Rn Coordinator

The RN Coordinator will investigate and respond to written and/or verbal clinical appeals, expedited clinical grievances and potential quality of care grievances submitted by members and providers in accordance with Elderplan Contract Benefits, CMS (Centers for Medicare & Medicaid Services), and DOH (Department of Health) regulations.

• Graduate of accredited nursing program
• BSN preferred
• 2 years managed care or hospital based utilization/case management experience
• 2 years minimum clinical experience
• Licensed nurse in New York State
• Proficiency with Microsoft Word, Excel, Power Point and Outlook is required
• Must have excellent written and verbal communication skills
• Must be comfortable researching current evidence based practice guidelines and protocols
• Must be able to multi-task and managed multiple projects efficiently, meet deadlines, demonstrate analytical/critical thinking skills, and provide excellent customer services that leads to positive problem resolution

BSN preferred

• Sign-on Bonuses OR Student Loan Assistance for clinical staff
• MSN in Education offered
• 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
• Paid Student Loan Forgiveness Program (PSLF)