We believe that nurses give their best care when they know they are being cared for too. When you work for MJHS, you’ll be valued and respected for your dedication to world-class patient care. You’ll be encouraged and challenged to learn and grow. Most of all, you’ll be rewarded with work/life programs that help you balance your priorities and enjoy the career you’ve always wanted. You won’t find that everywhere. But you will find it here.
Title: Inpatient Case Manager RN
Nursing - Managed Care
Provide quality cost-effective care to all members by evaluating the need for and pre-authorizing requests for inpatient, outpatient, specialty care, home care, DME, and transportation services, from network and out of network providers, in accordance with departmental criteria and guidelines. We truly value our staff and further acknowledge their contributions by offering:
Employee and family health coverage
Employer contributed pension plan
Generous time off
Employee tuition reimbursement
Dependent tuition reimbursement
403(b) retirement plan
managed care nurse, managed care rn, nursing, rn, nurse, care management
Graduate of an accredited nursing program; bachelors degree preferred. Minimum of three (3) years experience in medical/surgical nursing Working knowledge of utilization management processes. Knowledge of Federal and State managed care regulations. Prior managed care experience preferred. Working knowledge of Windows, Word, Excel. Licensed to practice as a registered nurse in the state of New York with current registration. CCM preferred. Knowledge of current standards of medical practice. Ability to solve problems through the application of nursing theory and processes. Excellent written and oral communication skills. Knowledge of current standards of the healthcare delivery system. Ability to set priorities. Ability to work independently while recognizing issues having departmental or organizational impact Ability to work as a team member and facilitate communication among the member, healthcare providers, community and medical management staff. Elderplan in order to meet the healthcare needs of the member.