, Polish, Russian, or other languages spoken by people in the communities we serve Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $72,627.00 - $155,538.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on ___. We anticipate the application window for this opening will close on: 05/12/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Our groundbreaking hospice and palliative care programs offer a broad range of services in the community or facility-based to help patients and their families ease the burden of managing a life-limiting illness or end of life care. The On Call RN Supervisor provides leadership, support, and guidance to Call Center staff for clinical/non clinical issues and situations. The Supervisor elevates complex issues to Team Manager, AOC or Hospice MD on call. The RN Supervisor also provides quality professional telephonic intervention to patients based on the Plan of Care. • Graduate from an accredited School of Nursing, BSN or BS degree preferred, • Three years of Hospice nursing experience, • Supervisory or leadership experience preferred, • 2-5 yearsHospice experience/On Callrequired, • New York State RN licensure, • NYS valid license preferred, • Current CHPN certification preferred

Summary of Job Provide care management, as part of a multi-disciplinary care team, that includes care coordination, performing telephonic or face-to-face assessments of members' health care needs, identifying gaps in care and needed support, administering/coordinating implementation of interventions. Support and enable members to manage their physical, environmental and psycho-social concerns, understand and appropriately utilize their health plan benefits and remain safe and independent in their home or current living environment in collaboration with health care providers. Provide Care Management services to identified high risk members within the community, including but not limited to Physician Practices, Retail Centers/Neighborhood Care Centers, and members' homes. Coordinate and provide care that is safe, timely, effective, efficient and member-centered to support population health, transitions of care, and complex care management initiatives. Engage with the most complex members of the health plan with the goal of improving health care outcomes and appropriate and timely utilization of services across the continuum of care. Assist the entire Care Management interdisciplinary team in managing members with Care Management needs. Principal Accountabilities • Assess and evaluate the needs of our most complex members, acting as the clinical coordinator collaborating with members, caregivers, providers, multi-disciplinary team, and health care and community resources through a variety of assessments to identify areas of (medical, financial, environmental, health insurance benefit, psycho-social, caregiving) concerns and potential gaps in care utilizing the most appropriate resources to support members' needs., • Identify appropriate goals, strategies and interventions that may include referrals, health education, activation of community-based resources, life planning, or program/agency referrals based on areas of concern., • Develop, communicate and evaluate medical management strategies and interventions including potential for alternative solutions to ensure high quality, cost effective continuum of care with the member, caregiver, provider(s) and multidisciplinary team., • Include member and family as appropriate., • Engage actively with the member PCP / designee., • Engage with the member in support of their treatment team to identify and establish attainable goals that positively impact clinical, financial, and quality of life outcomes for member., • Work collaboratively with all stake holders to ensure knowledge of the action plan, including participation in telephonic and face-to-face case conferences when appropriate., • Assess the needs of members and align them with the appropriate member of the care team (wellness team, registered dietitian, social worker, community health workers)., • Act as the member's advocate and liaison by completing or facilitating interventions with providers and/or private,non-profit, and governmental agencies., • Ensure that all Care Management processes and reporting are compliant with all applicable federal and state regulations, and NCQA and company standards., • Participate in delegation collaboration activities, as required., • Research evidence-based guidelines, medical protocols, provider networks, and on-line resources in making care management recommendations., • Enter and maintain documentation in the Electronic Medical Records System (EMR), meeting defined timeframes and performance standards., • Maintain an understanding of Care Management principles, program objectives and design, implementation, management, monitoring, and reporting., • Actively participate on assigned committees., • Attend and complete all department-mandated training as well as satisfy educational in-service requirements., • Perform other related projects and duties as assigned., • Provide ongoing monitoring, evaluation, support and guidance to the coordination of the member's health care., • Develop, implement and coordinate plan of care and facilitate members' goals., • Bachelor's degree, • RN required, with current active RN license - New York State, • CCM certification preferred, • Certification in utilization or care management preferred, • 4 - 6 years of clinical experience, • Organization/prioritization ability; and the ability to effectively manage a caseload of highly complex members, • Support an integrated care model tapping into appropriate resources both internally and external to the organization, • Experience in case management/care coordination, managed care, and/or utilization management, • Strong communication skills (verbal, written, presentation, interpersonal), • Trained in the use of Motivational Interviewing techniques, • Experience working in medical facility or practice and/or with electronic medical records, • Computer proficiency: MS Office (Word, Excel, PowerPoint, Outlook); mobile technology (wireless phone/laptop, etc.), • System user experience in a highly automated environment, • Bilingual ability (verbal, written), • Strong cross-group collaboration, teamwork, problem solving, and decision-making skills, • Ability to work a flexible schedule (evenings, weekends and holidays) to meet member and/or caregiver and departmental scheduling needs Additional Information, • Requisition ID: 1000002944, • Hiring Range: $68,040-$118,800

