Metropolitan Jewish Health System

Metropolitan Jewish Health System

193
Open Positions

Open Positions (193)

Transitional Care Nurse (RN)

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms. Theprofessional in this position will act as a patient advocate infacilitating, coordinating and communicating the transition ofpatients to next level of care in accordance with applicable law,regulations and agency policies and procedures. You will work in acollaborative role with MJHC and select inpatient facilities toevaluate inpatients referred for transitional planning and/or homehealth services. The daily functions are carried out through acombination of telephonic outreach and on-site collaborativeefforts with facility discharge planners, MJHC, and in-house casemanagement staff. managed care nurse, managed care rn, nursing, rn,nurse, care management

Hospice Care Planner - $10,000 Sign On Bonus or Student LoanAssistance!!!

Full-time
New York, New York, United States
1 month ago
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Ask about our sign on bonus!!! Working on-site at amajor medical center, the Hospice Care Planner is responsible forevaluating and establishing a plan of care for patients referredfor Hospice services. The Hospice Care Planner will facilitateadmission of referrals upon discharge from the hospital to theHospice program that meets the needs of the patient and familymembers. As a key member of the business development and marketingteam, the Hospice Planner develops and maintains positiverelationships with physicians, social workers, case managers anddischarge planners within the medical center. Hospice Care Plannersmay also perform initial physical and psychosocial assessments ofpotential hospice patients in order to develop individualized plansof care, goals, and make recommendations based on each patient'sneeds, admit eligible patients onto the Hospice program followingthe appropriate standards of practice established by the NationalHospice and Palliative Care Organization (NHPCO). home care,nursing, RN, homecare, nurse, hospice, home care hospice, hospicenurse, hospice rn ome care, nursing, RN, homecare, nurse, hospice,home care hospice, hospice nurse, hospice rn
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Supports the Hospice Nurse Manager position by providingleadership guidance to the professional staff on a day-to-day basisto ensure the provision of Hospice and Palliative Care services areconsistent with the philosophy, goals, and policies of the programand MJHS. Mentors and provides leadership direction to theprofessional staff as directed by the Hospice Nurse Manager. homecare, nursing, RN, homecare, nurse, hospice, home care hospice,hospice nurse, hospice rn
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Ask about our sign on bonus!!! In this field positionyou will perform initial physical and psychosocial assessments ofpotential hospice patients in order to develop individualized plansof care, goals, and make recommendations based on each patient'sneeds. Assessments may take place in private homes, hospitals ornursing facilities. As a Hospice Field Admission Nurse (RN), youwill admit eligible patients onto the Hospice program following theappropriate standards of practice established by the NationalHospice and Palliative Care Organization (NHPCO). In this keyposition, you will also engage in community outreach to physiciansand other medical providers to share information regarding the MJHSHospice program, and gather feedback to effectively informperformance improvement initiatives. The Admissions RN for thisposition will be conducting Hospice Admissions assessments in Bronx& Manhattan. The schedule for this position will be 11am-7pm.Please note this position also rotates one weekend per month and2-3 holidays per year.

Enrollment Representative

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms.Presents the HomeFirst Managed Long Term Care Plan (MLTCP) toeligible referral sources in order to generate referrals foreligible participants into the plans, in accordance with HomeFirstMarketing Plan and Department of Health contractguidelines.

Community Health Nurse (RN) - $10,000 Sign-On Bonus orStudent Loan Assistance!

Full-time
New York, New York, United States
1 month ago
Job Description
As an employer, MJHS attracts individuals who seetheir work as a calling as well as a job. Professionals in everyjob category have cited that they appreciate being left to maketheir own decisions, are encouraged to voice their opinions, andare given the necessary breathing room to do their work withminimal supervision. Yet, at the same time, they feel thatmanagement and their co-workers are solidly behind them and readilyaccessible. Patients trust and rely on your judgment. And so do we!Someone with your depth of compassion, clinical insight and strongdecision-making capabilities is the ideal person to map out andoversee the process of a patient's recovery from illness, injury orsurgery at home. At MJHS, our dedicated staff provides a full rangeof advanced clinical home care services, including patientassessment, medication management and patient/family education. Inthis role, you will assume the ongoing, primary responsibility tocoordinate, implement, continually evaluate the home care needs aswell as providing direct patient care of your patients. You willalso review patient insurance information, coordinate activitiesinvolved in each individual care plan and make sure that pertinentfindings are shared with family and professional caregivers. Yourexcellent communication, documentation and time managementcapabilities will be essential to your success. And all along theway, you will experience the respect for your opinions and the highlevel of autonomy you need to do the job right.

Continuous Care LPN

Full-time
New York, New York, United States
1 month ago
Job Description
Our groundbreaking hospice and palliative careprograms offer a significant difference when dealing with alife-limiting condition. We offer a broad range of services in thecommunity or facility-based to help patients and their familiesease the burden of managing a life-limiting illness or end of lifecare. In this position you will be responsible in providing visitsto hospice patients in their home or in the Nursing home. You willdocument the visit in the Electronic Medical Record and report anychanges to the patient's condition to the RN. This is a Full Timeposition, shift is from 8pm to 8am, 3 days per week and every otherweekend.

Hospice Field RN Case Manager - $10,000 Sign On Bonus orStudent Loan Assistance!!!

Full-time
New York, New York, United States
1 month ago
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Ask about our Sign On Bonus!!! In this field basedposition, you will visit MJHS Hospice and Palliative Care patientsto perform both physical and psychosocial assessments andelectronically document visit occurences. Patient visits will bemade in both community and facility settings. As the Hospice FieldCase Manager, you will develop and implement nursing plans of careand make recommendations for care based on patients' needs. Asneeded, you will contact the patient's physician to request writtenorders to facilitate plan of care changes. In addition, you willalso supervise, train and evaluate home health aides and homemakersworking with our hospice patients. The schedule includes workingone weekend per month and functioning in a backup On Call capacity2-3 times per month. home care, nursing, RN, homecare, nurse,hospice, home care hospice, hospice nurse, hospice rn

RN Care Manager, MLTC $10,000 sign on bonus or Student LoanAssistance!

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms.Reporting to the Supervisor of care management, you will providecase management to our members including medical, social,psychological, physical and spiritual needs by Developing,implementing and monitoring the care plan, in conjunction with thePCP, caregivers and other team members, to help meet the member'sneeds. managed care nurse, managed care rn, nursing, rn, nurse,care management

Inpatient Case Manager RN

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms. Providequality cost-effective care to all members by evaluating the needfor and pre-authorizing requests for inpatient, outpatient,specialty care, home care, DME, and transportation services, fromnetwork and out of network providers, in accordance withdepartmental criteria and guidelines. managed care nurse, managedcare rn, nursing, rn, nurse, care management
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Ask about our sign on bonus!!! In this field positionyou will perform initial physical and psychosocial assessments ofpotential hospice patients in order to develop individualized plansof care, goals, and make recommendations based on each patient'sneeds. Assessments may take place in private homes, hospitals ornursing facilities. As a Hospice Field Admission Nurse (RN), youwill admit eligible patients onto the Hospice program following theappropriate standards of practice established by the NationalHospice and Palliative Care Organization (NHPCO). In this keyposition, you will also engage in community outreach to physiciansand other medical providers to share information regarding the MJHSHospice program, and gather feedback to effectively informperformance improvement initiatives. The Admissions RN for thisposition will be conducting Hospice Admissions assessments in Bronx& Manhattan. The schedule for this position will be 11am-7pm.Please note this position also rotates one weekend per month and2-3 holidays per year.

Enrollment Representative

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms.Presents the HomeFirst Managed Long Term Care Plan (MLTCP) toeligible referral sources in order to generate referrals foreligible participants into the plans, in accordance with HomeFirstMarketing Plan and Department of Health contractguidelines.

RN Care Manager, MLTC $10,000 sign on bonus or Student LoanAssistance!

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms.Reporting to the Supervisor of care management, you will providecase management to our members including medical, social,psychological, physical and spiritual needs by Developing,implementing and monitoring the care plan, in conjunction with thePCP, caregivers and other team members, to help meet the member'sneeds. managed care nurse, managed care rn, nursing, rn, nurse,care management

Registered Nurse (RN)

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms. Providequality cost-effective care to all members by evaluating the needfor and pre-authorizing requests for inpatient, outpatient,specialty care, home care, DME, and transportation services, fromnetwork and out of network providers, in accordance withdepartmental criteria and guidelines. managed care nurse, managedcare rn, nursing, rn, nurse, care management

Community Health Nurse (RN) - $10,000 Sign-On Bonus orStudent Loan Assistance!

Full-time
New York, New York, United States
1 month ago
Job Description
As an employer, MJHS attracts individuals who seetheir work as a calling as well as a job. Professionals in everyjob category have cited that they appreciate being left to maketheir own decisions, are encouraged to voice their opinions, andare given the necessary breathing room to do their work withminimal supervision. Yet, at the same time, they feel thatmanagement and their co-workers are solidly behind them and readilyaccessible. Patients trust and rely on your judgment. And so do we!Someone with your depth of compassion, clinical insight and strongdecision-making capabilities is the ideal person to map out andoversee the process of a patient's recovery from illness, injury orsurgery at home. At MJHS, our dedicated staff provides a full rangeof advanced clinical home care services, including patientassessment, medication management and patient/family education. Inthis role, you will assume the ongoing, primary responsibility tocoordinate, implement, continually evaluate the home care needs aswell as providing direct patient care of your patients. You willalso review patient insurance information, coordinate activitiesinvolved in each individual care plan and make sure that pertinentfindings are shared with family and professional caregivers. Yourexcellent communication, documentation and time managementcapabilities will be essential to your success. And all along theway, you will experience the respect for your opinions and the highlevel of autonomy you need to do the job right.

Inpatient Case Manager RN

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms. Providequality cost-effective care to all members by evaluating the needfor and pre-authorizing requests for inpatient, outpatient,specialty care, home care, DME, and transportation services, fromnetwork and out of network providers, in accordance withdepartmental criteria and guidelines. managed care nurse, managedcare rn, nursing, rn, nurse, care management

Transitional Care Nurse (RN)

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms. Theprofessional in this position will act as a patient advocate infacilitating, coordinating and communicating the transition ofpatients to next level of care in accordance with applicable law,regulations and agency policies and procedures. You will work in acollaborative role with MJHC and select inpatient facilities toevaluate inpatients referred for transitional planning and/or homehealth services. The daily functions are carried out through acombination of telephonic outreach and on-site collaborativeefforts with facility discharge planners, MJHC, and in-house casemanagement staff. managed care nurse, managed care rn, nursing, rn,nurse, care management
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Supports the Hospice Nurse Manager position by providingleadership guidance to the professional staff on a day-to-day basisto ensure the provision of Hospice and Palliative Care services areconsistent with the philosophy, goals, and policies of the programand MJHS. Mentors and provides leadership direction to theprofessional staff as directed by the Hospice Nurse Manager. homecare, nursing, RN, homecare, nurse, hospice, home care hospice,hospice nurse, hospice rn

Pre-Authorization Nurse (RN) $10,000 sign on bonus orStudent Loan Assistance!

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms. Even ina non-clinical role, employees have an opportunity to make apositive impact on the quality of our health plan members' lives.As a Pre-Authorization Nurse, you will process all requests forservices in accordance with Medicare and NYS Medicaid Guidelines aswell as departmental criteria and guidelines. You will workcollaboratively with other disciplines including Care Manager,Assessment Nurse and Primary Care Physician or other Specialists asnecessary to ensure timely provision of services. You willcoordinate timely completion of UAS NY assessment that accuratelyreflects current condition of the member. You will ensure that themember's Individualized Person Centered Care Plan has been updatedand accurately reflects present status of the member.

Continuous Care LPN

Full-time
New York, New York, United States
1 month ago
Job Description
Our groundbreaking hospice and palliative careprograms offer a significant difference when dealing with alife-limiting condition. We offer a broad range of services in thecommunity or facility-based to help patients and their familiesease the burden of managing a life-limiting illness or end of lifecare. In this position you will be responsible in providing visitsto hospice patients in their home or in the Nursing home. You willdocument the visit in the Electronic Medical Record and report anychanges to the patient's condition to the RN. This is a Full Timeposition, shift is from 8pm to 8am, 3 days per week and every otherweekend.

RN Manager, A&G Clinical Review

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms.Responsible for direct oversight and management of clinical reviewprocesses within Appeals & Grievances Department. Ensuresregulatory compliance and timely processing for the Medicare andMedicaid appeal and grievance processes, quality of care concernsand any other inquires requiring clinical review for medicalnecessity, appropriateness of service or clinical quality. Acts assubject matter expert to internal departments and delegated vendorsto assure all are educated and complaint with

RN Care Manager, MLTC $10,000 sign on bonus or Student LoanAssistance!

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms.Reporting to the Supervisor of care management, you will providecase management to our members including medical, social,psychological, physical and spiritual needs by Developing,implementing and monitoring the care plan, in conjunction with thePCP, caregivers and other team members, to help meet the member'sneeds. managed care nurse, managed care rn, nursing, rn, nurse,care management

Community Health Nurse (RN) - $10,000 Sign-On Bonus orStudent Loan Assistance!

Full-time
New York, New York, United States
1 month ago
Job Description
As an employer, MJHS attracts individuals who seetheir work as a calling as well as a job. Professionals in everyjob category have cited that they appreciate being left to maketheir own decisions, are encouraged to voice their opinions, andare given the necessary breathing room to do their work withminimal supervision. Yet, at the same time, they feel thatmanagement and their co-workers are solidly behind them and readilyaccessible. Patients trust and rely on your judgment. And so do we!Someone with your depth of compassion, clinical insight and strongdecision-making capabilities is the ideal person to map out andoversee the process of a patient's recovery from illness, injury orsurgery at home. At MJHS, our dedicated staff provides a full rangeof advanced clinical home care services, including patientassessment, medication management and patient/family education. Inthis role, you will assume the ongoing, primary responsibility tocoordinate, implement, continually evaluate the home care needs aswell as providing direct patient care of your patients. You willalso review patient insurance information, coordinate activitiesinvolved in each individual care plan and make sure that pertinentfindings are shared with family and professional caregivers. Yourexcellent communication, documentation and time managementcapabilities will be essential to your success. And all along theway, you will experience the respect for your opinions and the highlevel of autonomy you need to do the job right.

Hospice Care Planner - $10,000 Sign On Bonus or Student LoanAssistance!!!

Full-time
New York, New York, United States
1 month ago
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Ask about our sign on bonus!!! Working on-site at amajor medical center, the Hospice Care Planner is responsible forevaluating and establishing a plan of care for patients referredfor Hospice services. The Hospice Care Planner will facilitateadmission of referrals upon discharge from the hospital to theHospice program that meets the needs of the patient and familymembers. As a key member of the business development and marketingteam, the Hospice Planner develops and maintains positiverelationships with physicians, social workers, case managers anddischarge planners within the medical center. Hospice Care Plannersmay also perform initial physical and psychosocial assessments ofpotential hospice patients in order to develop individualized plansof care, goals, and make recommendations based on each patient'sneeds, admit eligible patients onto the Hospice program followingthe appropriate standards of practice established by the NationalHospice and Palliative Care Organization (NHPCO). home care,nursing, RN, homecare, nurse, hospice, home care hospice, hospicenurse, hospice rn ome care, nursing, RN, homecare, nurse, hospice,home care hospice, hospice nurse, hospice rn

Hospice Care Planner - $10,000 Sign On Bonus or Student LoanAssistance!!!

