RN Appeals Coordinator — Managed Care & Quality Outcomes
Metropolitan Jewish Health System
Metropolitan Jewish Health System seeks an experienced RN Coordinator to investigate and respond to clinical appeals, expedited grievances, and quality of care concerns from members and providers, in line with Elderplan benefits, CMS rules, and DOH regulations. The ideal candidate is a New York state licensed nurse with 2+ years in managed care or hospital utilization/case management, strong communication skills, and the ability to multi-task and meet deadlines in a collaborative environment. #J-18808-Ljbffr Metropolitan Jewish Health System
Vacancy posted 4 days ago
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