Summary of Position • Provide care management, as part of a multi-disciplinary care team, that includes care coordination, performing telephonic or face-to-face assessments of members' health care needs, identifying gaps in care and needed support, administering/coordinating implementation of interventions., • Support and enable members to manage their physical, environmental and psycho-social concerns, understand and appropriately utilize their health plan benefits and remain safe and independent in their home or current living environment in collaboration with health care providers., • Provide Care Management services to identified high risk members within the community, including but not limited to Physician Practices, Retail Centers/Neighborhood Care Centers, and members' homes., • Coordinate and provide care that is safe, timely, effective, efficient and member-centered to support population health, transitions of care, and complex care management initiatives., • Engage with the most complex members of the health plan with the goal of improving health care outcomes and appropriate and timely utilization of services across the continuum of care., • Assist the entire Care Management interdisciplinary team in managing members with Care Management needs. Principal Accountabilities • Assess and evaluate the needs of our most complex members, acting as the clinical coordinator collaborating with members, caregivers, providers, multi-disciplinary team, and health care and community resources through a variety of assessments to identify areas of (medical, financial, environmental, health insurance benefit, psycho-social, caregiving) concerns and potential gaps in care utilizing the most appropriate resources to support members' needs., • Identify appropriate goals, strategies and interventions that may include referrals, health education, activation of community-based resources, life planning, or program/agency referrals based on areas of concern., • Develop, communicate and evaluate medical management strategies and interventions including potential for alternative solutions to ensure high quality, cost effective continuum of care with the member, caregiver, provider(s) and multidisciplinary team., • Include member and family as appropriate., • Engage actively with the member PCP / designee., • Engage with the member in support of their treatment team to identify and establish attainable goals that positively impact clinical, financial, and quality of life outcomes for member., • Work collaboratively with all stake holders to ensure knowledge of the action plan, including participation in telephonic and face-to-face case conferences when appropriate., • Assess the needs of members and align them with the appropriate member of the care team (wellness team, registered dietitian, social worker, community health workers)., • Act as the member's advocate and liaison by completing or facilitating interventions with providers and/or private, non-profit, and governmental agencies., • Ensure that all Care Management processes and reporting are compliant with all applicable federal and state regulations, and NCQA and company standards., • Participate in delegation collaboration activities, as required., • Research evidence-based guidelines, medical protocols, provider networks, and on-line resources in making care management recommendations., • Enter and maintain documentation in the Electronic Medical Records System (EMR), meeting defined timeframes and performance standards., • Maintain an understanding of Care Management principles, program objectives and design, implementation, management, monitoring, and reporting., • Actively participate on assigned committees., • Attend and complete all department-mandated training as well as satisfy educational in-service requirements., • Perform other related projects and duties as assigned., • Provide ongoing monitoring, evaluation, support and guidance to the coordination of the member's health care., • Develop, implement and coordinate plan of care and facilitate members' goals., • Coordinate interdisciplinary team tasks and activities, with the goal of maintaining team performance and high morale. Qualifications Education, Training, Licenses, Certifications • Bachelor's degree., • RN required, with current active RN license., • CCM certification preferred., • Certification in utilization or care management preferred. Relevant Work Experience, Knowledge, Skills, and Abilities • 4 - 6 years of clinical experience., • Organization/prioritization ability; and the ability to effectively manage a caseload of highly complex members., • Support an integrated care model tapping into appropriate resources both internally and external to the organization., • Experience in case management/care coordination, managed care, and/or utilization management., • Strong communication skills (verbal, written, presentation, interpersonal)., • Trained in the use of Motivational Interviewing techniques., • Experience working in medical facility or practice and/or with electronic medical records., • Computer proficiency: MS Office (Word, Excel, Powerpoint, Outlook); mobile technology (wireless phone/laptop, etc.), • System user experience in a highly automated environment., • Bilingual ability (verbal, written)., • Strong cross-group collaboration, teamwork, problem solving, and decision-making skills., • Ability to work a flexible schedule (evenings, weekends and holidays) to meet member and/or caregiver and departmental scheduling needs. Additional Information, • Requisition ID: 1000003062, • Hiring Range: $68,040-$118,800