Full-time
New York, New York, United States
1 month ago
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Ask about our sign on bonus!!! Working on-site at amajor medical center, the Hospice Care Planner is responsible forevaluating and establishing a plan of care for patients referredfor Hospice services. The Hospice Care Planner will facilitateadmission of referrals upon discharge from the hospital to theHospice program that meets the needs of the patient and familymembers. As a key member of the business development and marketingteam, the Hospice Planner develops and maintains positiverelationships with physicians, social workers, case managers anddischarge planners within the medical center. Hospice Care Plannersmay also perform initial physical and psychosocial assessments ofpotential hospice patients in order to develop individualized plansof care, goals, and make recommendations based on each patient'sneeds, admit eligible patients onto the Hospice program followingthe appropriate standards of practice established by the NationalHospice and Palliative Care Organization (NHPCO). home care,nursing, RN, homecare, nurse, hospice, home care hospice, hospicenurse, hospice rn ome care, nursing, RN, homecare, nurse, hospice,home care hospice, hospice nurse, hospice rn

Pre-Authorization Nurse (RN) $10,000 sign on bonus orStudent Loan Assistance!

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms. Even ina non-clinical role, employees have an opportunity to make apositive impact on the quality of our health plan members' lives.As a Pre-Authorization Nurse, you will process all requests forservices in accordance with Medicare and NYS Medicaid Guidelines aswell as departmental criteria and guidelines. You will workcollaboratively with other disciplines including Care Manager,Assessment Nurse and Primary Care Physician or other Specialists asnecessary to ensure timely provision of services. You willcoordinate timely completion of UAS NY assessment that accuratelyreflects current condition of the member. You will ensure that themember's Individualized Person Centered Care Plan has been updatedand accurately reflects present status of the member.
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Supports the Hospice Nurse Manager position by providingleadership guidance to the professional staff on a day-to-day basisto ensure the provision of Hospice and Palliative Care services areconsistent with the philosophy, goals, and policies of the programand MJHS. Mentors and provides leadership direction to theprofessional staff as directed by the Hospice Nurse Manager. homecare, nursing, RN, homecare, nurse, hospice, home care hospice,hospice nurse, hospice rn

RN Manager, A&G Clinical Review

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms.Responsible for direct oversight and management of clinical reviewprocesses within Appeals & Grievances Department. Ensuresregulatory compliance and timely processing for the Medicare andMedicaid appeal and grievance processes, quality of care concernsand any other inquires requiring clinical review for medicalnecessity, appropriateness of service or clinical quality. Acts assubject matter expert to internal departments and delegated vendorsto assure all are educated and complaint with

Hospice Care Planner - $10,000 Sign On Bonus or Student LoanAssistance!!!

Full-time
New York, New York, United States
1 month ago
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Ask about our sign on bonus!!! Working on-site at amajor medical center, the Hospice Care Planner is responsible forevaluating and establishing a plan of care for patients referredfor Hospice services. The Hospice Care Planner will facilitateadmission of referrals upon discharge from the hospital to theHospice program that meets the needs of the patient and familymembers. As a key member of the business development and marketingteam, the Hospice Planner develops and maintains positiverelationships with physicians, social workers, case managers anddischarge planners within the medical center. Hospice Care Plannersmay also perform initial physical and psychosocial assessments ofpotential hospice patients in order to develop individualized plansof care, goals, and make recommendations based on each patient'sneeds, admit eligible patients onto the Hospice program followingthe appropriate standards of practice established by the NationalHospice and Palliative Care Organization (NHPCO). home care,nursing, RN, homecare, nurse, hospice, home care hospice, hospicenurse, hospice rn ome care, nursing, RN, homecare, nurse, hospice,home care hospice, hospice nurse, hospice rn
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Supports the Hospice Nurse Manager position by providingleadership guidance to the professional staff on a day-to-day basisto ensure the provision of Hospice and Palliative Care services areconsistent with the philosophy, goals, and policies of the programand MJHS. Mentors and provides leadership direction to theprofessional staff as directed by the Hospice Nurse Manager. homecare, nursing, RN, homecare, nurse, hospice, home care hospice,hospice nurse, hospice rn
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Ask about our sign on bonus!!! In this field positionyou will perform initial physical and psychosocial assessments ofpotential hospice patients in order to develop individualized plansof care, goals, and make recommendations based on each patient'sneeds. Assessments may take place in private homes, hospitals ornursing facilities. As a Hospice Field Admission Nurse (RN), youwill admit eligible patients onto the Hospice program following theappropriate standards of practice established by the NationalHospice and Palliative Care Organization (NHPCO). In this keyposition, you will also engage in community outreach to physiciansand other medical providers to share information regarding the MJHSHospice program, and gather feedback to effectively informperformance improvement initiatives. The Admissions RN for thisposition will be conducting Hospice Admissions assessments in Bronx& Manhattan. The schedule for this position will be 11am-7pm.Please note this position also rotates one weekend per month and2-3 holidays per year.

Enrollment Representative

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms.Presents the HomeFirst Managed Long Term Care Plan (MLTCP) toeligible referral sources in order to generate referrals foreligible participants into the plans, in accordance with HomeFirstMarketing Plan and Department of Health contractguidelines.

Continuous Care LPN

Full-time
New York, New York, United States
1 month ago
Job Description
Our groundbreaking hospice and palliative careprograms offer a significant difference when dealing with alife-limiting condition. We offer a broad range of services in thecommunity or facility-based to help patients and their familiesease the burden of managing a life-limiting illness or end of lifecare. In this position you will be responsible in providing visitsto hospice patients in their home or in the Nursing home. You willdocument the visit in the Electronic Medical Record and report anychanges to the patient's condition to the RN. This is a Full Timeposition, shift is from 8pm to 8am, 3 days per week and every otherweekend.

Hospice Field RN Case Manager - $10,000 Sign On Bonus orStudent Loan Assistance!!!

Full-time
New York, New York, United States
1 month ago
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Ask about our Sign On Bonus!!! In this field basedposition, you will visit MJHS Hospice and Palliative Care patientsto perform both physical and psychosocial assessments andelectronically document visit occurences. Patient visits will bemade in both community and facility settings. As the Hospice FieldCase Manager, you will develop and implement nursing plans of careand make recommendations for care based on patients' needs. Asneeded, you will contact the patient's physician to request writtenorders to facilitate plan of care changes. In addition, you willalso supervise, train and evaluate home health aides and homemakersworking with our hospice patients. The schedule includes workingone weekend per month and functioning in a backup On Call capacity2-3 times per month. home care, nursing, RN, homecare, nurse,hospice, home care hospice, hospice nurse, hospice rn

Hospice Care Planner - $10,000 Sign On Bonus or Student LoanAssistance!!!

Full-time
New York, New York, United States
1 month ago
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Ask about our sign on bonus!!! Working on-site at amajor medical center, the Hospice Care Planner is responsible forevaluating and establishing a plan of care for patients referredfor Hospice services. The Hospice Care Planner will facilitateadmission of referrals upon discharge from the hospital to theHospice program that meets the needs of the patient and familymembers. As a key member of the business development and marketingteam, the Hospice Planner develops and maintains positiverelationships with physicians, social workers, case managers anddischarge planners within the medical center. Hospice Care Plannersmay also perform initial physical and psychosocial assessments ofpotential hospice patients in order to develop individualized plansof care, goals, and make recommendations based on each patient'sneeds, admit eligible patients onto the Hospice program followingthe appropriate standards of practice established by the NationalHospice and Palliative Care Organization (NHPCO). home care,nursing, RN, homecare, nurse, hospice, home care hospice, hospicenurse, hospice rn ome care, nursing, RN, homecare, nurse, hospice,home care hospice, hospice nurse, hospice rn
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Ask About Our Sign On Bonus!!! In this field basedposition, you will visit MJHS Hospice and Palliative Care pediatricpatients throughout the five boroughs to perform both physical andpsychosocial assessments and electronically document visitoccurences. Patient visits will be made in both community andfacility settings. As the Pediatric Hospice Field Case Manager, youwill develop and implement nursing plans of care and makerecommendations for care based on patients' needs. As needed, youwill contact the patient's physician to request written orders tofacilitate plan of care changes. In addition, you will alsosupervise, train and evaluate home health aides and homemakersworking with our pediatric hospice patients. The schedule includesworking one weekend per month functioning in a backup On Callcapacity. This position is primarily based inBrooklyn/Queens/Nassau but may require patient visits inBronx/Manhattan.

Pre-Authorization Nurse (RN) $10,000 sign on bonus orStudent Loan Assistance!

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms. Even ina non-clinical role, employees have an opportunity to make apositive impact on the quality of our health plan members' lives.As a Pre-Authorization Nurse, you will process all requests forservices in accordance with Medicare and NYS Medicaid Guidelines aswell as departmental criteria and guidelines. You will workcollaboratively with other disciplines including Care Manager,Assessment Nurse and Primary Care Physician or other Specialists asnecessary to ensure timely provision of services. You willcoordinate timely completion of UAS NY assessment that accuratelyreflects current condition of the member. You will ensure that themember's Individualized Person Centered Care Plan has been updatedand accurately reflects present status of the member.

Weekend On-Call Hospice RN

Full-time
New York, New York, United States
1 month ago
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Reporting to the RN Team Manager, this position willtriage all calls for Hospice patients and provide direct nursingcare to patients when a home visit is necessary. Will develop andupdate the plan of care as needed requesting written orders forchanges from the physician. Will document all nursing care providedinto computer and will update status of patient as needed. Willcommunicate all changes to patients condition to primary RN casemanager. This Weekend Fee for Service position has 2 shiftsavailable! Saturday: 5pm - 1am or 1am - 9am Sunday: 5pm - 1am or1am - 9am home care, nursing, RN, homecare, nurse, hospice, homecare hospice, hospice nurse, hospice rn

Weekend On-Call Hospice RN

Full-time
New York, New York, United States
1 month ago
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Reporting to the RN Team Manager, this position willtriage all calls for Hospice patients and provide direct nursingcare to patients when a home visit is necessary. Will develop andupdate the plan of care as needed requesting written orders forchanges from the physician. Will document all nursing care providedinto computer and will update status of patient as needed. Willcommunicate all changes to patients condition to primary RN casemanager. This Weekend Fee for Service position has 2 shiftsavailable! Saturday: 5pm - 1am or 1am - 9am Sunday: 5pm - 1am or1am - 9am home care, nursing, RN, homecare, nurse, hospice, homecare hospice, hospice nurse, hospice rn

Pre-Authorization Nurse (RN) $10,000 sign on bonus orStudent Loan Assistance!

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms. Even ina non-clinical role, employees have an opportunity to make apositive impact on the quality of our health plan members' lives.As a Pre-Authorization Nurse, you will process all requests forservices in accordance with Medicare and NYS Medicaid Guidelines aswell as departmental criteria and guidelines. You will workcollaboratively with other disciplines including Care Manager,Assessment Nurse and Primary Care Physician or other Specialists asnecessary to ensure timely provision of services. You willcoordinate timely completion of UAS NY assessment that accuratelyreflects current condition of the member. You will ensure that themember's Individualized Person Centered Care Plan has been updatedand accurately reflects present status of the member.

Registered Nurse (RN)

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms. Providequality cost-effective care to all members by evaluating the needfor and pre-authorizing requests for inpatient, outpatient,specialty care, home care, DME, and transportation services, fromnetwork and out of network providers, in accordance withdepartmental criteria and guidelines. managed care nurse, managedcare rn, nursing, rn, nurse, care management
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Ask about our sign on bonus!!! In this field positionyou will perform initial physical and psychosocial assessments ofpotential hospice patients in order to develop individualized plansof care, goals, and make recommendations based on each patient'sneeds. Assessments may take place in private homes, hospitals ornursing facilities. As a Hospice Field Admission Nurse (RN), youwill admit eligible patients onto the Hospice program following theappropriate standards of practice established by the NationalHospice and Palliative Care Organization (NHPCO). In this keyposition, you will also engage in community outreach to physiciansand other medical providers to share information regarding the MJHSHospice program, and gather feedback to effectively informperformance improvement initiatives. The Admissions RN for thisposition will be conducting Hospice Admissions assessments in Bronx& Manhattan. The schedule for this position will be 11am-7pm.Please note this position also rotates one weekend per month and2-3 holidays per year.
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Supports the Hospice Nurse Manager position by providingleadership guidance to the professional staff on a day-to-day basisto ensure the provision of Hospice and Palliative Care services areconsistent with the philosophy, goals, and policies of the programand MJHS. Mentors and provides leadership direction to theprofessional staff as directed by the Hospice Nurse Manager. homecare, nursing, RN, homecare, nurse, hospice, home care hospice,hospice nurse, hospice rn

Hospice Field RN Case Manager - $10,000 Sign On Bonus orStudent Loan Assistance!!!

Full-time
New York, New York, United States
1 month ago
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Ask about our Sign On Bonus!!! In this field basedposition, you will visit MJHS Hospice and Palliative Care patientsto perform both physical and psychosocial assessments andelectronically document visit occurences. Patient visits will bemade in both community and facility settings. As the Hospice FieldCase Manager, you will develop and implement nursing plans of careand make recommendations for care based on patients' needs. Asneeded, you will contact the patient's physician to request writtenorders to facilitate plan of care changes. In addition, you willalso supervise, train and evaluate home health aides and homemakersworking with our hospice patients. The schedule includes workingone weekend per month and functioning in a backup On Call capacity2-3 times per month. home care, nursing, RN, homecare, nurse,hospice, home care hospice, hospice nurse, hospice rn

Hospice Field RN Case Manager - $10,000 Sign On Bonus orStudent Loan Assistance!!!

Full-time
New York, New York, United States
1 month ago
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Ask about our Sign On Bonus!!! In this field basedposition, you will visit MJHS Hospice and Palliative Care patientsto perform both physical and psychosocial assessments andelectronically document visit occurences. Patient visits will bemade in both community and facility settings. As the Hospice FieldCase Manager, you will develop and implement nursing plans of careand make recommendations for care based on patients' needs. Asneeded, you will contact the patient's physician to request writtenorders to facilitate plan of care changes. In addition, you willalso supervise, train and evaluate home health aides and homemakersworking with our hospice patients. The schedule includes workingone weekend per month and functioning in a backup On Call capacity2-3 times per month. home care, nursing, RN, homecare, nurse,hospice, home care hospice, hospice nurse, hospice rn

Inpatient Case Manager RN

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms. Providequality cost-effective care to all members by evaluating the needfor and pre-authorizing requests for inpatient, outpatient,specialty care, home care, DME, and transportation services, fromnetwork and out of network providers, in accordance withdepartmental criteria and guidelines. managed care nurse, managedcare rn, nursing, rn, nurse, care management
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Ask About Our Sign On Bonus!!! In this field basedposition, you will visit MJHS Hospice and Palliative Care pediatricpatients throughout the five boroughs to perform both physical andpsychosocial assessments and electronically document visitoccurences. Patient visits will be made in both community andfacility settings. As the Pediatric Hospice Field Case Manager, youwill develop and implement nursing plans of care and makerecommendations for care based on patients' needs. As needed, youwill contact the patient's physician to request written orders tofacilitate plan of care changes. In addition, you will alsosupervise, train and evaluate home health aides and homemakersworking with our pediatric hospice patients. The schedule includesworking one weekend per month functioning in a backup On Callcapacity. This position is primarily based inBrooklyn/Queens/Nassau but may require patient visits inBronx/Manhattan.

