RN Case Manager
About The Position
Rooted in Jewish values and traditions, and consistent with the highest standards of quality care, MJHS Health System is a premier provider of health services in the greater metropolitan area and beyond, ensuring access to health, supportive and community-based services across the continuum of need. Our MJHS Medical Associates, P.C. is a group of Nurse Practitioners, Physician Assistants, RN Case Managers and LPN's who provide care to Elderplan members who are residents of assisted living and long term care facilities, as well as to those living at home. The MJHS Difference At MJHS, we are more than a workplace; we are a supportive community committed to excellence, respect, and providing high-quality, personalized health care services. We foster collaboration, celebrate achievements, and promote fairness for all. Our contributions are recognized with comprehensive compensation and benefits, career development, and the opportunity for a healthy work-life balance, advancement within our organization and the fulfillment of having a lasting impact on the communities we serve.
Requirements
- 3-5 years of experience in a health care setting, preferably long term care setting
- Working knowledge of utilization management, case management , subacute and long term care
- Previous Medicare/Medicaid experience
- NYS RN License and registration
Nice To Haves
- Previous managed care experience or MDS Coordinator experience is a plus
Responsibilities
- Ensures high quality and cost effective care is coordinated as outlined in the model of care.
- Allows for appropriate allocation of Advantage member benefits and resources through partnership with participating facilities and providers.
- Develops and facilitates collaborative partnerships with all members of the care team.
- Participates in and presents cases at interdisciplinary care team meetings to discuss changes in health status and/or level of care and coordinates interventions determined appropriate by the team.
- Ensures proper utilization management of skilled services and level of care changes.
- Develops and updates holistic care plans that addresses members’ needs in collaboration with the inter-disciplinary care team, Nurse Practitioner, and member/member representative in support of the model of care.
- Provides ongoing assessment, planning, implementation and delivery of evidence based interventions in collaboration with Nurse Practitioner and the inter-disciplinary care team as outlined under the Chronic Care Improvement Program and Quality Indicators.
- Ensures that the member has a seamless transition from one level of care to another based on regulatory requirements and department policy and procedures.
- Identify and track all Advance Care Directives discussions and placement.
Benefits
- Sign-on Bonuses OR Student Loan Assistance for clinical staff
- FREE Online RN to BSN and MSN degree programs!
- Tuition Reimbursement for all full and part-time staff
- Dependent Tuition Reimbursement for clinical staff!
- Generous paid time off, including your birthday!
- Affordable and comprehensive medical, dental and vision coverage for employee and family members
- Two retirement plans !
- 403(b) AND Employer Paid Pension
- Flexible spending
- MJHS companies are qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF)
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
Number of Employees
1,001-5,000 employees