Summary of Job As part of the overall clinical audit process, assess and audit medical record charts to ensure compliance with internal (EmblemHealth) and external regulatory and accreditation requirements. Compare collected data against Healthcare Effectiveness Data and Information Set (HEDIS) and Quality Assurance Reporting Requirements (QARR) audit standards. The information abstracted from completed chart review will directly impact EmblemHealth's Quality award programs, including Medicare Stars and Quality Incentive Awards. Identify and report significant and/or patterns of variances from established standards that can negatively impact scores. May provide process improvement recommendations to safeguard a high quality of clinical care for patients. Responsibilities • Support EmblemHealth's Quality program by conducting targeted chart review to enhance quality scores during the annual Medical Record Review project as well as throughout the year for Supplemental data collection., • Review each chart to determine if the patient meets the selection criteria., • Complete one audit tool (paper form or row in the electronic spreadsheet) for each patient that meets the criteria., • Ensure that patient confidentiality is protected., • Utilize appropriate tools, processes, standards, and techniques to perform audits., • Identify variations from established standards in audit results., • Ensure that these variations are reported accurately and timely., • May provide assistance in the compilation/interpretation of data and results., • Conduct telephonic outreach calls to EmblemHealth Members in support of various HEDIS/QARR measures, to complete health assessments, and collect historical information that directly impacts Quality results., • Ensure that relevant areas of patient care are covered so that a complete picture can be reported on (i.e., accessibility of care, communication with providers, care coordination, interactions with staff)., • Provide recommendations on process improvements based on audit results., • Bachelors' Degree. Current licensed NP, LPN or RN with 3 - 5years of clinical experience in critical care or med-surgical experienced (Required) • 3 - 5 years of relevant, professional work experience (Required), • 2 - 3 years' experience in a managed care environment (Preferred), • Knowledge of HEDIS/QARR/Star specifications (Required), • Proven track record of accurately performing audits within specified parameters of quality and timeliness (Required), • Advanced clinical assessment skills and the ability to apply clinical criteria and guidelines (Required), • Attention to detail, and the ability to proficiently read and interpret medical records (Required), • Experience with EPIC (Preferred), • Knowledge of ICD-10 codes (Required), • Excellent communication skills - verbal, written, interpersonal (Required), • Must have ability to physically travel between sites (Required) Additional Information, • Requisition ID: 1000002946, • Hiring Range: $56,160-$99,360

The On Call RN Supervisor provides leadership, support, and guidance to Call Center staff for clinical/non clinical issues and situations. The RN Supervisor also provides quality professional telephonic intervention to patients based on the Plan of Care. Supervisory or leadership experience preferre

The On Call RN Supervisor provides leadership, support, and guidance to Call Center staff for clinical/non clinical issues and situations. The RN Supervisor also provides quality professional telephonic intervention to patients based on the Plan of Care. The Supervisor elevates complex issues to Tea

The Care Manager will be responsible for assessing and evaluating members with potential care management needs through both telephonic and face-to-face assessments in a variety of settings including private residences, hospitals, behavioral health fa Case Manager, RN, Manager, Care Manager, Behavior

A leading healthcare organization is seeking a Care Manager to ensure continuity of care for newly enrolled members. The role involves developing care plans, conducting assessments, and managing community resources to facilitate member independence.

RN 3+ years of experience with Microsoft Office suite of products Preferred Qualifications Compact RN License Certified Case Manager (CCM) Case Management experience Managed Care experience Telephonic case management and/or telephonic customer service center experience 2+ years of Oncology Care expe

Preferred Qualifications Preferred RN licensure in a compact state 1+ years of Case Management experience in an integrated model 1+ years of experience with Telephonic Case Management Experience with all types of Microsoft Office including PowerPoint, Excel, and Word Certified Case Manager (CCM

A leading health solutions company is seeking a remote telephonic case manager to work with patients and care teams. Candidates must hold an active RN license and have experience in various clinical settings.

A leading healthcare organization is seeking a Care Manager to ensure continuity of care for newly enrolled members. The role involves developing care plans, conducting assessments, and managing community resources to facilitate member independence.

