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Medical Director, CHOICE Health Plans

Company: Visiting Nurse Service of New York
Location: New York
Posted on: May 18, 2018

Job Description:

Overview Created in 1998, VNSNY CHOICE is the managed care affiliate of the Visiting Nurse Service of New York and shares its mission of compassion and care for the poor, the chronically ill and elderly. Our guiding principle is to help the most vulnerable among us live safely and independently for as long as possible in their own homes and communities. VNSNY CHOICE has 700 employees, including 227 care management staff. On any given day, VNSNY CHOICE coordinates care for more than 40,000 members through its array of Medicare and Medicaid health plans, including Medicaid Long Term Care, Medicare Advantage, and a HIV/Special Needs Plan. With offices in Manhattan, Brooklyn and upstate New York, VNSNY CHOICE health plans are available in the New York City metropolitan area as well as on a plan basis in selected counties throughout New York State. Responsibilities Assists General Manager in planning, directing and coordinating all medical and related activities for CHOICE Health Plans. Participates in implementing standards of medical service and advises General Manager on medical and administrative questions and policies as they relate to the CHOICE population. Plans for and participates in physician education. Investigates and implements new medical and clinical practices and techniques. Serves as consultant for unusual and difficult medical cases. Actively participates in the QARR/HEDIS Quality Improvement Activities and utilization management of the population. Works under limited supervision. Licensure: Licensed to practice medicine in New York State required. Board Certification required. Certification in Geriatric Care preferred. Valid driver's license or NYS Non-Driver photo ID card, may be required as determined by operational/regional needs. Experience: Minimum five years of experience in clinical medicine, including geriatrics or HIV population, required. Minimum three years of medical management experience required. Administrative and/or management experience required. Managed care experience preferred. CA2018

Keywords: Visiting Nurse Service of New York, Waterbury, Medical Director, CHOICE Health Plans, Executive, New York, Connecticut

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