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Job Description

MJHS is a large not-for-profit health system in the Greater New York area. Our range of health services include home care, hospice and palliative care for adults and children, rehabilitation and nursing care at Menorah and Isabella Centers, and the research based MJHS Institute for Innovation and Palliative Care. We also offer Elderplan/HomeFirst: health plans for Medicare and dual-eligible individuals. As a not-for-profit organization, many of our programs and services are made possible through the generosity of grateful families, corporate donors and grants, as well as our own employees.

At MJHS, quality care is our mission. We are committed to creating a workforce as diverse as our community. We have a great culture; we offer great benefits that include a work/life balance, competitive rates and field, hybrid, and remote schedules.

MJHS attracts individuals who see their work as a calling as well as a job. Professionals in every job category have stated that they appreciate being left to make their own decisions, are encouraged to voice their opinions, and are given the necessary breathing room to do their work with minimal supervision. Yet, at the same time, they feel that management and their co-workers are solidly behind them and readily accessible.

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.

• In this role, you will ensure high quality and cost-effective care is coordinated as outlined in the model of care
• You will allow for appropriate allocation of Advantage member benefits and resources through partnership with participating facilities and providers
• You will participate in and present 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
• You will ensure proper utilization management of skilled services and level of care changes, develop and update 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
• You will provide 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
• You will ensure that the member has a seamless transition from one level of care to another based on regulatory requirements and department policy and procedures and identify and track all Advance Care Directives discussions and placement

 managed care nurse, managed care rn, nursing, rn, nurse, care management

• 3-5 years of experience in a health care setting, preferably long-term care setting
• Previous managed care experience or MDS Coordinator experience is a plus
• Working knowledge of utilization management, case management, subacute and long-term care
• Previous Medicare/Medicaid experience
• NYS RN License and registration required