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Clinical Review Manager

VNS Health

Bronx, NY
1 month ago
$98,200 - $130,800

Job Description

As a Clinical Review Manager at VNS Health, you will oversee clinical documentation and ensure efficient use of resources to promote positive patient outcomes. You will collaborate with leadership and educate clinicians, while also addressing performance issues and improving documentation practices.

Key Responsibilities

  • Oversee clinical utilization documentation completion and approval
  • Review and approve evaluation documentation and OASIS
  • Ensure service utilization aligns with assessment data
  • Educate clinicians on documentation best practices
  • Conduct performance evaluations and coaching of clinicians
  • Collaborate with leadership to improve patient care outcomes

Required Qualifications

  • License and current registration as a Registered Professional Nurse, Physical Therapist, Occupational Therapist, or Speech Language Pathologist in New York State
  • OASIS certification within one year of job entry
  • Bachelor's Degree or Master's Degree
  • Minimum of three years clinical experience in community health care
  • Proficiency in Microsoft Office applications
  • Demonstrated analytical skills

Preferred Qualifications

  • Prior clinical management, utilization management or care management experience

Benefits & Perks