Nursing Positions - Registered Nurse - RN in New York, NY

1. Staff Development Instructor 85K and up- conduct clinical orientation of homecare staff experience in conducting training and developing curriculum. Must have EMR experience (allscripts or similar).2. Coordinator of Care. Korean, Spanish and Chinese speaking RNs needed. Must be able to travel to Queens and Nassau. Must have a car. Must have recent acute care experience or med surg. experience. Bachelor?s degree required. Must also have Homecare experience. $72,828. If have language 2500 paid out over two years. Plus 1k for every one year of recent acute care experience up to ten years.3. Clinical Appeals RN Retro review of charts for the appeals system/process. Managed care experience (HMO required). Must have a background in adjudicating claims. 4. Inpatient Care Manager (3-4). Office bound position RN bachelors preferred. S/w members pre-authorizations for inpatient/ outpatient/ DME/ transportation etc. Coordination of care. Bilingual a plus. After 3-6 months can work from home. Minimum one day in office per week. 75-85k. 5. RN Care Manager ? provide case management to member plan of care. Case management of the member psycho/ social/ physical needs. Make sure they have visits scheduled aide service etc. 75-85K bilingual preferred. 3-6 months can start telecommute. Must be in office one day a week after that. 6. Membership Ops Manager ? 100k Bachelor?s degree. 3 years? experience in managed care billing. Responsible for day to day membership operations. Ensure potential and active Medicare/ Medicaid/ dual membership is performed timely and submitted accurately. Must have knowledge of Medicare Medicaid DOH UAS legal issues. Knowledge of regs and performing reports and analytics.

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