• A&G RN Coordinator - $7,500 sign-on bonus!

    Job Locations US-NY-Brooklyn
    Req #
    107030
    Agency
    Elderplan
    Status
    Regular Full-Time
    Location : Postal Code
    11220
    Category
    Managed Care Nursing
    Office or Field
    Office-based
  • Overview

    The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.

    Responsibilities

    The RN Coordinator will investigate and respond to written and/or verbal clinical appeals, expedited clinical grievances and potential quality of
    care grievances submitted by members and providers in accordance with Elderplan Contract Benefits, CMS (Centers for
    Medicare & Medicaid Services), and DOH (Department of Health) regulations.

    Qualifications

    • Graduate of accredited nursing program; BSN preferred
    • 2 years managed care or hospital based ulilization/case management experience
    • 2 years minimum clinical experience
    • Licensed nurse in New York State
    • Proficiency with Microsoft Word, Excel, Power Point and Outlook is required
    • Must have excellent written ad verbal communication skills
    • Must be comfortable researching current evidence based practice guidelines and protocols
    • Must be able to multi-task and managed multiple projects efficiently, meet deadlines, demonstrate analytical/critical thinking skills, and provide excellent customer services that leads to positive problem resolution

    Benefits

    We truly value our staff and further acknowledge their contributions by offering:

    • Employee and family health coverage
    • Competitive salaries
    • Employer contributed pension plan
    • Generous time off
    • Employee tuition reimbursement
    • Dependent tuition reimbursement
    • 403(b) retirement plan

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