Enrollment Representative

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms.Presents the HomeFirst Managed Long Term Care Plan (MLTCP) toeligible referral sources in order to generate referrals foreligible participants into the plans, in accordance with HomeFirstMarketing Plan and Department of Health contractguidelines.

Community Health Nurse (RN) - $10,000 Sign-On Bonus orStudent Loan Assistance!

Full-time
New York, New York, United States
1 month ago
Job Description
As an employer, MJHS attracts individuals who seetheir work as a calling as well as a job. Professionals in everyjob category have cited that they appreciate being left to maketheir own decisions, are encouraged to voice their opinions, andare given the necessary breathing room to do their work withminimal supervision. Yet, at the same time, they feel thatmanagement and their co-workers are solidly behind them and readilyaccessible. Patients trust and rely on your judgment. And so do we!Someone with your depth of compassion, clinical insight and strongdecision-making capabilities is the ideal person to map out andoversee the process of a patient's recovery from illness, injury orsurgery at home. At MJHS, our dedicated staff provides a full rangeof advanced clinical home care services, including patientassessment, medication management and patient/family education. Inthis role, you will assume the ongoing, primary responsibility tocoordinate, implement, continually evaluate the home care needs aswell as providing direct patient care of your patients. You willalso review patient insurance information, coordinate activitiesinvolved in each individual care plan and make sure that pertinentfindings are shared with family and professional caregivers. Yourexcellent communication, documentation and time managementcapabilities will be essential to your success. And all along theway, you will experience the respect for your opinions and the highlevel of autonomy you need to do the job right.

RN Manager, A&G Clinical Review

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms.Responsible for direct oversight and management of clinical reviewprocesses within Appeals & Grievances Department. Ensuresregulatory compliance and timely processing for the Medicare andMedicaid appeal and grievance processes, quality of care concernsand any other inquires requiring clinical review for medicalnecessity, appropriateness of service or clinical quality. Acts assubject matter expert to internal departments and delegated vendorsto assure all are educated and complaint with

Community Health Nurse (RN) - $10,000 Sign-On Bonus orStudent Loan Assistance!

Full-time
New York, New York, United States
1 month ago
Job Description
As an employer, MJHS attracts individuals who seetheir work as a calling as well as a job. Professionals in everyjob category have cited that they appreciate being left to maketheir own decisions, are encouraged to voice their opinions, andare given the necessary breathing room to do their work withminimal supervision. Yet, at the same time, they feel thatmanagement and their co-workers are solidly behind them and readilyaccessible. Patients trust and rely on your judgment. And so do we!Someone with your depth of compassion, clinical insight and strongdecision-making capabilities is the ideal person to map out andoversee the process of a patient's recovery from illness, injury orsurgery at home. At MJHS, our dedicated staff provides a full rangeof advanced clinical home care services, including patientassessment, medication management and patient/family education. Inthis role, you will assume the ongoing, primary responsibility tocoordinate, implement, continually evaluate the home care needs aswell as providing direct patient care of your patients. You willalso review patient insurance information, coordinate activitiesinvolved in each individual care plan and make sure that pertinentfindings are shared with family and professional caregivers. Yourexcellent communication, documentation and time managementcapabilities will be essential to your success. And all along theway, you will experience the respect for your opinions and the highlevel of autonomy you need to do the job right.

Weekend On-Call Hospice RN

Full-time
New York, New York, United States
1 month ago
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Reporting to the RN Team Manager, this position willtriage all calls for Hospice patients and provide direct nursingcare to patients when a home visit is necessary. Will develop andupdate the plan of care as needed requesting written orders forchanges from the physician. Will document all nursing care providedinto computer and will update status of patient as needed. Willcommunicate all changes to patients condition to primary RN casemanager. This Weekend Fee for Service position has 2 shiftsavailable! Saturday: 5pm - 1am or 1am - 9am Sunday: 5pm - 1am or1am - 9am home care, nursing, RN, homecare, nurse, hospice, homecare hospice, hospice nurse, hospice rn

Registered Nurse (RN)

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms. Providequality cost-effective care to all members by evaluating the needfor and pre-authorizing requests for inpatient, outpatient,specialty care, home care, DME, and transportation services, fromnetwork and out of network providers, in accordance withdepartmental criteria and guidelines. managed care nurse, managedcare rn, nursing, rn, nurse, care management

Weekend On-Call Hospice RN

Full-time
New York, New York, United States
1 month ago
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Reporting to the RN Team Manager, this position willtriage all calls for Hospice patients and provide direct nursingcare to patients when a home visit is necessary. Will develop andupdate the plan of care as needed requesting written orders forchanges from the physician. Will document all nursing care providedinto computer and will update status of patient as needed. Willcommunicate all changes to patients condition to primary RN casemanager. This Weekend Fee for Service position has 2 shiftsavailable! Saturday: 5pm - 1am or 1am - 9am Sunday: 5pm - 1am or1am - 9am home care, nursing, RN, homecare, nurse, hospice, homecare hospice, hospice nurse, hospice rn

Weekend On-Call Hospice RN

Full-time
New York, New York, United States
1 month ago
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Reporting to the RN Team Manager, this position willtriage all calls for Hospice patients and provide direct nursingcare to patients when a home visit is necessary. Will develop andupdate the plan of care as needed requesting written orders forchanges from the physician. Will document all nursing care providedinto computer and will update status of patient as needed. Willcommunicate all changes to patients condition to primary RN casemanager. This Weekend Fee for Service position has 2 shiftsavailable! Saturday: 5pm - 1am or 1am - 9am Sunday: 5pm - 1am or1am - 9am home care, nursing, RN, homecare, nurse, hospice, homecare hospice, hospice nurse, hospice rn

Inpatient Case Manager RN

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms. Providequality cost-effective care to all members by evaluating the needfor and pre-authorizing requests for inpatient, outpatient,specialty care, home care, DME, and transportation services, fromnetwork and out of network providers, in accordance withdepartmental criteria and guidelines. managed care nurse, managedcare rn, nursing, rn, nurse, care management

RN Care Manager, MLTC $10,000 sign on bonus or Student LoanAssistance!

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms.Reporting to the Supervisor of care management, you will providecase management to our members including medical, social,psychological, physical and spiritual needs by Developing,implementing and monitoring the care plan, in conjunction with thePCP, caregivers and other team members, to help meet the member'sneeds. managed care nurse, managed care rn, nursing, rn, nurse,care management

Continuous Care LPN

Full-time
New York, New York, United States
1 month ago
Job Description
Our groundbreaking hospice and palliative careprograms offer a significant difference when dealing with alife-limiting condition. We offer a broad range of services in thecommunity or facility-based to help patients and their familiesease the burden of managing a life-limiting illness or end of lifecare. In this position you will be responsible in providing visitsto hospice patients in their home or in the Nursing home. You willdocument the visit in the Electronic Medical Record and report anychanges to the patient's condition to the RN. This is a Full Timeposition, shift is from 8pm to 8am, 3 days per week and every otherweekend.

Hospice Field RN Case Manager - $10,000 Sign On Bonus orStudent Loan Assistance!!!

Full-time
New York, New York, United States
1 month ago
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Ask about our Sign On Bonus!!! In this field basedposition, you will visit MJHS Hospice and Palliative Care patientsto perform both physical and psychosocial assessments andelectronically document visit occurences. Patient visits will bemade in both community and facility settings. As the Hospice FieldCase Manager, you will develop and implement nursing plans of careand make recommendations for care based on patients' needs. Asneeded, you will contact the patient's physician to request writtenorders to facilitate plan of care changes. In addition, you willalso supervise, train and evaluate home health aides and homemakersworking with our hospice patients. The schedule includes workingone weekend per month and functioning in a backup On Call capacity2-3 times per month. home care, nursing, RN, homecare, nurse,hospice, home care hospice, hospice nurse, hospice rn
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Ask about our sign on bonus!!! In this field positionyou will perform initial physical and psychosocial assessments ofpotential hospice patients in order to develop individualized plansof care, goals, and make recommendations based on each patient'sneeds. Assessments may take place in private homes, hospitals ornursing facilities. As a Hospice Field Admission Nurse (RN), youwill admit eligible patients onto the Hospice program following theappropriate standards of practice established by the NationalHospice and Palliative Care Organization (NHPCO). In this keyposition, you will also engage in community outreach to physiciansand other medical providers to share information regarding the MJHSHospice program, and gather feedback to effectively informperformance improvement initiatives. The Admissions RN for thisposition will be conducting Hospice Admissions assessments in Bronx& Manhattan. The schedule for this position will be 11am-7pm.Please note this position also rotates one weekend per month and2-3 holidays per year.

RN Care Manager, MLTC $10,000 sign on bonus or Student LoanAssistance!

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms.Reporting to the Supervisor of care management, you will providecase management to our members including medical, social,psychological, physical and spiritual needs by Developing,implementing and monitoring the care plan, in conjunction with thePCP, caregivers and other team members, to help meet the member'sneeds. managed care nurse, managed care rn, nursing, rn, nurse,care management
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Ask about our sign on bonus!!! In this field positionyou will perform initial physical and psychosocial assessments ofpotential hospice patients in order to develop individualized plansof care, goals, and make recommendations based on each patient'sneeds. Assessments may take place in private homes, hospitals ornursing facilities. As a Hospice Field Admission Nurse (RN), youwill admit eligible patients onto the Hospice program following theappropriate standards of practice established by the NationalHospice and Palliative Care Organization (NHPCO). In this keyposition, you will also engage in community outreach to physiciansand other medical providers to share information regarding the MJHSHospice program, and gather feedback to effectively informperformance improvement initiatives. The Admissions RN for thisposition will be conducting Hospice Admissions assessments in Bronx& Manhattan. The schedule for this position will be 11am-7pm.Please note this position also rotates one weekend per month and2-3 holidays per year.

Hospice Field RN Case Manager - $10,000 Sign On Bonus orStudent Loan Assistance!!!

Full-time
New York, New York, United States
1 month ago
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Ask about our Sign On Bonus!!! In this field basedposition, you will visit MJHS Hospice and Palliative Care patientsto perform both physical and psychosocial assessments andelectronically document visit occurences. Patient visits will bemade in both community and facility settings. As the Hospice FieldCase Manager, you will develop and implement nursing plans of careand make recommendations for care based on patients' needs. Asneeded, you will contact the patient's physician to request writtenorders to facilitate plan of care changes. In addition, you willalso supervise, train and evaluate home health aides and homemakersworking with our hospice patients. The schedule includes workingone weekend per month and functioning in a backup On Call capacity2-3 times per month. home care, nursing, RN, homecare, nurse,hospice, home care hospice, hospice nurse, hospice rn

Hospice RN - Fee for Service

Full-time
New York, New York, United States
1 month ago
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. In this field based position, you will visit MJHSHospice and Palliative Care patients to perform both physical andpsychosocial assessments and electronically document visitoccurences. Patient visits will be made in both community andfacility settings. As the Hospice Field Case Manager, you willdevelop and implement nursing plans of care and makerecommendations for care based on patients' needs. As needed, youwill contact the patient's physician to request written orders tofacilitate plan of care changes. In addition, you will alsosupervise, train and evaluate home health aides and homemakersworking with our hospice patients. Fee for Service - Shifts basedon your availability and location preference! Shifts availableMonday through Sunday: 9am - 5pm

Transitional Care Nurse (RN)

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms. Theprofessional in this position will act as a patient advocate infacilitating, coordinating and communicating the transition ofpatients to next level of care in accordance with applicable law,regulations and agency policies and procedures. You will work in acollaborative role with MJHC and select inpatient facilities toevaluate inpatients referred for transitional planning and/or homehealth services. The daily functions are carried out through acombination of telephonic outreach and on-site collaborativeefforts with facility discharge planners, MJHC, and in-house casemanagement staff. managed care nurse, managed care rn, nursing, rn,nurse, care management

RN Care Manager, MLTC $10,000 sign on bonus or Student LoanAssistance!

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms.Reporting to the Supervisor of care management, you will providecase management to our members including medical, social,psychological, physical and spiritual needs by Developing,implementing and monitoring the care plan, in conjunction with thePCP, caregivers and other team members, to help meet the member'sneeds. managed care nurse, managed care rn, nursing, rn, nurse,care management

Transitional Care Nurse (RN)

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms. Theprofessional in this position will act as a patient advocate infacilitating, coordinating and communicating the transition ofpatients to next level of care in accordance with applicable law,regulations and agency policies and procedures. You will work in acollaborative role with MJHC and select inpatient facilities toevaluate inpatients referred for transitional planning and/or homehealth services. The daily functions are carried out through acombination of telephonic outreach and on-site collaborativeefforts with facility discharge planners, MJHC, and in-house casemanagement staff. managed care nurse, managed care rn, nursing, rn,nurse, care management

Transitional Care Nurse (RN)

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms. Theprofessional in this position will act as a patient advocate infacilitating, coordinating and communicating the transition ofpatients to next level of care in accordance with applicable law,regulations and agency policies and procedures. You will work in acollaborative role with MJHC and select inpatient facilities toevaluate inpatients referred for transitional planning and/or homehealth services. The daily functions are carried out through acombination of telephonic outreach and on-site collaborativeefforts with facility discharge planners, MJHC, and in-house casemanagement staff. managed care nurse, managed care rn, nursing, rn,nurse, care management

RN Manager, A&G Clinical Review

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms.Responsible for direct oversight and management of clinical reviewprocesses within Appeals & Grievances Department. Ensuresregulatory compliance and timely processing for the Medicare andMedicaid appeal and grievance processes, quality of care concernsand any other inquires requiring clinical review for medicalnecessity, appropriateness of service or clinical quality. Acts assubject matter expert to internal departments and delegated vendorsto assure all are educated and complaint with

Community Health Nurse (RN) - $10,000 Sign-On Bonus orStudent Loan Assistance!

Full-time
New York, New York, United States
1 month ago
Job Description
As an employer, MJHS attracts individuals who seetheir work as a calling as well as a job. Professionals in everyjob category have cited that they appreciate being left to maketheir own decisions, are encouraged to voice their opinions, andare given the necessary breathing room to do their work withminimal supervision. Yet, at the same time, they feel thatmanagement and their co-workers are solidly behind them and readilyaccessible. Patients trust and rely on your judgment. And so do we!Someone with your depth of compassion, clinical insight and strongdecision-making capabilities is the ideal person to map out andoversee the process of a patient's recovery from illness, injury orsurgery at home. At MJHS, our dedicated staff provides a full rangeof advanced clinical home care services, including patientassessment, medication management and patient/family education. Inthis role, you will assume the ongoing, primary responsibility tocoordinate, implement, continually evaluate the home care needs aswell as providing direct patient care of your patients. You willalso review patient insurance information, coordinate activitiesinvolved in each individual care plan and make sure that pertinentfindings are shared with family and professional caregivers. Yourexcellent communication, documentation and time managementcapabilities will be essential to your success. And all along theway, you will experience the respect for your opinions and the highlevel of autonomy you need to do the job right.

