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MJHS

Pre-Authorization RN: Medicare/Medicaid Care Coordination

village of mineola, NY

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About this opportunity

MJHS lists this Pre-Authorization RN: Medicare/Medicaid Care Coordination opportunity in village of mineola, New York. Review the employer’s description below for duties, qualifications and application requirements.

Job description

MJHS is seeking a registered nurse to support Medicare and NYS Medicaid managed care services in a long-term care context. You will process service requests, collaborate with Care Managers and physicians, and ensure timely assessments and updated care plans reflecting the member’s current status.

The role emphasizes strong assessment skills, knowledge of Interqual standards, and working knowledge of Medicare/Medicaid regulations, with a focus on delivering person-centered care.

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Who can apply

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