Elderplan and HomeFirst are expanding services to meet the challenges of affordable healthcare.
These plans aim to keep members independent and living life on their own terms.

Responsibilities:

Perform case reviews and process all requests for elective services and durable medical equipment.
Work collaboratively with Physician Advisors, Vendors, Providers, and Member's Primary Care Physicians.
Ensure compliance with regulatory standards and provide high-quality customer service.

Qualifications:

Graduate of an accredited Nursing Program; Bachelors preferred.
Current New York State RN License required; minimum two years of clinical experience preferred.
Knowledge of Utilization management processes, managed care, and Medicare/Medicaid regulations required.

Benefits:

Sign-on Bonuses or Student Loan Assistance for clinical staff.
Free online RN to BSN and MSN degree programs and tuition reimbursement.
Generous paid time off, medical/dental/vision coverage, and two retirement plans.

Elderplan

Elderplan provides Medicare and Medicaid managed care health plans designed to help people stay independent. They are part of MJHS, a supportive community committed to excellence, respect, and collaboration.

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