Hospice RN - Fee for Service

Full-time
New York, New York, United States
1 month ago
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. In this field based position, you will visit MJHSHospice and Palliative Care patients to perform both physical andpsychosocial assessments and electronically document visitoccurences. Patient visits will be made in both community andfacility settings. As the Hospice Field Case Manager, you willdevelop and implement nursing plans of care and makerecommendations for care based on patients' needs. As needed, youwill contact the patient's physician to request written orders tofacilitate plan of care changes. In addition, you will alsosupervise, train and evaluate home health aides and homemakersworking with our hospice patients. Fee for Service - Shifts basedon your availability and location preference! Shifts availableMonday through Sunday: 9am - 5pm

Inpatient Case Manager RN

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms. Providequality cost-effective care to all members by evaluating the needfor and pre-authorizing requests for inpatient, outpatient,specialty care, home care, DME, and transportation services, fromnetwork and out of network providers, in accordance withdepartmental criteria and guidelines. managed care nurse, managedcare rn, nursing, rn, nurse, care management

Enrollment Representative

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms.Presents the HomeFirst Managed Long Term Care Plan (MLTCP) toeligible referral sources in order to generate referrals foreligible participants into the plans, in accordance with HomeFirstMarketing Plan and Department of Health contractguidelines.

Enrollment Representative

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms.Presents the HomeFirst Managed Long Term Care Plan (MLTCP) toeligible referral sources in order to generate referrals foreligible participants into the plans, in accordance with HomeFirstMarketing Plan and Department of Health contractguidelines.

Inpatient Case Manager RN

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms. Providequality cost-effective care to all members by evaluating the needfor and pre-authorizing requests for inpatient, outpatient,specialty care, home care, DME, and transportation services, fromnetwork and out of network providers, in accordance withdepartmental criteria and guidelines. managed care nurse, managedcare rn, nursing, rn, nurse, care management
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Supports the Hospice Nurse Manager position by providingleadership guidance to the professional staff on a day-to-day basisto ensure the provision of Hospice and Palliative Care services areconsistent with the philosophy, goals, and policies of the programand MJHS. Mentors and provides leadership direction to theprofessional staff as directed by the Hospice Nurse Manager. homecare, nursing, RN, homecare, nurse, hospice, home care hospice,hospice nurse, hospice rn

Inpatient Case Manager RN

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms. Providequality cost-effective care to all members by evaluating the needfor and pre-authorizing requests for inpatient, outpatient,specialty care, home care, DME, and transportation services, fromnetwork and out of network providers, in accordance withdepartmental criteria and guidelines. managed care nurse, managedcare rn, nursing, rn, nurse, care management
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Supports the Hospice Nurse Manager position by providingleadership guidance to the professional staff on a day-to-day basisto ensure the provision of Hospice and Palliative Care services areconsistent with the philosophy, goals, and policies of the programand MJHS. Mentors and provides leadership direction to theprofessional staff as directed by the Hospice Nurse Manager. homecare, nursing, RN, homecare, nurse, hospice, home care hospice,hospice nurse, hospice rn

Continuous Care LPN

Full-time
New York, New York, United States
1 month ago
Job Description
Our groundbreaking hospice and palliative careprograms offer a significant difference when dealing with alife-limiting condition. We offer a broad range of services in thecommunity or facility-based to help patients and their familiesease the burden of managing a life-limiting illness or end of lifecare. In this position you will be responsible in providing visitsto hospice patients in their home or in the Nursing home. You willdocument the visit in the Electronic Medical Record and report anychanges to the patient's condition to the RN. This is a Full Timeposition, shift is from 8pm to 8am, 3 days per week and every otherweekend.

Hospice RN - Fee for Service

Full-time
New York, New York, United States
1 month ago
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. In this field based position, you will visit MJHSHospice and Palliative Care patients to perform both physical andpsychosocial assessments and electronically document visitoccurences. Patient visits will be made in both community andfacility settings. As the Hospice Field Case Manager, you willdevelop and implement nursing plans of care and makerecommendations for care based on patients' needs. As needed, youwill contact the patient's physician to request written orders tofacilitate plan of care changes. In addition, you will alsosupervise, train and evaluate home health aides and homemakersworking with our hospice patients. Fee for Service - Shifts basedon your availability and location preference! Shifts availableMonday through Sunday: 9am - 5pm

Hospice Field RN Case Manager - $10,000 Sign On Bonus orStudent Loan Assistance!!!

Full-time
New York, New York, United States
1 month ago
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Ask about our Sign On Bonus!!! In this field basedposition, you will visit MJHS Hospice and Palliative Care patientsto perform both physical and psychosocial assessments andelectronically document visit occurences. Patient visits will bemade in both community and facility settings. As the Hospice FieldCase Manager, you will develop and implement nursing plans of careand make recommendations for care based on patients' needs. Asneeded, you will contact the patient's physician to request writtenorders to facilitate plan of care changes. In addition, you willalso supervise, train and evaluate home health aides and homemakersworking with our hospice patients. The schedule includes workingone weekend per month and functioning in a backup On Call capacity2-3 times per month. home care, nursing, RN, homecare, nurse,hospice, home care hospice, hospice nurse, hospice rn
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Supports the Hospice Nurse Manager position by providingleadership guidance to the professional staff on a day-to-day basisto ensure the provision of Hospice and Palliative Care services areconsistent with the philosophy, goals, and policies of the programand MJHS. Mentors and provides leadership direction to theprofessional staff as directed by the Hospice Nurse Manager. homecare, nursing, RN, homecare, nurse, hospice, home care hospice,hospice nurse, hospice rn

Hospice RN - Fee for Service

Full-time
New York, New York, United States
1 month ago
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. In this field based position, you will visit MJHSHospice and Palliative Care patients to perform both physical andpsychosocial assessments and electronically document visitoccurences. Patient visits will be made in both community andfacility settings. As the Hospice Field Case Manager, you willdevelop and implement nursing plans of care and makerecommendations for care based on patients' needs. As needed, youwill contact the patient's physician to request written orders tofacilitate plan of care changes. In addition, you will alsosupervise, train and evaluate home health aides and homemakersworking with our hospice patients. Fee for Service - Shifts basedon your availability and location preference! Shifts availableMonday through Sunday: 9am - 5pm

Enrollment Representative

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms.Presents the HomeFirst Managed Long Term Care Plan (MLTCP) toeligible referral sources in order to generate referrals foreligible participants into the plans, in accordance with HomeFirstMarketing Plan and Department of Health contractguidelines.

Hospice RN - Fee for Service

Full-time
New York, New York, United States
1 month ago
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. In this field based position, you will visit MJHSHospice and Palliative Care patients to perform both physical andpsychosocial assessments and electronically document visitoccurences. Patient visits will be made in both community andfacility settings. As the Hospice Field Case Manager, you willdevelop and implement nursing plans of care and makerecommendations for care based on patients' needs. As needed, youwill contact the patient's physician to request written orders tofacilitate plan of care changes. In addition, you will alsosupervise, train and evaluate home health aides and homemakersworking with our hospice patients. Fee for Service - Shifts basedon your availability and location preference! Shifts availableMonday through Sunday: 9am - 5pm

Enrollment Representative

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms.Presents the HomeFirst Managed Long Term Care Plan (MLTCP) toeligible referral sources in order to generate referrals foreligible participants into the plans, in accordance with HomeFirstMarketing Plan and Department of Health contractguidelines.

Community Health Nurse (RN) - $10,000 Sign-On Bonus orStudent Loan Assistance!

Full-time
New York, New York, United States
1 month ago
Job Description
As an employer, MJHS attracts individuals who seetheir work as a calling as well as a job. Professionals in everyjob category have cited that they appreciate being left to maketheir own decisions, are encouraged to voice their opinions, andare given the necessary breathing room to do their work withminimal supervision. Yet, at the same time, they feel thatmanagement and their co-workers are solidly behind them and readilyaccessible. Patients trust and rely on your judgment. And so do we!Someone with your depth of compassion, clinical insight and strongdecision-making capabilities is the ideal person to map out andoversee the process of a patient's recovery from illness, injury orsurgery at home. At MJHS, our dedicated staff provides a full rangeof advanced clinical home care services, including patientassessment, medication management and patient/family education. Inthis role, you will assume the ongoing, primary responsibility tocoordinate, implement, continually evaluate the home care needs aswell as providing direct patient care of your patients. You willalso review patient insurance information, coordinate activitiesinvolved in each individual care plan and make sure that pertinentfindings are shared with family and professional caregivers. Yourexcellent communication, documentation and time managementcapabilities will be essential to your success. And all along theway, you will experience the respect for your opinions and the highlevel of autonomy you need to do the job right.

Transitional Care Nurse (RN)

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms. Theprofessional in this position will act as a patient advocate infacilitating, coordinating and communicating the transition ofpatients to next level of care in accordance with applicable law,regulations and agency policies and procedures. You will work in acollaborative role with MJHC and select inpatient facilities toevaluate inpatients referred for transitional planning and/or homehealth services. The daily functions are carried out through acombination of telephonic outreach and on-site collaborativeefforts with facility discharge planners, MJHC, and in-house casemanagement staff. managed care nurse, managed care rn, nursing, rn,nurse, care management

RN Care Manager, MLTC $10,000 sign on bonus or Student LoanAssistance!

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms.Reporting to the Supervisor of care management, you will providecase management to our members including medical, social,psychological, physical and spiritual needs by Developing,implementing and monitoring the care plan, in conjunction with thePCP, caregivers and other team members, to help meet the member'sneeds. managed care nurse, managed care rn, nursing, rn, nurse,care management

Continuous Care LPN

Full-time
New York, New York, United States
1 month ago
Job Description
Our groundbreaking hospice and palliative careprograms offer a significant difference when dealing with alife-limiting condition. We offer a broad range of services in thecommunity or facility-based to help patients and their familiesease the burden of managing a life-limiting illness or end of lifecare. In this position you will be responsible in providing visitsto hospice patients in their home or in the Nursing home. You willdocument the visit in the Electronic Medical Record and report anychanges to the patient's condition to the RN. This is a Full Timeposition, shift is from 8pm to 8am, 3 days per week and every otherweekend.

Weekend On-Call Hospice RN

Full-time
New York, New York, United States
1 month ago
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Reporting to the RN Team Manager, this position willtriage all calls for Hospice patients and provide direct nursingcare to patients when a home visit is necessary. Will develop andupdate the plan of care as needed requesting written orders forchanges from the physician. Will document all nursing care providedinto computer and will update status of patient as needed. Willcommunicate all changes to patients condition to primary RN casemanager. This Weekend Fee for Service position has 2 shiftsavailable! Saturday: 5pm - 1am or 1am - 9am Sunday: 5pm - 1am or1am - 9am home care, nursing, RN, homecare, nurse, hospice, homecare hospice, hospice nurse, hospice rn

Hospice RN - Fee for Service

Full-time
New York, New York, United States
1 month ago
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. In this field based position, you will visit MJHSHospice and Palliative Care patients to perform both physical andpsychosocial assessments and electronically document visitoccurences. Patient visits will be made in both community andfacility settings. As the Hospice Field Case Manager, you willdevelop and implement nursing plans of care and makerecommendations for care based on patients' needs. As needed, youwill contact the patient's physician to request written orders tofacilitate plan of care changes. In addition, you will alsosupervise, train and evaluate home health aides and homemakersworking with our hospice patients. Fee for Service - Shifts basedon your availability and location preference! Shifts availableMonday through Sunday: 9am - 5pm

Transitional Care Nurse (RN)

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms. Theprofessional in this position will act as a patient advocate infacilitating, coordinating and communicating the transition ofpatients to next level of care in accordance with applicable law,regulations and agency policies and procedures. You will work in acollaborative role with MJHC and select inpatient facilities toevaluate inpatients referred for transitional planning and/or homehealth services. The daily functions are carried out through acombination of telephonic outreach and on-site collaborativeefforts with facility discharge planners, MJHC, and in-house casemanagement staff. managed care nurse, managed care rn, nursing, rn,nurse, care management

Transitional Care Nurse (RN)

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms. Theprofessional in this position will act as a patient advocate infacilitating, coordinating and communicating the transition ofpatients to next level of care in accordance with applicable law,regulations and agency policies and procedures. You will work in acollaborative role with MJHC and select inpatient facilities toevaluate inpatients referred for transitional planning and/or homehealth services. The daily functions are carried out through acombination of telephonic outreach and on-site collaborativeefforts with facility discharge planners, MJHC, and in-house casemanagement staff. managed care nurse, managed care rn, nursing, rn,nurse, care management

Hospice RN - Fee for Service

Full-time
New York, New York, United States
1 month ago
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. In this field based position, you will visit MJHSHospice and Palliative Care patients to perform both physical andpsychosocial assessments and electronically document visitoccurences. Patient visits will be made in both community andfacility settings. As the Hospice Field Case Manager, you willdevelop and implement nursing plans of care and makerecommendations for care based on patients' needs. As needed, youwill contact the patient's physician to request written orders tofacilitate plan of care changes. In addition, you will alsosupervise, train and evaluate home health aides and homemakersworking with our hospice patients. Fee for Service - Shifts basedon your availability and location preference! Shifts availableMonday through Sunday: 9am - 5pm
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Supports the Hospice Nurse Manager position by providingleadership guidance to the professional staff on a day-to-day basisto ensure the provision of Hospice and Palliative Care services areconsistent with the philosophy, goals, and policies of the programand MJHS. Mentors and provides leadership direction to theprofessional staff as directed by the Hospice Nurse Manager. homecare, nursing, RN, homecare, nurse, hospice, home care hospice,hospice nurse, hospice rn
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Ask about our sign on bonus!!! In this field positionyou will perform initial physical and psychosocial assessments ofpotential hospice patients in order to develop individualized plansof care, goals, and make recommendations based on each patient'sneeds. Assessments may take place in private homes, hospitals ornursing facilities. As a Hospice Field Admission Nurse (RN), youwill admit eligible patients onto the Hospice program following theappropriate standards of practice established by the NationalHospice and Palliative Care Organization (NHPCO). In this keyposition, you will also engage in community outreach to physiciansand other medical providers to share information regarding the MJHSHospice program, and gather feedback to effectively informperformance improvement initiatives. The Admissions RN for thisposition will be conducting Hospice Admissions assessments in Bronx& Manhattan. The schedule for this position will be 11am-7pm.Please note this position also rotates one weekend per month and2-3 holidays per year.
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Ask About Our Sign On Bonus!!! In this field basedposition, you will visit MJHS Hospice and Palliative Care pediatricpatients throughout the five boroughs to perform both physical andpsychosocial assessments and electronically document visitoccurences. Patient visits will be made in both community andfacility settings. As the Pediatric Hospice Field Case Manager, youwill develop and implement nursing plans of care and makerecommendations for care based on patients' needs. As needed, youwill contact the patient's physician to request written orders tofacilitate plan of care changes. In addition, you will alsosupervise, train and evaluate home health aides and homemakersworking with our pediatric hospice patients. The schedule includesworking one weekend per month functioning in a backup On Callcapacity. This position is primarily based inBrooklyn/Queens/Nassau but may require patient visits inBronx/Manhattan.

