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Managed Care Nursing Jobs at MJHS in Suffolk County, NY

Found 1 Managed Care Nursing job in Suffolk County, NY at MJHS

  • RN Case Manager-$15,000 sign on bonus or Student Loan Assistance!

    Category:
    Managed Care Nursing
    Location:
    Suffolk County, NY
    Agency:
    Medical Associates, P.C.
    Status:
    Regular Full-Time
    Type:
    Office-based

    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 …

With a comprehensive range of services combined into one integrated health system, MJHS is able to offer you many unique opportunities to deliver world-class patient care. You have the option to provide direct care at the bedside, explore case management or advance into leadership here at one of New York's leading health systems.

Managed Care Nursing Jobs in Suffolk County, 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 Suffolk County, 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.