Why Metropolitan Jewish Health System
FY2024 · Form 990Its mission and biggest programs, as filedProvides home care, hospice, palliative care, and nursing rehabilitation services to diverse patients across the New York metropolitan area.
- Established in 1907 by the four brooklyn ladies, and rooted in the core values of compassion, dignity and respect, today mjhs is one of the most innovative Health systems in the region serving, caring for, supporting and guiding people of…$3M spent in FY2024
Before you apply
FY2024 · Form 990Independent: from IRS data, not the orgAbout the role
The org's own posting, as writtenOverview
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. 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. Benefits include: Sign-on Bonuses OR Student Loan Assistance for clinical staff Free MSN in Education program! 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 And MORE! MJHS companies are qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF) Responsibilities The supervisor in this position is responsible for the oversight of the overall day to day functioning of the MLTC/DSNP pre-authorization functions.
The supervisor’s daily oversight includes reviewing data to monitor regulatory requirements (standard/expedited time frames, org determination outcomes and communication, inter-rater reliability), provides direction for complex cases, monitors pending cases, reviews and educates staff on new criteria trends (including InterQual, local carrier policy, national coverage determinations), and acts as a liaison with interdepartmental communication.
Qualifications
Graduate of an accredited nursing program: baccalaureate degree preferred. Minimum one to three years' previous management experience preferred. Previous managed care experience in the areas of utilization management and/or case management preferred. Minimum one year nursing practice in clinical settings, i.e. hospital, nursing facility or home health. Licensed to practice as a Registered Nurse in the state of New York with current registration. CCM preferred Knowledge of InterQual preferred. Knowledge of Federal and State regulatory requirements for managed care. Min USD $101,503.41/Yr. Max USD $126,879.27/Yr.
About Metropolitan Jewish Health System
From its Form 990- Budget $62.4M · Health Care
- Staff 170 · founded 1995
- Pays its leaders $397K–$1.5M (8 reported)
- Open jobs 0 · Jobs at Metropolitan Jewish Health System · Full 990 report