Weekend On-Call Hospice RN

Full-time
New York, New York, United States
1 month ago
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Reporting to the RN Team Manager, this position willtriage all calls for Hospice patients and provide direct nursingcare to patients when a home visit is necessary. Will develop andupdate the plan of care as needed requesting written orders forchanges from the physician. Will document all nursing care providedinto computer and will update status of patient as needed. Willcommunicate all changes to patients condition to primary RN casemanager. This Weekend Fee for Service position has 2 shiftsavailable! Saturday: 5pm - 1am or 1am - 9am Sunday: 5pm - 1am or1am - 9am home care, nursing, RN, homecare, nurse, hospice, homecare hospice, hospice nurse, hospice rn

Enrollment Representative

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms.Presents the HomeFirst Managed Long Term Care Plan (MLTCP) toeligible referral sources in order to generate referrals foreligible participants into the plans, in accordance with HomeFirstMarketing Plan and Department of Health contractguidelines.

Transitional Care Nurse (RN)

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms. Theprofessional in this position will act as a patient advocate infacilitating, coordinating and communicating the transition ofpatients to next level of care in accordance with applicable law,regulations and agency policies and procedures. You will work in acollaborative role with MJHC and select inpatient facilities toevaluate inpatients referred for transitional planning and/or homehealth services. The daily functions are carried out through acombination of telephonic outreach and on-site collaborativeefforts with facility discharge planners, MJHC, and in-house casemanagement staff. managed care nurse, managed care rn, nursing, rn,nurse, care management
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Ask About Our Sign On Bonus!!! In this field basedposition, you will visit MJHS Hospice and Palliative Care pediatricpatients throughout the five boroughs to perform both physical andpsychosocial assessments and electronically document visitoccurences. Patient visits will be made in both community andfacility settings. As the Pediatric Hospice Field Case Manager, youwill develop and implement nursing plans of care and makerecommendations for care based on patients' needs. As needed, youwill contact the patient's physician to request written orders tofacilitate plan of care changes. In addition, you will alsosupervise, train and evaluate home health aides and homemakersworking with our pediatric hospice patients. The schedule includesworking one weekend per month functioning in a backup On Callcapacity. This position is primarily based inBrooklyn/Queens/Nassau but may require patient visits inBronx/Manhattan.

Hospice RN - Fee for Service

Full-time
New York, New York, United States
1 month ago
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. In this field based position, you will visit MJHSHospice and Palliative Care patients to perform both physical andpsychosocial assessments and electronically document visitoccurences. Patient visits will be made in both community andfacility settings. As the Hospice Field Case Manager, you willdevelop and implement nursing plans of care and makerecommendations for care based on patients' needs. As needed, youwill contact the patient's physician to request written orders tofacilitate plan of care changes. In addition, you will alsosupervise, train and evaluate home health aides and homemakersworking with our hospice patients. Fee for Service - Shifts basedon your availability and location preference! Shifts availableMonday through Sunday: 9am - 5pm

Weekend On-Call Hospice RN

Full-time
New York, New York, United States
1 month ago
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Reporting to the RN Team Manager, this position willtriage all calls for Hospice patients and provide direct nursingcare to patients when a home visit is necessary. Will develop andupdate the plan of care as needed requesting written orders forchanges from the physician. Will document all nursing care providedinto computer and will update status of patient as needed. Willcommunicate all changes to patients condition to primary RN casemanager. This Weekend Fee for Service position has 2 shiftsavailable! Saturday: 5pm - 1am or 1am - 9am Sunday: 5pm - 1am or1am - 9am home care, nursing, RN, homecare, nurse, hospice, homecare hospice, hospice nurse, hospice rn

Community Health Nurse (RN) - $10,000 Sign-On Bonus orStudent Loan Assistance!

Full-time
New York, New York, United States
1 month ago
Job Description
As an employer, MJHS attracts individuals who seetheir work as a calling as well as a job. Professionals in everyjob category have cited that they appreciate being left to maketheir own decisions, are encouraged to voice their opinions, andare given the necessary breathing room to do their work withminimal supervision. Yet, at the same time, they feel thatmanagement and their co-workers are solidly behind them and readilyaccessible. Patients trust and rely on your judgment. And so do we!Someone with your depth of compassion, clinical insight and strongdecision-making capabilities is the ideal person to map out andoversee the process of a patient's recovery from illness, injury orsurgery at home. At MJHS, our dedicated staff provides a full rangeof advanced clinical home care services, including patientassessment, medication management and patient/family education. Inthis role, you will assume the ongoing, primary responsibility tocoordinate, implement, continually evaluate the home care needs aswell as providing direct patient care of your patients. You willalso review patient insurance information, coordinate activitiesinvolved in each individual care plan and make sure that pertinentfindings are shared with family and professional caregivers. Yourexcellent communication, documentation and time managementcapabilities will be essential to your success. And all along theway, you will experience the respect for your opinions and the highlevel of autonomy you need to do the job right.

Hospice Field RN Case Manager - $10,000 Sign On Bonus orStudent Loan Assistance!!!

Full-time
New York, New York, United States
1 month ago
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Ask about our Sign On Bonus!!! In this field basedposition, you will visit MJHS Hospice and Palliative Care patientsto perform both physical and psychosocial assessments andelectronically document visit occurences. Patient visits will bemade in both community and facility settings. As the Hospice FieldCase Manager, you will develop and implement nursing plans of careand make recommendations for care based on patients' needs. Asneeded, you will contact the patient's physician to request writtenorders to facilitate plan of care changes. In addition, you willalso supervise, train and evaluate home health aides and homemakersworking with our hospice patients. The schedule includes workingone weekend per month and functioning in a backup On Call capacity2-3 times per month. home care, nursing, RN, homecare, nurse,hospice, home care hospice, hospice nurse, hospice rn
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Ask About Our Sign On Bonus!!! In this field basedposition, you will visit MJHS Hospice and Palliative Care pediatricpatients throughout the five boroughs to perform both physical andpsychosocial assessments and electronically document visitoccurences. Patient visits will be made in both community andfacility settings. As the Pediatric Hospice Field Case Manager, youwill develop and implement nursing plans of care and makerecommendations for care based on patients' needs. As needed, youwill contact the patient's physician to request written orders tofacilitate plan of care changes. In addition, you will alsosupervise, train and evaluate home health aides and homemakersworking with our pediatric hospice patients. The schedule includesworking one weekend per month functioning in a backup On Callcapacity. This position is primarily based inBrooklyn/Queens/Nassau but may require patient visits inBronx/Manhattan.

Hospice Field RN Case Manager - $10,000 Sign On Bonus orStudent Loan Assistance!!!

Full-time
New York, New York, United States
1 month ago
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Ask about our Sign On Bonus!!! In this field basedposition, you will visit MJHS Hospice and Palliative Care patientsto perform both physical and psychosocial assessments andelectronically document visit occurences. Patient visits will bemade in both community and facility settings. As the Hospice FieldCase Manager, you will develop and implement nursing plans of careand make recommendations for care based on patients' needs. Asneeded, you will contact the patient's physician to request writtenorders to facilitate plan of care changes. In addition, you willalso supervise, train and evaluate home health aides and homemakersworking with our hospice patients. The schedule includes workingone weekend per month and functioning in a backup On Call capacity2-3 times per month. home care, nursing, RN, homecare, nurse,hospice, home care hospice, hospice nurse, hospice rn

RN Manager, A&G Clinical Review

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms.Responsible for direct oversight and management of clinical reviewprocesses within Appeals & Grievances Department. Ensuresregulatory compliance and timely processing for the Medicare andMedicaid appeal and grievance processes, quality of care concernsand any other inquires requiring clinical review for medicalnecessity, appropriateness of service or clinical quality. Acts assubject matter expert to internal departments and delegated vendorsto assure all are educated and complaint with

Community Health Nurse (RN) - $10,000 Sign-On Bonus orStudent Loan Assistance!

Full-time
New York, New York, United States
1 month ago
Job Description
As an employer, MJHS attracts individuals who seetheir work as a calling as well as a job. Professionals in everyjob category have cited that they appreciate being left to maketheir own decisions, are encouraged to voice their opinions, andare given the necessary breathing room to do their work withminimal supervision. Yet, at the same time, they feel thatmanagement and their co-workers are solidly behind them and readilyaccessible. Patients trust and rely on your judgment. And so do we!Someone with your depth of compassion, clinical insight and strongdecision-making capabilities is the ideal person to map out andoversee the process of a patient's recovery from illness, injury orsurgery at home. At MJHS, our dedicated staff provides a full rangeof advanced clinical home care services, including patientassessment, medication management and patient/family education. Inthis role, you will assume the ongoing, primary responsibility tocoordinate, implement, continually evaluate the home care needs aswell as providing direct patient care of your patients. You willalso review patient insurance information, coordinate activitiesinvolved in each individual care plan and make sure that pertinentfindings are shared with family and professional caregivers. Yourexcellent communication, documentation and time managementcapabilities will be essential to your success. And all along theway, you will experience the respect for your opinions and the highlevel of autonomy you need to do the job right.

RN Manager, A&G Clinical Review

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms.Responsible for direct oversight and management of clinical reviewprocesses within Appeals & Grievances Department. Ensuresregulatory compliance and timely processing for the Medicare andMedicaid appeal and grievance processes, quality of care concernsand any other inquires requiring clinical review for medicalnecessity, appropriateness of service or clinical quality. Acts assubject matter expert to internal departments and delegated vendorsto assure all are educated and complaint with

Community Health Nurse (RN) - $10,000 Sign-On Bonus orStudent Loan Assistance!

Full-time
New York, New York, United States
1 month ago
Job Description
As an employer, MJHS attracts individuals who seetheir work as a calling as well as a job. Professionals in everyjob category have cited that they appreciate being left to maketheir own decisions, are encouraged to voice their opinions, andare given the necessary breathing room to do their work withminimal supervision. Yet, at the same time, they feel thatmanagement and their co-workers are solidly behind them and readilyaccessible. Patients trust and rely on your judgment. And so do we!Someone with your depth of compassion, clinical insight and strongdecision-making capabilities is the ideal person to map out andoversee the process of a patient's recovery from illness, injury orsurgery at home. At MJHS, our dedicated staff provides a full rangeof advanced clinical home care services, including patientassessment, medication management and patient/family education. Inthis role, you will assume the ongoing, primary responsibility tocoordinate, implement, continually evaluate the home care needs aswell as providing direct patient care of your patients. You willalso review patient insurance information, coordinate activitiesinvolved in each individual care plan and make sure that pertinentfindings are shared with family and professional caregivers. Yourexcellent communication, documentation and time managementcapabilities will be essential to your success. And all along theway, you will experience the respect for your opinions and the highlevel of autonomy you need to do the job right.

Inpatient Case Manager RN

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms. Providequality cost-effective care to all members by evaluating the needfor and pre-authorizing requests for inpatient, outpatient,specialty care, home care, DME, and transportation services, fromnetwork and out of network providers, in accordance withdepartmental criteria and guidelines. managed care nurse, managedcare rn, nursing, rn, nurse, care management

RN Manager, A&G Clinical Review

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms.Responsible for direct oversight and management of clinical reviewprocesses within Appeals & Grievances Department. Ensuresregulatory compliance and timely processing for the Medicare andMedicaid appeal and grievance processes, quality of care concernsand any other inquires requiring clinical review for medicalnecessity, appropriateness of service or clinical quality. Acts assubject matter expert to internal departments and delegated vendorsto assure all are educated and complaint with

Hospice RN - Fee for Service

Full-time
New York, New York, United States
1 month ago
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. In this field based position, you will visit MJHSHospice and Palliative Care patients to perform both physical andpsychosocial assessments and electronically document visitoccurences. Patient visits will be made in both community andfacility settings. As the Hospice Field Case Manager, you willdevelop and implement nursing plans of care and makerecommendations for care based on patients' needs. As needed, youwill contact the patient's physician to request written orders tofacilitate plan of care changes. In addition, you will alsosupervise, train and evaluate home health aides and homemakersworking with our hospice patients. Fee for Service - Shifts basedon your availability and location preference! Shifts availableMonday through Sunday: 9am - 5pm

Weekend On-Call Hospice RN

Full-time
New York, New York, United States
1 month ago
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Reporting to the RN Team Manager, this position willtriage all calls for Hospice patients and provide direct nursingcare to patients when a home visit is necessary. Will develop andupdate the plan of care as needed requesting written orders forchanges from the physician. Will document all nursing care providedinto computer and will update status of patient as needed. Willcommunicate all changes to patients condition to primary RN casemanager. This Weekend Fee for Service position has 2 shiftsavailable! Saturday: 5pm - 1am or 1am - 9am Sunday: 5pm - 1am or1am - 9am home care, nursing, RN, homecare, nurse, hospice, homecare hospice, hospice nurse, hospice rn

Weekend On-Call Hospice RN

Full-time
New York, New York, United States
1 month ago
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Reporting to the RN Team Manager, this position willtriage all calls for Hospice patients and provide direct nursingcare to patients when a home visit is necessary. Will develop andupdate the plan of care as needed requesting written orders forchanges from the physician. Will document all nursing care providedinto computer and will update status of patient as needed. Willcommunicate all changes to patients condition to primary RN casemanager. This Weekend Fee for Service position has 2 shiftsavailable! Saturday: 5pm - 1am or 1am - 9am Sunday: 5pm - 1am or1am - 9am home care, nursing, RN, homecare, nurse, hospice, homecare hospice, hospice nurse, hospice rn

Registered Nurse (RN)

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms. Providequality cost-effective care to all members by evaluating the needfor and pre-authorizing requests for inpatient, outpatient,specialty care, home care, DME, and transportation services, fromnetwork and out of network providers, in accordance withdepartmental criteria and guidelines. managed care nurse, managedcare rn, nursing, rn, nurse, care management
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Ask About Our Sign On Bonus!!! In this field basedposition, you will visit MJHS Hospice and Palliative Care pediatricpatients throughout the five boroughs to perform both physical andpsychosocial assessments and electronically document visitoccurences. Patient visits will be made in both community andfacility settings. As the Pediatric Hospice Field Case Manager, youwill develop and implement nursing plans of care and makerecommendations for care based on patients' needs. As needed, youwill contact the patient's physician to request written orders tofacilitate plan of care changes. In addition, you will alsosupervise, train and evaluate home health aides and homemakersworking with our pediatric hospice patients. The schedule includesworking one weekend per month functioning in a backup On Callcapacity. This position is primarily based inBrooklyn/Queens/Nassau but may require patient visits inBronx/Manhattan.

Enrollment Representative

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms.Presents the HomeFirst Managed Long Term Care Plan (MLTCP) toeligible referral sources in order to generate referrals foreligible participants into the plans, in accordance with HomeFirstMarketing Plan and Department of Health contractguidelines.

RN Manager, A&G Clinical Review

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms.Responsible for direct oversight and management of clinical reviewprocesses within Appeals & Grievances Department. Ensuresregulatory compliance and timely processing for the Medicare andMedicaid appeal and grievance processes, quality of care concernsand any other inquires requiring clinical review for medicalnecessity, appropriateness of service or clinical quality. Acts assubject matter expert to internal departments and delegated vendorsto assure all are educated and complaint with

Transitional Care Nurse (RN)

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms. Theprofessional in this position will act as a patient advocate infacilitating, coordinating and communicating the transition ofpatients to next level of care in accordance with applicable law,regulations and agency policies and procedures. You will work in acollaborative role with MJHC and select inpatient facilities toevaluate inpatients referred for transitional planning and/or homehealth services. The daily functions are carried out through acombination of telephonic outreach and on-site collaborativeefforts with facility discharge planners, MJHC, and in-house casemanagement staff. managed care nurse, managed care rn, nursing, rn,nurse, care management

Pre-Authorization Nurse (RN) $10,000 sign on bonus orStudent Loan Assistance!

