The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.
Reporting to the Supervisor of care management this position will provide case management to our members including medical, social, psychological, physical and spiritual needs by Developing, implementing and monitoring the care plan, in conjunction with the PCP, caregivers and other team members, to help meet the member's needs. managed care nurse, managed care rn, nursing, rn, nurse, care management
Graduate from an accredited school of nursing
Associates or Diploma in Nursing, BSN preferred
Must have an RN license in the State of NY
Minimum of three years experience in acute or longterm care with prior medicare managed care experience required
Working knowledge of utilization management processes and case management also required
Knowlege of federal and State Managed Care regulations, InterQual, and local medicare coverage guidelines
Knowledge of windows, Word and Excel
Good written and verbal communication skills
We truly value our staff and further acknowledge their contributions by offering:
You’ll find what you’ve been searching for at MJHS.That’s because we’ll appreciate your talent and your dedication to improving the lives of others through top quality patient care. We’ll recognize your contributions, support y...our professional growth, and provide benefits that help you create a well-balanced and rewarding career.You work hard to care for others. And we believe it’s just as important that we care for you in return. You won’t find that everywhere. But you will find it here.We invite you to learn more about the place we call MJHS.