Job Description Managers for a Managed Care Plan servicing New York. The RN Care Manager position works as a Hybrid - Remote Case Manager, working primarily from home, with 1 day of Field Case Management visits per week, in designated areas. Bilingual Spanish, Chinese and Bengali needed for Manhattan, Bronx or Brooklyn visits. Qualified candidates will be able to work from their home and will make Field visits 1 day per week in field. Qualified candidates will have prior RN Case Management experience within Managed Care, CHHA Home Care or Hospital Case Management, bilingual language ability a plus. Qualified candidates will have a NYS RN License or NYS NP, and prior RN Case Management, Coordination of Care experience within a multi-disciplinary team. Patient visit areas available are: Bilingual Spanish in Manhattan or Bronx visits, Bilingual Chinese in Brooklyn or Upper Manhattan and Bilingual Bengali in the Bronx. Remote / Hybrid - RN Care Manager - Bilingual - Responsibilities: Reporting to the Supervisor of Care Management, this position will provide telephonic and in-person case management to our members including medical, social, psychological, physical and spiritual needs by developing, implementing and monitoring the member's care plan in conjunction with the PCP, caregivers and other team members in order to help meet the member's needs. managed care nurse, managed care rn, nursing, rn, nurse, care management Qualifications: * NYS RN license required * CCM preferred * At least 2+ years of RN Case Management experience in managed care, home care, acute care, hospital or nursing home preferred * Ability to make patient visits 1 day per week, ability to work remote from home the remaining days (In Office during Probation period, remote work begins after Probation period) * Reliable transportation * Covid19-Vaccination * Bilingual Spanish, Bilingual Chinese (Cantonese/Mandarin) & Bilingual Bengali & English in demand! * Prior experience in an interdisciplinary service delivery environment, required. * Working knowledge of Medicare and Medicaid regulations Excellent Salary $105,000 - 115,000 based on relative experience and great Benefits! Medical/Dental/Vision, Matching 401k, PTO & More! Qualified Candidates Please Apply Now for Immediate Consideration! Company DescriptionPermanent Placement Recruitment Services for New York Health Care companies!Permanent Placement Recruitment Services for New York Health Care companies!

Job Description Our groundbreaking hospice and palliative care programs offer a broad range of services in the community or facility-based to help patients and their families ease the burden of managing a life-limiting illness or end of life care. The On Call RN Supervisor provides leadership, support, and guidance to Call Center staff for clinical/non clinical issues and situations. The Supervisor elevates complex issues to Team Manager, AOC or Hospice MD on call. The RN Supervisor also provides quality professional telephonic intervention to patients based on the Plan of Care. • Graduate from an accredited School of Nursing, BSN or BS degree preferred, • Three years of Hospice nursing experience, • Supervisory or leadership experience preferred, • 2-5 years Hospice experience/On Call required, • New York State RN licensure, • NYS valid license preferred, • Current CHPN certification preferred

Job Description "All candidates must be directly contracted by ASK Consulting on their payroll and cannot be subcontracted. We are unable to provide sponsorship at this moment". Job Title: Nurse Case Manager II (Field and Telephonic Based in NJ) Location: Must reside in Northern or Central Counties in NJ (Counties can include: Monmouth, Morris, Somerset, Union, Passaic, Bergen, Essex) Duration: 06 Months Pay rate: $40.00 - $44.00 on W2 Job Description: Key Responsibilities: • Conduct comprehensive assessments using clinical tools and data review, • Evaluate member eligibility, benefit plans, and available services, • Develop and implement case management plans, • Ensure compliance with regulatory guidelines and company policies, • Coordinate care across internal and external healthcare services, • Active, unrestricted RN license in New Jersey (Compact License required), • Minimum 3 years of clinical experience (hospital, home health, or ambulatory care) #Hiring #RNJobs #CaseManager #NurseJobs #RegisteredNurse #HealthcareJobs #RemoteNursing #NurseLife #ClinicalJobs #ManagedCare #CareManagement #NowHiring #JobOpportunity#NewJerseyJobs #NorthJersey#TelephonicNursing #FieldNurse #NursingCareers #HealthcareCareers #ImmediateHiring #OpenToWork About ASK: ASK Consulting is an award-winning technology and professional services recruiting firm servicing Fortune 500 organizations nationally. With 5 nationwide offices, two global delivery centers, and employees in 42 states-ASK Consulting connects people with amazing opportunities ASK Consulting is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all associates.