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms. Even ina non-clinical role, employees have an opportunity to make apositive impact on the quality of our health plan members' lives.As a Pre-Authorization Nurse, you will process all requests forservices in accordance with Medicare and NYS Medicaid Guidelines aswell as departmental criteria and guidelines. You will workcollaboratively with other disciplines including Care Manager,Assessment Nurse and Primary Care Physician or other Specialists asnecessary to ensure timely provision of services. You willcoordinate timely completion of UAS NY assessment that accuratelyreflects current condition of the member. You will ensure that themember's Individualized Person Centered Care Plan has been updatedand accurately reflects present status of the member.

Pre-Authorization Nurse (RN) $10,000 sign on bonus orStudent Loan Assistance!

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms. Even ina non-clinical role, employees have an opportunity to make apositive impact on the quality of our health plan members' lives.As a Pre-Authorization Nurse, you will process all requests forservices in accordance with Medicare and NYS Medicaid Guidelines aswell as departmental criteria and guidelines. You will workcollaboratively with other disciplines including Care Manager,Assessment Nurse and Primary Care Physician or other Specialists asnecessary to ensure timely provision of services. You willcoordinate timely completion of UAS NY assessment that accuratelyreflects current condition of the member. You will ensure that themember's Individualized Person Centered Care Plan has been updatedand accurately reflects present status of the member.

Hospice Care Planner - $10,000 Sign On Bonus or Student LoanAssistance!!!

Full-time
New York, New York, United States
1 month ago
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Ask about our sign on bonus!!! Working on-site at amajor medical center, the Hospice Care Planner is responsible forevaluating and establishing a plan of care for patients referredfor Hospice services. The Hospice Care Planner will facilitateadmission of referrals upon discharge from the hospital to theHospice program that meets the needs of the patient and familymembers. As a key member of the business development and marketingteam, the Hospice Planner develops and maintains positiverelationships with physicians, social workers, case managers anddischarge planners within the medical center. Hospice Care Plannersmay also perform initial physical and psychosocial assessments ofpotential hospice patients in order to develop individualized plansof care, goals, and make recommendations based on each patient'sneeds, admit eligible patients onto the Hospice program followingthe appropriate standards of practice established by the NationalHospice and Palliative Care Organization (NHPCO). home care,nursing, RN, homecare, nurse, hospice, home care hospice, hospicenurse, hospice rn ome care, nursing, RN, homecare, nurse, hospice,home care hospice, hospice nurse, hospice rn

RN Care Manager, MLTC $10,000 sign on bonus or Student LoanAssistance!

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms.Reporting to the Supervisor of care management, you will providecase management to our members including medical, social,psychological, physical and spiritual needs by Developing,implementing and monitoring the care plan, in conjunction with thePCP, caregivers and other team members, to help meet the member'sneeds. managed care nurse, managed care rn, nursing, rn, nurse,care management

Hospice Field RN Case Manager - $10,000 Sign On Bonus orStudent Loan Assistance!!!

Full-time
New York, New York, United States
1 month ago
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Ask about our Sign On Bonus!!! In this field basedposition, you will visit MJHS Hospice and Palliative Care patientsto perform both physical and psychosocial assessments andelectronically document visit occurences. Patient visits will bemade in both community and facility settings. As the Hospice FieldCase Manager, you will develop and implement nursing plans of careand make recommendations for care based on patients' needs. Asneeded, you will contact the patient's physician to request writtenorders to facilitate plan of care changes. In addition, you willalso supervise, train and evaluate home health aides and homemakersworking with our hospice patients. The schedule includes workingone weekend per month and functioning in a backup On Call capacity2-3 times per month. home care, nursing, RN, homecare, nurse,hospice, home care hospice, hospice nurse, hospice rn
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Supports the Hospice Nurse Manager position by providingleadership guidance to the professional staff on a day-to-day basisto ensure the provision of Hospice and Palliative Care services areconsistent with the philosophy, goals, and policies of the programand MJHS. Mentors and provides leadership direction to theprofessional staff as directed by the Hospice Nurse Manager. homecare, nursing, RN, homecare, nurse, hospice, home care hospice,hospice nurse, hospice rn

Continuous Care LPN

Full-time
New York, New York, United States
1 month ago
Job Description
Our groundbreaking hospice and palliative careprograms offer a significant difference when dealing with alife-limiting condition. We offer a broad range of services in thecommunity or facility-based to help patients and their familiesease the burden of managing a life-limiting illness or end of lifecare. In this position you will be responsible in providing visitsto hospice patients in their home or in the Nursing home. You willdocument the visit in the Electronic Medical Record and report anychanges to the patient's condition to the RN. This is a Full Timeposition, shift is from 8pm to 8am, 3 days per week and every otherweekend.
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Ask About Our Sign On Bonus!!! In this field basedposition, you will visit MJHS Hospice and Palliative Care pediatricpatients throughout the five boroughs to perform both physical andpsychosocial assessments and electronically document visitoccurences. Patient visits will be made in both community andfacility settings. As the Pediatric Hospice Field Case Manager, youwill develop and implement nursing plans of care and makerecommendations for care based on patients' needs. As needed, youwill contact the patient's physician to request written orders tofacilitate plan of care changes. In addition, you will alsosupervise, train and evaluate home health aides and homemakersworking with our pediatric hospice patients. The schedule includesworking one weekend per month functioning in a backup On Callcapacity. This position is primarily based inBrooklyn/Queens/Nassau but may require patient visits inBronx/Manhattan.

Pre-Authorization Nurse (RN) $10,000 sign on bonus orStudent Loan Assistance!

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms. Even ina non-clinical role, employees have an opportunity to make apositive impact on the quality of our health plan members' lives.As a Pre-Authorization Nurse, you will process all requests forservices in accordance with Medicare and NYS Medicaid Guidelines aswell as departmental criteria and guidelines. You will workcollaboratively with other disciplines including Care Manager,Assessment Nurse and Primary Care Physician or other Specialists asnecessary to ensure timely provision of services. You willcoordinate timely completion of UAS NY assessment that accuratelyreflects current condition of the member. You will ensure that themember's Individualized Person Centered Care Plan has been updatedand accurately reflects present status of the member.

Inpatient Case Manager RN

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms. Providequality cost-effective care to all members by evaluating the needfor and pre-authorizing requests for inpatient, outpatient,specialty care, home care, DME, and transportation services, fromnetwork and out of network providers, in accordance withdepartmental criteria and guidelines. managed care nurse, managedcare rn, nursing, rn, nurse, care management

Hospice RN - Fee for Service

Full-time
New York, New York, United States
1 month ago
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. In this field based position, you will visit MJHSHospice and Palliative Care patients to perform both physical andpsychosocial assessments and electronically document visitoccurences. Patient visits will be made in both community andfacility settings. As the Hospice Field Case Manager, you willdevelop and implement nursing plans of care and makerecommendations for care based on patients' needs. As needed, youwill contact the patient's physician to request written orders tofacilitate plan of care changes. In addition, you will alsosupervise, train and evaluate home health aides and homemakersworking with our hospice patients. Fee for Service - Shifts basedon your availability and location preference! Shifts availableMonday through Sunday: 9am - 5pm

Registered Nurse (RN)

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms. Providequality cost-effective care to all members by evaluating the needfor and pre-authorizing requests for inpatient, outpatient,specialty care, home care, DME, and transportation services, fromnetwork and out of network providers, in accordance withdepartmental criteria and guidelines. managed care nurse, managedcare rn, nursing, rn, nurse, care management

Registered Nurse (RN)

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms. Providequality cost-effective care to all members by evaluating the needfor and pre-authorizing requests for inpatient, outpatient,specialty care, home care, DME, and transportation services, fromnetwork and out of network providers, in accordance withdepartmental criteria and guidelines. managed care nurse, managedcare rn, nursing, rn, nurse, care management

Enrollment Representative

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms.Presents the HomeFirst Managed Long Term Care Plan (MLTCP) toeligible referral sources in order to generate referrals foreligible participants into the plans, in accordance with HomeFirstMarketing Plan and Department of Health contractguidelines.
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Ask About Our Sign On Bonus!!! In this field basedposition, you will visit MJHS Hospice and Palliative Care pediatricpatients throughout the five boroughs to perform both physical andpsychosocial assessments and electronically document visitoccurences. Patient visits will be made in both community andfacility settings. As the Pediatric Hospice Field Case Manager, youwill develop and implement nursing plans of care and makerecommendations for care based on patients' needs. As needed, youwill contact the patient's physician to request written orders tofacilitate plan of care changes. In addition, you will alsosupervise, train and evaluate home health aides and homemakersworking with our pediatric hospice patients. The schedule includesworking one weekend per month functioning in a backup On Callcapacity. This position is primarily based inBrooklyn/Queens/Nassau but may require patient visits inBronx/Manhattan.

Continuous Care LPN

Full-time
New York, New York, United States
1 month ago
Job Description
Our groundbreaking hospice and palliative careprograms offer a significant difference when dealing with alife-limiting condition. We offer a broad range of services in thecommunity or facility-based to help patients and their familiesease the burden of managing a life-limiting illness or end of lifecare. In this position you will be responsible in providing visitsto hospice patients in their home or in the Nursing home. You willdocument the visit in the Electronic Medical Record and report anychanges to the patient's condition to the RN. This is a Full Timeposition, shift is from 8pm to 8am, 3 days per week and every otherweekend.

RN Manager, A&G Clinical Review

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms.Responsible for direct oversight and management of clinical reviewprocesses within Appeals & Grievances Department. Ensuresregulatory compliance and timely processing for the Medicare andMedicaid appeal and grievance processes, quality of care concernsand any other inquires requiring clinical review for medicalnecessity, appropriateness of service or clinical quality. Acts assubject matter expert to internal departments and delegated vendorsto assure all are educated and complaint with

Pre-Authorization Nurse (RN) $10,000 sign on bonus orStudent Loan Assistance!

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms. Even ina non-clinical role, employees have an opportunity to make apositive impact on the quality of our health plan members' lives.As a Pre-Authorization Nurse, you will process all requests forservices in accordance with Medicare and NYS Medicaid Guidelines aswell as departmental criteria and guidelines. You will workcollaboratively with other disciplines including Care Manager,Assessment Nurse and Primary Care Physician or other Specialists asnecessary to ensure timely provision of services. You willcoordinate timely completion of UAS NY assessment that accuratelyreflects current condition of the member. You will ensure that themember's Individualized Person Centered Care Plan has been updatedand accurately reflects present status of the member.

Registered Nurse (RN)

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms. Providequality cost-effective care to all members by evaluating the needfor and pre-authorizing requests for inpatient, outpatient,specialty care, home care, DME, and transportation services, fromnetwork and out of network providers, in accordance withdepartmental criteria and guidelines. managed care nurse, managedcare rn, nursing, rn, nurse, care management

Hospice Field RN Case Manager - $10,000 Sign On Bonus orStudent Loan Assistance!!!

Full-time
New York, New York, United States
1 month ago
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Ask about our Sign On Bonus!!! In this field basedposition, you will visit MJHS Hospice and Palliative Care patientsto perform both physical and psychosocial assessments andelectronically document visit occurences. Patient visits will bemade in both community and facility settings. As the Hospice FieldCase Manager, you will develop and implement nursing plans of careand make recommendations for care based on patients' needs. Asneeded, you will contact the patient's physician to request writtenorders to facilitate plan of care changes. In addition, you willalso supervise, train and evaluate home health aides and homemakersworking with our hospice patients. The schedule includes workingone weekend per month and functioning in a backup On Call capacity2-3 times per month. home care, nursing, RN, homecare, nurse,hospice, home care hospice, hospice nurse, hospice rn

Hospice RN - Fee for Service

Full-time
New York, New York, United States
1 month ago
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. In this field based position, you will visit MJHSHospice and Palliative Care patients to perform both physical andpsychosocial assessments and electronically document visitoccurences. Patient visits will be made in both community andfacility settings. As the Hospice Field Case Manager, you willdevelop and implement nursing plans of care and makerecommendations for care based on patients' needs. As needed, youwill contact the patient's physician to request written orders tofacilitate plan of care changes. In addition, you will alsosupervise, train and evaluate home health aides and homemakersworking with our hospice patients. Fee for Service - Shifts basedon your availability and location preference! Shifts availableMonday through Sunday: 9am - 5pm

Hospice Care Planner - $10,000 Sign On Bonus or Student LoanAssistance!!!

Full-time
New York, New York, United States
1 month ago
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Ask about our sign on bonus!!! Working on-site at amajor medical center, the Hospice Care Planner is responsible forevaluating and establishing a plan of care for patients referredfor Hospice services. The Hospice Care Planner will facilitateadmission of referrals upon discharge from the hospital to theHospice program that meets the needs of the patient and familymembers. As a key member of the business development and marketingteam, the Hospice Planner develops and maintains positiverelationships with physicians, social workers, case managers anddischarge planners within the medical center. Hospice Care Plannersmay also perform initial physical and psychosocial assessments ofpotential hospice patients in order to develop individualized plansof care, goals, and make recommendations based on each patient'sneeds, admit eligible patients onto the Hospice program followingthe appropriate standards of practice established by the NationalHospice and Palliative Care Organization (NHPCO). home care,nursing, RN, homecare, nurse, hospice, home care hospice, hospicenurse, hospice rn ome care, nursing, RN, homecare, nurse, hospice,home care hospice, hospice nurse, hospice rn

RN Manager, A&G Clinical Review

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms.Responsible for direct oversight and management of clinical reviewprocesses within Appeals & Grievances Department. Ensuresregulatory compliance and timely processing for the Medicare andMedicaid appeal and grievance processes, quality of care concernsand any other inquires requiring clinical review for medicalnecessity, appropriateness of service or clinical quality. Acts assubject matter expert to internal departments and delegated vendorsto assure all are educated and complaint with

RN Manager, A&G Clinical Review

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms.Responsible for direct oversight and management of clinical reviewprocesses within Appeals & Grievances Department. Ensuresregulatory compliance and timely processing for the Medicare andMedicaid appeal and grievance processes, quality of care concernsand any other inquires requiring clinical review for medicalnecessity, appropriateness of service or clinical quality. Acts assubject matter expert to internal departments and delegated vendorsto assure all are educated and complaint with

Hospice Care Planner - $10,000 Sign On Bonus or Student LoanAssistance!!!

