OverviewDevelops, plans and directs the implementation of for intervention strategies to improve member engagement and clinical outcomes for health plan members including grant-funded efforts directed at achieving HIV viral suppression. Works under limited direction. Compensation Range:$122,300.00 - $164,000.00 Annual 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 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 + Collaborates with clinical case management staff to develop policies and procedures to address high risk clinical needs of Select Health members. Determines best interventions to serve the HIV population. + Creates assessment and reporting tools to ensure consistent evaluation and tracking of Select Health members. Oversees monthly reporting of progress; analyzes results and makes recommendations for changes, as appropriate. + Trains staff on identifying adherence barriers and intervention opportunities and on engaging Select Health members regarding follow up care. + Monitors and oversees vendors performing outreach and adherence activities and PCP sites serving the HIV population. + Evaluates the quality and appropriateness of services provided by VNS Health Select Health; identifies opportunities for improvement and provides recommendations to leadership. + Organizes and chairs case conferences between the plan and partners. Qualifications Licenses and Certifications: + License and current registration to practice as a Registered Professional Nurse in New York State required + New York State License and current registration to practice as a Nurse Practitioner in New York State preferred Education: + Bachelor's Degree in Nursing or a health care related field required + Master's Degree in business, health care administration, or management preferred Work Experience: + Minimum of five years of progressive health care management experience, including a minimum of three years of experience (working with HIV patients with a focus on public health) required + Strong knowledge of health care delivery systems, managed care, and patient care required + Strong knowledge of Federal and state health care regulations related to Medicare, Medicaid, managed care, and long term care required CAREERS AT VNS Health The future of care begins with you. Together, we will revolutionize health care in the home and community. When you join VNS Health, you become a part of something bigger. For generations, we’ve been a recognized leader and innovator in patient-centered and community-focused health care. At VNS Health, you’ll have the opportunity to meaningfully impact lives. Including yours. Discover your next role at VNS Health.