$110,000–$120,000 Per Year
Analysis Skills, Case Management, Centers for Medicare and Medicaid Services (CMS), Clinical Medicine, Communication Skills, Community Support, Compensation and Benefits, Customer Support/Service, Federal Government, Health Department, Health Plan, Healthcare, Healthcare Quality, Hospital Administration, Managed Care, Medicaid, Medicare, Microsoft Excel, Microsoft Outlook, Microsoft PowerPoint, Microsoft Word, Multitasking, Nursing Credentials, Nursing Management, Organizational Skills, Presentation/Verbal Skills, Problem Solving Skills, Project/Program Management, Quality of Care, Registered Nurse (RN), Regulations, Retirement Plan, Student Loans, Time Management, Tuition Reimbursement, Writing Skills
Req #: 4336
Job ID: 15743
Job Location: New York, NY
Zip Code: 10041
Category: Managed Care Nursing
Agency: Elderplan
Status: Regular Full-Time
Office: Office-based
Salary: $110,000.00 - $120,000.00 per year
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.
The MJHS Difference
At MJHS, we are more than a workplace; we are a supportive community committed to excellence, respect, and providing high-quality, personalized health care services. We foster collaboration, celebrate achievements, and promote fairness for all. Our contributions are recognized with comprehensive compensation and benefits, career development, and the opportunity for a healthy work-life balance, advancement within our organization and the fulfillment of having a lasting impact on the communities we serve.
Benefits include:
- Sign-on Bonuses OR Student Loan Assistance for clinical staff
- MSN in Education offered!
- Tuition Reimbursement for all full and part-time staff
- Dependent Tuition Reimbursement for clinical staff!
- Generous paid time off, including your birthday!
- Affordable and comprehensive medical, dental and vision coverage for employee and family members
- Two retirement plans! 403(b) AND Employer Paid Pension
- Flexible spending
- And MORE!
MJHS companies are qualified employers under the Federal Government's Paid Student Loan Forgiveness Program (PSLF)
Responsibilities:
The RN Coordinator will investigate and respond to written and/or verbal clinical appeals, expedited clinical grievances and potential quality of care grievances submitted by members and providers in accordance with Elderplan Contract Benefits, CMS (Centers for Medicare & Medicaid Services), and DOH (Department of Health) regulations.
Qualifications:
- Graduate of accredited nursing program; BSN preferred
- 2 years managed care or hospital based ulilization/case management experience
- 2 years minimum clinical experience
- Licensed nurse in New York State
- Proficiency with Microsoft Word, Excel, Power Point and Outlook is required
- Must have excellent written ad verbal communication skills
- Must be comfortable researching current evidence based practice guidelines and protocols
- Must be able to multi-task and managed multiple projects efficiently, meet deadlines, demonstrate analytical/critical thinking skills, and provide excellent customer services that leads to positive problem resolution
Apply
M
Metropolitan Jewish Health System