Full-time
New York, New York, United States
1 month ago
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Ask about our sign on bonus!!! Working on-site at amajor medical center, the Hospice Care Planner is responsible forevaluating and establishing a plan of care for patients referredfor Hospice services. The Hospice Care Planner will facilitateadmission of referrals upon discharge from the hospital to theHospice program that meets the needs of the patient and familymembers. As a key member of the business development and marketingteam, the Hospice Planner develops and maintains positiverelationships with physicians, social workers, case managers anddischarge planners within the medical center. Hospice Care Plannersmay also perform initial physical and psychosocial assessments ofpotential hospice patients in order to develop individualized plansof care, goals, and make recommendations based on each patient'sneeds, admit eligible patients onto the Hospice program followingthe appropriate standards of practice established by the NationalHospice and Palliative Care Organization (NHPCO). home care,nursing, RN, homecare, nurse, hospice, home care hospice, hospicenurse, hospice rn ome care, nursing, RN, homecare, nurse, hospice,home care hospice, hospice nurse, hospice rn
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Ask About Our Sign On Bonus!!! In this field basedposition, you will visit MJHS Hospice and Palliative Care pediatricpatients throughout the five boroughs to perform both physical andpsychosocial assessments and electronically document visitoccurences. Patient visits will be made in both community andfacility settings. As the Pediatric Hospice Field Case Manager, youwill develop and implement nursing plans of care and makerecommendations for care based on patients' needs. As needed, youwill contact the patient's physician to request written orders tofacilitate plan of care changes. In addition, you will alsosupervise, train and evaluate home health aides and homemakersworking with our pediatric hospice patients. The schedule includesworking one weekend per month functioning in a backup On Callcapacity. This position is primarily based inBrooklyn/Queens/Nassau but may require patient visits inBronx/Manhattan.

Registered Nurse (RN)

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms. Providequality cost-effective care to all members by evaluating the needfor and pre-authorizing requests for inpatient, outpatient,specialty care, home care, DME, and transportation services, fromnetwork and out of network providers, in accordance withdepartmental criteria and guidelines. managed care nurse, managedcare rn, nursing, rn, nurse, care management

Continuous Care LPN

Full-time
New York, New York, United States
1 month ago
Job Description
Our groundbreaking hospice and palliative careprograms offer a significant difference when dealing with alife-limiting condition. We offer a broad range of services in thecommunity or facility-based to help patients and their familiesease the burden of managing a life-limiting illness or end of lifecare. In this position you will be responsible in providing visitsto hospice patients in their home or in the Nursing home. You willdocument the visit in the Electronic Medical Record and report anychanges to the patient's condition to the RN. This is a Full Timeposition, shift is from 8pm to 8am, 3 days per week and every otherweekend.

RN Care Manager, MLTC $10,000 sign on bonus or Student LoanAssistance!

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms.Reporting to the Supervisor of care management, you will providecase management to our members including medical, social,psychological, physical and spiritual needs by Developing,implementing and monitoring the care plan, in conjunction with thePCP, caregivers and other team members, to help meet the member'sneeds. managed care nurse, managed care rn, nursing, rn, nurse,care management

Weekend On-Call Hospice RN

Full-time
New York, New York, United States
1 month ago
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Reporting to the RN Team Manager, this position willtriage all calls for Hospice patients and provide direct nursingcare to patients when a home visit is necessary. Will develop andupdate the plan of care as needed requesting written orders forchanges from the physician. Will document all nursing care providedinto computer and will update status of patient as needed. Willcommunicate all changes to patients condition to primary RN casemanager. This Weekend Fee for Service position has 2 shiftsavailable! Saturday: 5pm - 1am or 1am - 9am Sunday: 5pm - 1am or1am - 9am home care, nursing, RN, homecare, nurse, hospice, homecare hospice, hospice nurse, hospice rn

Continuous Care LPN

Full-time
New York, New York, United States
1 month ago
Job Description
Our groundbreaking hospice and palliative careprograms offer a significant difference when dealing with alife-limiting condition. We offer a broad range of services in thecommunity or facility-based to help patients and their familiesease the burden of managing a life-limiting illness or end of lifecare. In this position you will be responsible in providing visitsto hospice patients in their home or in the Nursing home. You willdocument the visit in the Electronic Medical Record and report anychanges to the patient's condition to the RN. This is a Full Timeposition, shift is from 8pm to 8am, 3 days per week and every otherweekend.

Inpatient Case Manager RN

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms. Providequality cost-effective care to all members by evaluating the needfor and pre-authorizing requests for inpatient, outpatient,specialty care, home care, DME, and transportation services, fromnetwork and out of network providers, in accordance withdepartmental criteria and guidelines. managed care nurse, managedcare rn, nursing, rn, nurse, care management

Inpatient Case Manager RN

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms. Providequality cost-effective care to all members by evaluating the needfor and pre-authorizing requests for inpatient, outpatient,specialty care, home care, DME, and transportation services, fromnetwork and out of network providers, in accordance withdepartmental criteria and guidelines. managed care nurse, managedcare rn, nursing, rn, nurse, care management

Community Health Nurse (RN) - $10,000 Sign-On Bonus orStudent Loan Assistance!

Full-time
New York, New York, United States
1 month ago
Job Description
As an employer, MJHS attracts individuals who seetheir work as a calling as well as a job. Professionals in everyjob category have cited that they appreciate being left to maketheir own decisions, are encouraged to voice their opinions, andare given the necessary breathing room to do their work withminimal supervision. Yet, at the same time, they feel thatmanagement and their co-workers are solidly behind them and readilyaccessible. Patients trust and rely on your judgment. And so do we!Someone with your depth of compassion, clinical insight and strongdecision-making capabilities is the ideal person to map out andoversee the process of a patient's recovery from illness, injury orsurgery at home. At MJHS, our dedicated staff provides a full rangeof advanced clinical home care services, including patientassessment, medication management and patient/family education. Inthis role, you will assume the ongoing, primary responsibility tocoordinate, implement, continually evaluate the home care needs aswell as providing direct patient care of your patients. You willalso review patient insurance information, coordinate activitiesinvolved in each individual care plan and make sure that pertinentfindings are shared with family and professional caregivers. Yourexcellent communication, documentation and time managementcapabilities will be essential to your success. And all along theway, you will experience the respect for your opinions and the highlevel of autonomy you need to do the job right.

Registered Nurse (RN)

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms. Providequality cost-effective care to all members by evaluating the needfor and pre-authorizing requests for inpatient, outpatient,specialty care, home care, DME, and transportation services, fromnetwork and out of network providers, in accordance withdepartmental criteria and guidelines. managed care nurse, managedcare rn, nursing, rn, nurse, care management
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Supports the Hospice Nurse Manager position by providingleadership guidance to the professional staff on a day-to-day basisto ensure the provision of Hospice and Palliative Care services areconsistent with the philosophy, goals, and policies of the programand MJHS. Mentors and provides leadership direction to theprofessional staff as directed by the Hospice Nurse Manager. homecare, nursing, RN, homecare, nurse, hospice, home care hospice,hospice nurse, hospice rn

Continuous Care LPN

Full-time
New York, New York, United States
1 month ago
Job Description
Our groundbreaking hospice and palliative careprograms offer a significant difference when dealing with alife-limiting condition. We offer a broad range of services in thecommunity or facility-based to help patients and their familiesease the burden of managing a life-limiting illness or end of lifecare. In this position you will be responsible in providing visitsto hospice patients in their home or in the Nursing home. You willdocument the visit in the Electronic Medical Record and report anychanges to the patient's condition to the RN. This is a Full Timeposition, shift is from 8pm to 8am, 3 days per week and every otherweekend.
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Ask about our sign on bonus!!! In this field positionyou will perform initial physical and psychosocial assessments ofpotential hospice patients in order to develop individualized plansof care, goals, and make recommendations based on each patient'sneeds. Assessments may take place in private homes, hospitals ornursing facilities. As a Hospice Field Admission Nurse (RN), youwill admit eligible patients onto the Hospice program following theappropriate standards of practice established by the NationalHospice and Palliative Care Organization (NHPCO). In this keyposition, you will also engage in community outreach to physiciansand other medical providers to share information regarding the MJHSHospice program, and gather feedback to effectively informperformance improvement initiatives. The Admissions RN for thisposition will be conducting Hospice Admissions assessments in Bronx& Manhattan. The schedule for this position will be 11am-7pm.Please note this position also rotates one weekend per month and2-3 holidays per year.

Transitional Care Nurse (RN)

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms. Theprofessional in this position will act as a patient advocate infacilitating, coordinating and communicating the transition ofpatients to next level of care in accordance with applicable law,regulations and agency policies and procedures. You will work in acollaborative role with MJHC and select inpatient facilities toevaluate inpatients referred for transitional planning and/or homehealth services. The daily functions are carried out through acombination of telephonic outreach and on-site collaborativeefforts with facility discharge planners, MJHC, and in-house casemanagement staff. managed care nurse, managed care rn, nursing, rn,nurse, care management

Pre-Authorization Nurse (RN) $10,000 sign on bonus orStudent Loan Assistance!

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms. Even ina non-clinical role, employees have an opportunity to make apositive impact on the quality of our health plan members' lives.As a Pre-Authorization Nurse, you will process all requests forservices in accordance with Medicare and NYS Medicaid Guidelines aswell as departmental criteria and guidelines. You will workcollaboratively with other disciplines including Care Manager,Assessment Nurse and Primary Care Physician or other Specialists asnecessary to ensure timely provision of services. You willcoordinate timely completion of UAS NY assessment that accuratelyreflects current condition of the member. You will ensure that themember's Individualized Person Centered Care Plan has been updatedand accurately reflects present status of the member.

Registered Nurse (RN)

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms. Providequality cost-effective care to all members by evaluating the needfor and pre-authorizing requests for inpatient, outpatient,specialty care, home care, DME, and transportation services, fromnetwork and out of network providers, in accordance withdepartmental criteria and guidelines. managed care nurse, managedcare rn, nursing, rn, nurse, care management

Community Health Nurse (RN) - $10,000 Sign-On Bonus orStudent Loan Assistance!

Full-time
New York, New York, United States
1 month ago
Job Description
As an employer, MJHS attracts individuals who seetheir work as a calling as well as a job. Professionals in everyjob category have cited that they appreciate being left to maketheir own decisions, are encouraged to voice their opinions, andare given the necessary breathing room to do their work withminimal supervision. Yet, at the same time, they feel thatmanagement and their co-workers are solidly behind them and readilyaccessible. Patients trust and rely on your judgment. And so do we!Someone with your depth of compassion, clinical insight and strongdecision-making capabilities is the ideal person to map out andoversee the process of a patient's recovery from illness, injury orsurgery at home. At MJHS, our dedicated staff provides a full rangeof advanced clinical home care services, including patientassessment, medication management and patient/family education. Inthis role, you will assume the ongoing, primary responsibility tocoordinate, implement, continually evaluate the home care needs aswell as providing direct patient care of your patients. You willalso review patient insurance information, coordinate activitiesinvolved in each individual care plan and make sure that pertinentfindings are shared with family and professional caregivers. Yourexcellent communication, documentation and time managementcapabilities will be essential to your success. And all along theway, you will experience the respect for your opinions and the highlevel of autonomy you need to do the job right.

Inpatient Case Manager RN

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms. Providequality cost-effective care to all members by evaluating the needfor and pre-authorizing requests for inpatient, outpatient,specialty care, home care, DME, and transportation services, fromnetwork and out of network providers, in accordance withdepartmental criteria and guidelines. managed care nurse, managedcare rn, nursing, rn, nurse, care management

Hospice Care Planner - $10,000 Sign On Bonus or Student LoanAssistance!!!

Full-time
New York, New York, United States
1 month ago
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Ask about our sign on bonus!!! Working on-site at amajor medical center, the Hospice Care Planner is responsible forevaluating and establishing a plan of care for patients referredfor Hospice services. The Hospice Care Planner will facilitateadmission of referrals upon discharge from the hospital to theHospice program that meets the needs of the patient and familymembers. As a key member of the business development and marketingteam, the Hospice Planner develops and maintains positiverelationships with physicians, social workers, case managers anddischarge planners within the medical center. Hospice Care Plannersmay also perform initial physical and psychosocial assessments ofpotential hospice patients in order to develop individualized plansof care, goals, and make recommendations based on each patient'sneeds, admit eligible patients onto the Hospice program followingthe appropriate standards of practice established by the NationalHospice and Palliative Care Organization (NHPCO). home care,nursing, RN, homecare, nurse, hospice, home care hospice, hospicenurse, hospice rn ome care, nursing, RN, homecare, nurse, hospice,home care hospice, hospice nurse, hospice rn

RN Care Manager, MLTC $10,000 sign on bonus or Student LoanAssistance!

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms.Reporting to the Supervisor of care management, you will providecase management to our members including medical, social,psychological, physical and spiritual needs by Developing,implementing and monitoring the care plan, in conjunction with thePCP, caregivers and other team members, to help meet the member'sneeds. managed care nurse, managed care rn, nursing, rn, nurse,care management

Continuous Care LPN

Full-time
New York, New York, United States
1 month ago
Job Description
Our groundbreaking hospice and palliative careprograms offer a significant difference when dealing with alife-limiting condition. We offer a broad range of services in thecommunity or facility-based to help patients and their familiesease the burden of managing a life-limiting illness or end of lifecare. In this position you will be responsible in providing visitsto hospice patients in their home or in the Nursing home. You willdocument the visit in the Electronic Medical Record and report anychanges to the patient's condition to the RN. This is a Full Timeposition, shift is from 8pm to 8am, 3 days per week and every otherweekend.
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Ask About Our Sign On Bonus!!! In this field basedposition, you will visit MJHS Hospice and Palliative Care pediatricpatients throughout the five boroughs to perform both physical andpsychosocial assessments and electronically document visitoccurences. Patient visits will be made in both community andfacility settings. As the Pediatric Hospice Field Case Manager, youwill develop and implement nursing plans of care and makerecommendations for care based on patients' needs. As needed, youwill contact the patient's physician to request written orders tofacilitate plan of care changes. In addition, you will alsosupervise, train and evaluate home health aides and homemakersworking with our pediatric hospice patients. The schedule includesworking one weekend per month functioning in a backup On Callcapacity. This position is primarily based inBrooklyn/Queens/Nassau but may require patient visits inBronx/Manhattan.

Registered Nurse (RN)

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms. Providequality cost-effective care to all members by evaluating the needfor and pre-authorizing requests for inpatient, outpatient,specialty care, home care, DME, and transportation services, fromnetwork and out of network providers, in accordance withdepartmental criteria and guidelines. managed care nurse, managedcare rn, nursing, rn, nurse, care management

Transitional Care Nurse (RN)

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms. Theprofessional in this position will act as a patient advocate infacilitating, coordinating and communicating the transition ofpatients to next level of care in accordance with applicable law,regulations and agency policies and procedures. You will work in acollaborative role with MJHC and select inpatient facilities toevaluate inpatients referred for transitional planning and/or homehealth services. The daily functions are carried out through acombination of telephonic outreach and on-site collaborativeefforts with facility discharge planners, MJHC, and in-house casemanagement staff. managed care nurse, managed care rn, nursing, rn,nurse, care management

RN Care Manager, MLTC $10,000 sign on bonus or Student LoanAssistance!