Job Description Position: UAS RN Assessor Location: Hybrid (Must reside within the New York Tri-State Area - NY, NJ, or CT) Schedule: Monday - Friday 9am-5pm Compensation: $105,000 - $113,000 Join VillageCare as a Full-Time Nurse Assessor and embrace the opportunity to contribute to the health and wellness of your community. Enjoy the flexibility of a hybrid work environment while engaging with diverse patients who rely on your expertise. In this role, you'll solve complex challenges and provide customer-centric solutions, all within a supportive and energetic environment. With a competitive salary ranging from $103,000 to $110,000, you will be rewarded for your commitment to excellence and integrity in healthcare. You will receive great benefits including a generous PTO package, 10 Paid Holidays, Personal and Sick time, Medical/Dental/Vision, HRA/FSA, Education Reimbursement, Retirement Savings 403(b) with a 5% yearly employer contribution, Life and Disability, Commuter Benefits, mileage reimbursement, Paid Family Leave, and access to additional employee discounts. Don't miss this chance to be part of a forward-thinking organization that values your skills while offering a work-life balance. Apply today and make a difference! Introduction: VillageCare is a community-based, not-for-profit organization serving people with chronic care needs, as well as seniors and individuals in need of continuing care and managed care services. Our mission is to promote healing, better health and well-being to the fullest extent possible. Our care is offered through a number of Medicaid and Medicare managed care plans, and through our Assisted Living Program. VillageCare has delivered quality health care and social services to individuals residing within New York City for over 45 years. Our service area now includes all five boroughs of NYC, as well as Westchester, Nassau, and Putnam counties. Your day as a Nurse Assessor: As a Nurse Assessor at VillageCare, you will play a vital role in ensuring the health and well-being of our Members through comprehensive assessments using the NYS Department of Health Universal Assessment System (UAS). Your responsibilities include: • Conducting both in-person and telephonic assessments, where you'll evaluate clinical, social, and individual needs to create tailored care plans., • Collaborating with our assessment scheduling team, you'll confirm assessment sessions and engage with Members, families, and providers to gather crucial information. Your clinical expertise will guide you in reviewing care plans, providing essential self-care training, and ensuring Members have access to valuable resources., • You'll document assessments promptly and work closely with the Quality Manager and UAS Nurse Reviewer to enhance the accuracy of assessments. To thrive as a Nurse Assessor at VillageCare, you must possess a blend of education, experience, and technical skills. • A minimum of an Associate's degree in nursing is required, while a Bachelor of Science in Nursing (BSN) is preferred., • Holding an active NYS RN License and valid NYS identification is essential., • Candidates should bring at least two years of clinical experience, ideally in home health care or within a health plan., • Familiarity with NYS Managed Long Term Care (MLTC) and Medicaid/Medicare plans will enhance your candidacy., • Proficiency in the NYS Department of Health's Uniform Assessment System (NYS-UAS) is preferred, although we will facilitate training., • Strong analytical and problem-solving skills are a must, along with proficiency in standard office software applications like MS Word, Excel, Outlook, and PowerPoint., • Familiarity with electronic health records systems and the ability to communicate in the languages spoken by VCMAX Members, such as Spanish or Mandarin, will further contribute to your success in this role. Are you ready for an exciting opportunity? So, what do you think? If you can meet these requirements and perform this job as described above, we would be happy to have you as part of our team! VillageCare is an Equal Opportunity Employer. Job Posted by ApplicantPro

We are currently seeking Registered Nurses (RNs)to support the Paterson School District. Registered Nurse (RN) Pediatric Home Health. If you're an RN looking for a role where you can practice nursing with focus, purpose, and support, this position was designed with you in mind.

Are you a CRNA searching for your next exciting locum tenens opportunity? This position with one of VISTA's healthcare partners in New York might just be the opportunity for you!. A ClearlyRated Best of Staffing Client and Talent 10‐Year Diamond Award winner, VISTA has 30 years of experience op

We are currently seeking Registered Nurses (RNs)to support the Paterson School District. Registered Nurse (RN) Pediatric Home Health. If you're an RN looking for a role where you can practice nursing with focus, purpose, and support, this position was designed with you in mind.

