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MJHS is a large not-for-profit health system in the Greater New York area. Our range of health services include home care, hospice and palliative care for adults and children, rehabilitation and nursing care at Menorah and Isabella Centers, and the research based MJHS Institute for Innovation and Palliative Care. We also offer Elderplan/HomeFirst: health plans for Medicare and dual-eligible individuals. As a not-for-profit organization, many of our programs and services are made possible through the generosity of grateful families, corporate donors and grants, as well as our own employees.
In this role, you will valuate patients referred for home health services. You will manage and facilitate the transition of patients onto the home care program in accordance with applicable law, regulations and agency policies and procedures.
- Meets the established Monthly Admission Targeted Goals
Provides flexibility within the role of effectively supporting the agency's overall business objectives and goals Establishes a plan of care (POC) in collaboration with patients, physicians and members of interdisciplinary health care team and arranges for all needed services under the direct supervision of an HCP Manager and/or Director of Business Development - Works in conjunction and maintains consistent communication with discharge planning staff to identify problems that may impede the transition of the patient returning home and assists with resolution as needed; under the direct supervision of an HCP Manager and/or Director of Business Development
- Communicates agency admission criteria, reimbursement criteria and policies to patient/caregiver, members of the interdisciplinary health care team and other personnel as indicated; under the direct supervision of a HCP Manager and/or Director of Business Development
Conducts an evaluation of referral needs to determine potential alignment with additional MJHS products and services ( Elderplan, HomeFirst, Hospice, Palliative Care); under the direct supervision of an HCP Manager and/or Director of Business Development To identify and assess referrals received for the various MJHC clinical service programs (e.g. Heart Failure, COPD, Joint Replacement, Diabetes Management, Community Based Palliative Care) as deemed applicable; under the direct supervision of an HCP Manager and/or Director of Business Development - To identify and assess that the Home Health Face-to-Face documentation as mandated by the Centers for Medicare and Medicaid Services (CMS) is in all Medicare patient's medical record under the direct supervision of an HCP Manager and/or Director of Business Development
- Manages the referral process, ensuringtimelyandaccuratecoordination between departments tooptimizepatient care and streamline operations; under the direct supervision of an HCP Manager and/or Director of Business Development
- Associates in Nursing; Baccalaureate Degree preferred.
- Minimum of one year of acute, Medical-Surgical nursing experience, preferred.
Home Care experience preferred - Specialized knowledge in Microsoft Office, (Word, Excel, Outlook, etc.)
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Metropolitan Jewish Health System
Jan 19, 2026