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms.Reporting to the Supervisor of care management, you will providecase management to our members including medical, social,psychological, physical and spiritual needs by Developing,implementing and monitoring the care plan, in conjunction with thePCP, caregivers and other team members, to help meet the member'sneeds. managed care nurse, managed care rn, nursing, rn, nurse,care management
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Ask About Our Sign On Bonus!!! In this field basedposition, you will visit MJHS Hospice and Palliative Care pediatricpatients throughout the five boroughs to perform both physical andpsychosocial assessments and electronically document visitoccurences. Patient visits will be made in both community andfacility settings. As the Pediatric Hospice Field Case Manager, youwill develop and implement nursing plans of care and makerecommendations for care based on patients' needs. As needed, youwill contact the patient's physician to request written orders tofacilitate plan of care changes. In addition, you will alsosupervise, train and evaluate home health aides and homemakersworking with our pediatric hospice patients. The schedule includesworking one weekend per month functioning in a backup On Callcapacity. This position is primarily based inBrooklyn/Queens/Nassau but may require patient visits inBronx/Manhattan.
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Supports the Hospice Nurse Manager position by providingleadership guidance to the professional staff on a day-to-day basisto ensure the provision of Hospice and Palliative Care services areconsistent with the philosophy, goals, and policies of the programand MJHS. Mentors and provides leadership direction to theprofessional staff as directed by the Hospice Nurse Manager. homecare, nursing, RN, homecare, nurse, hospice, home care hospice,hospice nurse, hospice rn

Pre-Authorization Nurse (RN) $10,000 sign on bonus orStudent Loan Assistance!

Full-time
New York, New York, United States
1 month ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms. Even ina non-clinical role, employees have an opportunity to make apositive impact on the quality of our health plan members' lives.As a Pre-Authorization Nurse, you will process all requests forservices in accordance with Medicare and NYS Medicaid Guidelines aswell as departmental criteria and guidelines. You will workcollaboratively with other disciplines including Care Manager,Assessment Nurse and Primary Care Physician or other Specialists asnecessary to ensure timely provision of services. You willcoordinate timely completion of UAS NY assessment that accuratelyreflects current condition of the member. You will ensure that themember's Individualized Person Centered Care Plan has been updatedand accurately reflects present status of the member.

Weekend On-Call Hospice RN

Full-time
New York, New York, United States
1 month ago
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Reporting to the RN Team Manager, this position willtriage all calls for Hospice patients and provide direct nursingcare to patients when a home visit is necessary. Will develop andupdate the plan of care as needed requesting written orders forchanges from the physician. Will document all nursing care providedinto computer and will update status of patient as needed. Willcommunicate all changes to patients condition to primary RN casemanager. This Weekend Fee for Service position has 2 shiftsavailable! Saturday: 5pm - 1am or 1am - 9am Sunday: 5pm - 1am or1am - 9am home care, nursing, RN, homecare, nurse, hospice, homecare hospice, hospice nurse, hospice rn
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Ask about our sign on bonus!!! In this field positionyou will perform initial physical and psychosocial assessments ofpotential hospice patients in order to develop individualized plansof care, goals, and make recommendations based on each patient'sneeds. Assessments may take place in private homes, hospitals ornursing facilities. As a Hospice Field Admission Nurse (RN), youwill admit eligible patients onto the Hospice program following theappropriate standards of practice established by the NationalHospice and Palliative Care Organization (NHPCO). In this keyposition, you will also engage in community outreach to physiciansand other medical providers to share information regarding the MJHSHospice program, and gather feedback to effectively informperformance improvement initiatives. The Admissions RN for thisposition will be conducting Hospice Admissions assessments in Bronx& Manhattan. The schedule for this position will be 11am-7pm.Please note this position also rotates one weekend per month and2-3 holidays per year.

Hospice Field RN Case Manager - $10,000 Sign On Bonus orStudent Loan Assistance!!!

Full-time
New York, New York, United States
1 month ago
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Ask about our Sign On Bonus!!! In this field basedposition, you will visit MJHS Hospice and Palliative Care patientsto perform both physical and psychosocial assessments andelectronically document visit occurences. Patient visits will bemade in both community and facility settings. As the Hospice FieldCase Manager, you will develop and implement nursing plans of careand make recommendations for care based on patients' needs. Asneeded, you will contact the patient's physician to request writtenorders to facilitate plan of care changes. In addition, you willalso supervise, train and evaluate home health aides and homemakersworking with our hospice patients. The schedule includes workingone weekend per month and functioning in a backup On Call capacity2-3 times per month. home care, nursing, RN, homecare, nurse,hospice, home care hospice, hospice nurse, hospice rn
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Ask about our sign on bonus!!! In this field positionyou will perform initial physical and psychosocial assessments ofpotential hospice patients in order to develop individualized plansof care, goals, and make recommendations based on each patient'sneeds. Assessments may take place in private homes, hospitals ornursing facilities. As a Hospice Field Admission Nurse (RN), youwill admit eligible patients onto the Hospice program following theappropriate standards of practice established by the NationalHospice and Palliative Care Organization (NHPCO). In this keyposition, you will also engage in community outreach to physiciansand other medical providers to share information regarding the MJHSHospice program, and gather feedback to effectively informperformance improvement initiatives. The Admissions RN for thisposition will be conducting Hospice Admissions assessments in Bronx& Manhattan. The schedule for this position will be 11am-7pm.Please note this position also rotates one weekend per month and2-3 holidays per year.

Hospice Care Planner - $10,000 Sign On Bonus or Student LoanAssistance!!!

Full-time
New York, New York, United States
2 months ago
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Ask about our sign on bonus!!! Working on-site at amajor medical center, the Hospice Care Planner is responsible forevaluating and establishing a plan of care for patients referredfor Hospice services. The Hospice Care Planner will facilitateadmission of referrals upon discharge from the hospital to theHospice program that meets the needs of the patient and familymembers. As a key member of the business development and marketingteam, the Hospice Planner develops and maintains positiverelationships with physicians, social workers, case managers anddischarge planners within the medical center. Hospice Care Plannersmay also perform initial physical and psychosocial assessments ofpotential hospice patients in order to develop individualized plansof care, goals, and make recommendations based on each patient'sneeds, admit eligible patients onto the Hospice program followingthe appropriate standards of practice established by the NationalHospice and Palliative Care Organization (NHPCO). home care,nursing, RN, homecare, nurse, hospice, home care hospice, hospicenurse, hospice rn ome care, nursing, RN, homecare, nurse, hospice,home care hospice, hospice nurse, hospice rn
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Ask About Our Sign On Bonus!!! In this field basedposition, you will visit MJHS Hospice and Palliative Care pediatricpatients throughout the five boroughs to perform both physical andpsychosocial assessments and electronically document visitoccurences. Patient visits will be made in both community andfacility settings. As the Pediatric Hospice Field Case Manager, youwill develop and implement nursing plans of care and makerecommendations for care based on patients' needs. As needed, youwill contact the patient's physician to request written orders tofacilitate plan of care changes. In addition, you will alsosupervise, train and evaluate home health aides and homemakersworking with our pediatric hospice patients. The schedule includesworking one weekend per month functioning in a backup On Callcapacity. This position is primarily based inBrooklyn/Queens/Nassau but may require patient visits inBronx/Manhattan.

Enrollment Representative

Full-time
New York, New York, United States
2 months ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms.Presents the HomeFirst Managed Long Term Care Plan (MLTCP) toeligible referral sources in order to generate referrals foreligible participants into the plans, in accordance with HomeFirstMarketing Plan and Department of Health contractguidelines.

Hospice RN - Fee for Service

Full-time
New York, New York, United States
2 months ago
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. In this field based position, you will visit MJHSHospice and Palliative Care patients to perform both physical andpsychosocial assessments and electronically document visitoccurences. Patient visits will be made in both community andfacility settings. As the Hospice Field Case Manager, you willdevelop and implement nursing plans of care and makerecommendations for care based on patients' needs. As needed, youwill contact the patient's physician to request written orders tofacilitate plan of care changes. In addition, you will alsosupervise, train and evaluate home health aides and homemakersworking with our hospice patients. Fee for Service - Shifts basedon your availability and location preference! Shifts availableMonday through Sunday: 9am - 5pm

Pre-Authorization Nurse (RN) $10,000 sign on bonus orStudent Loan Assistance!

Full-time
New York, New York, United States
2 months ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms. Even ina non-clinical role, employees have an opportunity to make apositive impact on the quality of our health plan members' lives.As a Pre-Authorization Nurse, you will process all requests forservices in accordance with Medicare and NYS Medicaid Guidelines aswell as departmental criteria and guidelines. You will workcollaboratively with other disciplines including Care Manager,Assessment Nurse and Primary Care Physician or other Specialists asnecessary to ensure timely provision of services. You willcoordinate timely completion of UAS NY assessment that accuratelyreflects current condition of the member. You will ensure that themember's Individualized Person Centered Care Plan has been updatedand accurately reflects present status of the member.
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Ask about our sign on bonus!!! In this field positionyou will perform initial physical and psychosocial assessments ofpotential hospice patients in order to develop individualized plansof care, goals, and make recommendations based on each patient'sneeds. Assessments may take place in private homes, hospitals ornursing facilities. As a Hospice Field Admission Nurse (RN), youwill admit eligible patients onto the Hospice program following theappropriate standards of practice established by the NationalHospice and Palliative Care Organization (NHPCO). In this keyposition, you will also engage in community outreach to physiciansand other medical providers to share information regarding the MJHSHospice program, and gather feedback to effectively informperformance improvement initiatives. The Admissions RN for thisposition will be conducting Hospice Admissions assessments in Bronx& Manhattan. The schedule for this position will be 11am-7pm.Please note this position also rotates one weekend per month and2-3 holidays per year.

RN Manager, A&G Clinical Review

Full-time
New York, New York, United States
2 months ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms.Responsible for direct oversight and management of clinical reviewprocesses within Appeals & Grievances Department. Ensuresregulatory compliance and timely processing for the Medicare andMedicaid appeal and grievance processes, quality of care concernsand any other inquires requiring clinical review for medicalnecessity, appropriateness of service or clinical quality. Acts assubject matter expert to internal departments and delegated vendorsto assure all are educated and complaint with

RN Care Manager, MLTC $10,000 sign on bonus or Student LoanAssistance!

Full-time
New York, New York, United States
2 months ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms.Reporting to the Supervisor of care management, you will providecase management to our members including medical, social,psychological, physical and spiritual needs by Developing,implementing and monitoring the care plan, in conjunction with thePCP, caregivers and other team members, to help meet the member'sneeds. managed care nurse, managed care rn, nursing, rn, nurse,care management

Hospice Care Planner - $10,000 Sign On Bonus or Student LoanAssistance!!!

Full-time
New York, New York, United States
2 months ago
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Ask about our sign on bonus!!! Working on-site at amajor medical center, the Hospice Care Planner is responsible forevaluating and establishing a plan of care for patients referredfor Hospice services. The Hospice Care Planner will facilitateadmission of referrals upon discharge from the hospital to theHospice program that meets the needs of the patient and familymembers. As a key member of the business development and marketingteam, the Hospice Planner develops and maintains positiverelationships with physicians, social workers, case managers anddischarge planners within the medical center. Hospice Care Plannersmay also perform initial physical and psychosocial assessments ofpotential hospice patients in order to develop individualized plansof care, goals, and make recommendations based on each patient'sneeds, admit eligible patients onto the Hospice program followingthe appropriate standards of practice established by the NationalHospice and Palliative Care Organization (NHPCO). home care,nursing, RN, homecare, nurse, hospice, home care hospice, hospicenurse, hospice rn ome care, nursing, RN, homecare, nurse, hospice,home care hospice, hospice nurse, hospice rn

Hospice Care Planner - $10,000 Sign On Bonus or Student LoanAssistance!!!

Full-time
New York, New York, United States
2 months ago
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Ask about our sign on bonus!!! Working on-site at amajor medical center, the Hospice Care Planner is responsible forevaluating and establishing a plan of care for patients referredfor Hospice services. The Hospice Care Planner will facilitateadmission of referrals upon discharge from the hospital to theHospice program that meets the needs of the patient and familymembers. As a key member of the business development and marketingteam, the Hospice Planner develops and maintains positiverelationships with physicians, social workers, case managers anddischarge planners within the medical center. Hospice Care Plannersmay also perform initial physical and psychosocial assessments ofpotential hospice patients in order to develop individualized plansof care, goals, and make recommendations based on each patient'sneeds, admit eligible patients onto the Hospice program followingthe appropriate standards of practice established by the NationalHospice and Palliative Care Organization (NHPCO). home care,nursing, RN, homecare, nurse, hospice, home care hospice, hospicenurse, hospice rn ome care, nursing, RN, homecare, nurse, hospice,home care hospice, hospice nurse, hospice rn
Job Description
Do you have a "Hospice Heart"? If your answer is yes,then you are just the nurse we are looking for. When days cannot beadded to a life, we add life to remaining days. Ourmultidisciplinary teams offer culturally-sensitive, end-of-life andpalliative care services to patients and their families at home orin assisted living communities, skilled nursing facilities andhospitals. Ask about our sign on bonus!!! In this field positionyou will perform initial physical and psychosocial assessments ofpotential hospice patients in order to develop individualized plansof care, goals, and make recommendations based on each patient'sneeds. Assessments may take place in private homes, hospitals ornursing facilities. As a Hospice Field Admission Nurse (RN), youwill admit eligible patients onto the Hospice program following theappropriate standards of practice established by the NationalHospice and Palliative Care Organization (NHPCO). In this keyposition, you will also engage in community outreach to physiciansand other medical providers to share information regarding the MJHSHospice program, and gather feedback to effectively informperformance improvement initiatives. The Admissions RN for thisposition will be conducting Hospice Admissions assessments in Bronx& Manhattan. The schedule for this position will be 11am-7pm.Please note this position also rotates one weekend per month and2-3 holidays per year.

Pre-Authorization Nurse (RN) $10,000 sign on bonus orStudent Loan Assistance!

Full-time
New York, New York, United States
2 months ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms. Even ina non-clinical role, employees have an opportunity to make apositive impact on the quality of our health plan members' lives.As a Pre-Authorization Nurse, you will process all requests forservices in accordance with Medicare and NYS Medicaid Guidelines aswell as departmental criteria and guidelines. You will workcollaboratively with other disciplines including Care Manager,Assessment Nurse and Primary Care Physician or other Specialists asnecessary to ensure timely provision of services. You willcoordinate timely completion of UAS NY assessment that accuratelyreflects current condition of the member. You will ensure that themember's Individualized Person Centered Care Plan has been updatedand accurately reflects present status of the member.

Registered Nurse (RN)

Full-time
New York, New York, United States
2 months ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms. Providequality cost-effective care to all members by evaluating the needfor and pre-authorizing requests for inpatient, outpatient,specialty care, home care, DME, and transportation services, fromnetwork and out of network providers, in accordance withdepartmental criteria and guidelines. managed care nurse, managedcare rn, nursing, rn, nurse, care management

RN Manager, A&G Clinical Review

Full-time
New York, New York, United States
$50,000 - $100,000
6 months ago
Job Description
The challenges of affordable healthcare continue tocreate new opportunities. Elderplan and HomeFirst, our Medicare andMedicaid managed care health plans, are outstanding examples of howwe are expanding services in response to our patients' and members'needs. These high-quality healthcare plans are designed to helpkeep people independent and living life on their own terms.Responsible for direct oversight and management of clinical reviewprocesses within Appeals & Grievances Department. Ensuresregulatory compliance and timely processing for the Medicare andMedicaid appeal and grievance processes, quality of care concernsand any other inquires requiring clinical review for medicalnecessity, appropriateness of service or clinical quality. Acts assubject matter expert to internal departments and delegated vendorsto assure all are educated and complaint with
Requirements
ofappeals and grievance regulations and processing