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    ME

    Metropolitan Jewish Health System

    Healthcare

    A&G RN Coordinator

    New York, United StatesOn-SiteFull-time2+ yrs experiencePosted 1mo ago
    All Metropolitan Jewish Health System jobs

    Job description

    Overview

    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
    • Free MSN in Education program!
    • 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

    Min

    USD $110,000.00/Yr.

    Max

    USD $120,000.00/Yr.

    Job details are sourced from the employer's original posting.

    Open job posting
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    About the company

    Metropolitan Jewish Health System

    Metropolitan Jewish Health System is a healthcare organization providing a range of services including home care, hospice, and senior living.

    View all Metropolitan Jewish Health System jobs
    Industry
    Healthcare
    Open roles
    58

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