Pre-Authorization RN - $15,000 Sign-On Bonus or ...

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. Even in a non-clinical role, employees have an opportunity to make a positive impact on the quality of our health plan members' lives.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.Benefits include:Sign-on Bonuses ORStudent Loan Assistancefor clinical staffFREEOnline RN to BSN and MSN degree programs!Tuition Reimbursementfor all full and part-time staffDependent Tuition Reimbursementfor clinical staff!Generous paid time off, including your birthday!Affordable and comprehensivemedical, dental and vision coverage for employee and family membersTwo retirement plans! 403(b) AND Employer Paid PensionFlexible spendingAnd MORE!MJHS companies are qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF)Process 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.Graduate of an accredited nursing program, Bachelor’s preferredKnowledge with Utilization management processes preferredCurrent NY RN license and registration requiredCCM preferredMinimum three to five years nursing experience in long term care, managed care, home care, geriatrics or hospicePrior experience in an interdisciplinary service delivery environment preferredWorking knowledge of Medicare and Medicaid regulationsPrior experience in an interdisciplinary service delivery environment preferredWorking knowledge of Windows, Word and ExcelKnowledge of current standards of medical practice and healthcare delivery systemsStrong assessment skillsKnowledge of Interqual preferredUSD $90,000.00/Yr.USD $110,000.00/Yr.

Created: 2025-11-21