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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 professional in this position will act as a patient advocate in facilitating, coordinating and communicating the transition of patients to next level of care in accordance with applicable law, regulations and agency policies and procedures. Works in a collaborative role with MJHC and select inpatient facilities to evaluate inpatients referred for transitional planning and/or home health services. This role works within the SNP (Special Needs Plan) line of business with Elderplan. The daily functions are carried out through a combination of telephonic outreach and collaborative efforts with facility discharge planners, MJHC, and in-house case management staff. managed care nurse, managed care rn, nursing, rn, nurse, care management
Qualifications
- Associates in Nursing; Baccalaureate Degree preferred.
- Minimum of one year of acute, Medical-Surgical nursing experience. CHHA/LTHHCP experience preferred.
- Discharge Planning/Utilization Management experience preferred.
- Word and Excel
- Licensed with current Registration to practice as Registered Professional Nurse in NYS; Current CPR Certification.
- Excellent customer service skills.
- Ability to work within an integrated health care team.
- Ability to demonstrate effective critical thinking skills.
- Ability to problem solve independently.
- Ability to communicate in English both verbally and in writing.
- Proficiency in interviewing and physical assessment skills.
