- Managed Care Nursing
- Queens, NY
-
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Managed Care Nursing Jobs at MJHS in Queens, NY
Found 1 Managed Care Nursing job in Queens, NY at MJHS
-
UAS Assessment RN
- Category:
- Managed Care Nursing
- Location:
- Queens, NY 11373
- Agency:
- Elderplan
- Status:
- Regular Full-Time
- Type:
- Field-based
Managed Care Nursing Jobs in Queens, NY at MJHS can include:
Transitional Care RN - Team members in this managed care nursing job 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.
Quality Review Specialist - Team members in this managed care nursing job are responsible for quality assurance, accuracy and overall integrity of the care management records and documentation completed by Care Management staff. This role is to ensure compliance with NYS DOH and CMS regulations through development of auditing tools, specifically validating all data collected.
Complex Care (RN) Specialist - Team members in this managed care nursing job are responsible for the review of utilization data, clinical data, and referrals from care/case management for appropriateness of the hospice/palliative care program.
Apply for managed care nursing Jobs in Queens, NY at MJHS
Giving you what you need to achieve the right balance in your career is a top priority at MJHS. After all, when you feel valued, respected and appreciated, it’s easier to care about others in return. Apply online today for a managed care nursing job at one of our locations.
Featured Jobs
UAS Assessment RN
Queens, NY$15,000 sign on bonus or option for student loan assistance! As an employer, MJHS attracts individuals who see their work as a calling as well as a job. Professionals in every job category have cited that they appreciate being left to make their own decisions, are encouraged to voice …
Read more about "UAS Assessment RN"Pre-Authorization RN
New York, NYThe 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 …
Read more about "Pre-Authorization RN"RN Care Manager - $15,000 Sign-On Bonus or Student Loan Assistance!
New York, NYThe 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 …
Read more about "RN Care Manager - $15,000 Sign-On Bonus or Student Loan Assistance!"Quality Review Specialist
New York, NYThe 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 …
Read more about "Quality Review Specialist"