New York, New York, United States · Remote OK
$90k–$110k/yr
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 servic…
Skills: Case Management, Care Planning, Patient Monitoring, Managed Care, Nursing Care
New York, New York, United States · Remote Solely
$40k–$43k/yr
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 servic…
Skills: Customer Service, Problem Solving, Call Management, Healthcare Administration, Data Entry
New York, New York, United States · Hybrid
$35k–$44k/yr
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 servic…
Skills: Mandarin, Cantonese, Data Entry, Customer Service, Managed Care
New York, New York, United States · Remote OK
$90k–$110k/yr
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 servic…
Skills: Case Review, Utilization Management, Medicare Regulations, Medicaid Regulations, Clinical Nursing
New York, New York, United States · Hybrid
$41k–$45k/yr
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 servic…
Skills: Customer Service, Utilization Management, Case Management, HealthRules Payor, Microsoft Word
New York, New York, United States · Remote OK
$90k–$110k/yr
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 servic…
Skills: Patient Advocacy, Care Coordination, Discharge Planning, Utilization Management, Physical Assessment
New York, New York, United States · On-site
$58k–$65k/yr
Overview Manages all non-clinical aspects of member and provider appeals and grievances to ensure accurate intake, validation, timely case processing, and compliance with federal, state, and internal policy requirements.…
Skills: Case Management, Regulatory Compliance, Member Advocacy, Triage, Documentation Tracking
New York, New York, United States · On-site
$130k–$140k/yr
Overview Provide strategic leadership to the organization to support business objectives and drive key HR initiatives in the areas of recruitment/retention, performance management, training and development, rewards and r…
Skills: Employee Relations, Labor Relations, Recruitment, Performance Management, HR Policy Development
New York, New York, United States · On-site
$125k–$140k/yr
Overview $15,000 Sign-On Bonus or Student Loan Assistance! 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…
Skills: Patient Assessment, Medication Management, Patient Education, Care Coordination, Clinical Supervision
New York, New York, United States · Hybrid
$175k–$200k/yr
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 servic…
Skills: Risk Adjustment, Medical Coding, Clinical Documentation Improvement, ICD-10-CM, CPT-4
New York, New York, United States · On-site
$61k–$65k/yr
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 servic…
Skills: Care Management, Social Determinants of Health, Patient Education, Interdisciplinary Collaboration, Medicare Regulations
New York, New York, United States · Hybrid
$43k–$48k/yr
Overview Our groundbreaking hospice and palliative care programs offer a significant difference when dealing with life-limiting conditions. We offer a broad range of services in the community or facility-based to help pa…
Skills: Medical Records Management, HIPAA Compliance, Physician Order Tracking, Audit Preparation, Electronic Medical Records (EMR)
New York, New York, United States · On-site
Overview Fee for Service Rates: Initial & ROC Weekday visit rate: $100 Initial & ROC Weekend/Holiday visit rate: $120 Revisit visit rate: $85 Orientation daily rate: $250 In-Service hourly rate: $55 MJHS is a large not-f…
Skills: Patient Assessment, Medication Management, Patient Education, Family Education, Care Plan Coordination
New York, New York, United States • Remote OK
Sign up with Clera and we'll reach out the moment a role actually fits you — no more spraying applications into the void.
Provide comprehensive case management for members by addressing medical, social, psychological, physical, and spiritual needs. Develop and monitor care plans in collaboration with primary care physicians and caregivers.
Requires a NYS RN license and either an Associate's Degree in Nursing for experienced candidates or a BSN for new graduates. Preference is given to candidates with CCM certification and one year of experience in managed care, home care, acute care, or nursing homes.
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.
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:
MJHS companies are qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF)
Reporting to the Supervisor of Care Management this position will provide case management to our members including medical, social, psychological, physical, and spiritual needs by developing, implementing and monitoring the care plan in conjunction with the PCP, caregivers, and other team members to help meet the member's needs.
Leading the way to great care.℠
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. 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.
Offices: 55 Water Street, New York, New York 10041, US · 39 Broadway, Third Floor, New York, NY 10006, US · 39 Broadway, Second Floor, New York, NY 10006, US · 1516 Oriental Blvd, Brooklyn, NY 11235, US · 6323 Seventh Avenue, Brooklyn, NY 11220, US
Leading the way to great care.℠
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. 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.
Offices: 55 Water Street, New York, New York 10041, US · 39 Broadway, Third Floor, New York, NY 10006, US · 39 Broadway, Second Floor, New York, NY 10006, US · 1516 Oriental Blvd, Brooklyn, NY 11235, US · 6323 Seventh Avenue, Brooklyn, NY 11220, US
