Pre-Authorization RN - $15,000 Sign-On Bonus or Student Loan Assistance!

Metropolitan Jewish Health System; New York (NY); Presencial; USD 90.000 - 110.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Sign-on bonus

Student loan assistance

Tuition reimbursement

Dependent tuition reimbursement

Paid time off including birthday

Medical/dental/vision coverage for you

Retirement plans (403(b) & employer‑p­

Employer‑paid pension

Flexible spending

PSLF eligibility

Descripción de la vacante

Metropolitan Jewish Health System is seeking an experienced registered nurse to manage service requests under Medicare and NYS Medicaid guidelines. You will collaborate with care teams to ensure timely service delivery and update UAS NY assessments for accuracy.

Ideal candidates hold NY RN licensure, 3–5 years in long-term care or managed care, and knowledge of Medicare/Medicaid regulations. Proficiency with Windows, Word, and Excel is expected.

Formación

• NY RN license and registration required.
• 3–5 years nursing experience in long-term care, managed care, home care, geriatrics or hospice.
• Knowledge of Medicare/Medicaid regulations.
• Interdisciplinary service delivery experience preferred.
• Proficient with Windows, Word, and Excel.

Responsabilidades

• Processes all requests for services per Medicare and NYS Medicaid guidelines.
• Collaborates with Care Manager, Assessment Nurse and Primary Care Physician to ensure timely services.
• Coordinates timely completion of UAS NY assessments reflecting current member condition.
• Ensures Individualized Person-Centered Care Plans reflect present status.

Conocimientos

Nursing

Utilization management

Interdisciplinary collaboration

Assessment skills

Medicare/Medicaid regulations

Educación

RN license

Bachelor's degree preferred

Herramientas

Windows

Word

Excel

Descripción del empleo

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. Even in a non-clinical role, employees have an opportunity to make a positive impact on the quality of our health plan members' lives.

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 ORStudent Loan Assistancefor clinical staff
• Free MSN in Education program!
• Tuition Reimbursementfor all full and part-time staff
• Dependent Tuition Reimbursementfor clinical staff!
• Generous paid time off, including your birthday!
• Affordable and comprehensivemedical, 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

Processes all requests for services in accordance with Medicare and NYS Medicaid Guidelines as well as departmental criteria and guidelines. Works collaboratively with other disciplines including Care Manager, Assessment Nurse and Primary Care Physician or other Specialists as necessary to ensure timely provision of services. Coordinates timely completion of UAS NY assessment that accurately reflects current condition of the member. Ensures that the member’s Individualized Person-Centered Care Plan has been updated and accurately reflects present status of the member.

Qualifications

• Graduate of an accredited nursing program, Bachelor’s preferred
• Knowledge with Utilization management processes preferred
• Current NY RN license and registration required
• CCM preferred
• Minimum three to five years nursing experience in long term care, managed care, home care, geriatrics or hospice
• Prior experience in an interdisciplinary service delivery environment preferred
• Working knowledge of Medicare and Medicaid regulations
• Prior experience in an interdisciplinary service delivery environment preferred
• Working knowledge of Windows, Word and Excel
• Knowledge of current standards of medical practice and healthcare delivery systems
• Strong assessment skills
• Knowledge of Interqual preferred

Min

USD $90,000.00/Yr.

Max

USD $110,000.00/Yr.