Certified Registered Nurse Anesthetist (CRNA). This facility is seeking a Certified Registered Nurse Anesthetist (CRNA) for locum tenens support as they look to fill a current need. Must have 2 years of experience as a Certified Registered Nurse Anesthetist (CRNA).

We are currently seeking Registered Nurses (RNs)to support the Paterson School District. Registered Nurse (RN) Pediatric Home Health. If you're an RN looking for a role where you can practice nursing with focus, purpose, and support, this position was designed with you in mind.

Easy-to-use Employee Portal that puts you in control, request shifts that fit your schedule and preferences, earn Care Bucks rewards, and stay connected to the COFK community. Valid New Jersey RN License or Multistate License. We are currently seeking Registered Nurses (RNs)to support the Paterson S

Active, unrestricted Registered Nurse (RN) license in NY (multi-state licensure. W2 Remote Patient Care Coordinator (RN). The Patient Care Coordinator is a licensed registered nurse (RN) responsible for.

We are currently seeking Registered Nurses (RNs)to support the Paterson School District. Registered Nurse (RN) Pediatric Home Health. If you're an RN looking for a role where you can practice nursing with focus, purpose, and support, this position was designed with you in mind.

We consider all qualified applicants, including those with criminal histories, in a manner consistent with applicable state and local Fair Chance laws and ordinances, including, the California Fair Chance Act and all applicable local Fair Chance ordinances.

PM Pediatric Care is seeking a Licensed Master Social Worker to join our Behavioral Health Program.This opportunity will provide comprehensive behavioral health for the common conditions seen in primary care such as depression, anxiety, ADD, and conduct disorders in an extended primary care collabor

Remote patient monitoring technologies.Pride Global offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)-retirement savings, life & disability insurance,

We're Hiring! Patient Care Coordinator | SMILE HOUSE JBL NYC.ABOUT SMILE HOUSE & JBL NEW YORK CITY.SMILE HOUSE and JBL New York City represent two of Manhattan's most distinguished dental practices — united by a shared philosophy that the mouth is the gateway to whole-body health.JBL NYC, founded

Pay Rate: $24 to $29 per Hour Shift Hours: 11PM - 7AM Summary: Responsible for supporting virtual patient care activities and promoting patient-focused care within the company Perform various remote monitoring duties including patient safety and clinical needs monitoring Collaborate on implementing

The Rogosin Institute (RI) is an independent not-for-profit medical care and research organization affiliated with New York Presbyterian Hospital and Weill Cornell Medicine.

Advance your career with Mindlance! We have been connecting talented IT professionals with world-class companies since 1999.Mindlance is here to help you to find the perfect fit with just the right company.Currently, we are seeking an Operational Analyst for an exciting career growth opportunity.Mak

Job Title: Transitions of Care Coordinator Location: New York, NY 10004 Duration: 2 months Pay Rate : 35$ - 40$ / Hr on W2 Shift: Monday to Friday 9 AM to 5 PM Summary: · Client is committed to empowering New Yorkers by uniting communities through care.We believe that Health care is a right, not a

Clinical Team Support: peer-to-peer learning. We encourage you to reach out directly to learn more about current openings! Currently Hiring for Clinical Psychologist, LCSW, LPC, LMHC, and LMFT located in NJ, NY, PA, or MD.

In-Person Patient Evaluation: $60 per visit (Telehealth: $40/visit).Pediatric Specialty: $69 per visit (Telehealth: $40/visit).MJHS is a large not-for-profit health system in the Greater New York area.Our range of health services include home care, hospice and palliative care for adults and children

Mount Sinai - 310 East 14th Street - Responsibilities: Greet patients and update insurance/demographics in the practice management system; Ensure physician accepts presented insurance and verify prior to arrival if possible; Collect co-pays and provide receipts; Answer phones and schedule appointmen

This is a client-facing role with immediate responsibility for a busy docket and the opportunity to mentor junior attorneys and paralegals. Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is sub

Mount Sinai - 310 East 14th Street - Responsibilities: Greet patients in person or via telephone and update their insurance/demographics in the practice management system; Verify insurance prior to patients arrival or at minimum at time of arrival before visit; Ensure that physician accepts insuranc

Encourages resistant clients to accept mental health services through interventions with clients and/or family members and friends concerned with the client's welfare.

Shift Details: Shift 5 Day Shifts X 7.Job Order Details: Start Date 05/04/2026 End Date 08/01/2026 Duration 13 Week(s).Client Details: City New York City State NY.