MJHS · 14 hours ago
Pre-Authorization RN - $15,000 Sign-On Bonus or Student Loan Assistance!
New York, NY, US
Full-time
Onsite
Mid Level
3+ years expMJHS is a healthcare organization focused on expanding services in response to patients' needs through their Medicare and Medicaid managed care health plans. The Pre-Authorization RN role involves processing service requests, collaborating with healthcare professionals, and ensuring accurate assessments and care plans for members.
Health Care
Responsibilities
Processes all requests for services in accordance with Medicare and NYS Medicaid Guidelines as well as departmental criteria and guidelines
Works collaboratively with other disciplines including Care Manager, Assessment Nurse and Primary Care Physician or other Specialists as necessary to ensure timely provision of services
Coordinates timely completion of UAS NY assessment that accurately reflects current condition of the member
Ensures that the member’s Individualized Person-Centered Care Plan has been updated and accurately reflects present status of the member
Qualification
Required
Graduate of an accredited nursing program
Current NY RN license and registration
Minimum three to five years nursing experience in long term care, managed care, home care, geriatrics or hospice
Working knowledge of Medicare and Medicaid regulations
Working knowledge of Windows, Word and Excel
Knowledge of current standards of medical practice and healthcare delivery systems
Strong assessment skills
Preferred
Bachelor's
Knowledge with Utilization management processes
CCM
Prior experience in an interdisciplinary service delivery environment
Prior experience in an interdisciplinary service delivery environment
Knowledge of Interqual
Benefits
$15,000 Sign-On Bonus
Student Loan Assistance
Company
MJHS
MJHS provides home care and nursing care for elders and children.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
David Wagner
President & CEO
Company data provided by crunchbase