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MJHS Health System

Non-profit hospital and elder care system

Home Care Planner

Medical, Clinical & VeterinaryConfirmed live in the last 24 hours
Full-timeNew York, NY, USA$112k - $134.1k /yrIn-person

About the Job

Requirements

  • Current New York State registered nurse license and registration.
  • An associate degree in nursing is required.
  • A minimum of two years of home care nursing experience, with proficiency in physical assessment and interviewing skills, is required.
  • Client-service focus and written and verbal communication skills are required.
  • Critical thinking, problem-solving skills, and the ability to work independently are required.

Responsibilities

  • Evaluate and establish a plan of care for patients referred for home health services.
  • Facilitate admission of referrals from hospital discharge to a home care program that meets the needs of patients and their family members.
  • Develop and maintain positive relationships with physicians, social workers, case managers, and discharge planners within the medical center.
  • Meet established monthly admission target goals.
  • Deliver customer service while sustaining established business relationships and cultivating new ones.
  • Support the agency’s overall business objectives and goals with flexibility within the role.
  • Respond in a timely manner to referral sources, including physicians, social workers, and case managers, when given a patient referral.
  • Establish a plan of care in collaboration with the patient, physician, and interdisciplinary health care team, and arrange for all needed services.
  • Communicate with discharge planning staff to identify problems that may impede the patient’s transition home and assist with resolution as needed.
  • Communicate agency admission criteria, reimbursement criteria, and policies to patients or caregivers, interdisciplinary health care team members, and other personnel as indicated.
  • Evaluate referral needs that may align with additional MJHS products and services, including Homefirst, Palliative Care, and Hospice.
  • Identify and assess referrals received for applicable MJHC clinical service programs, including Heart Failure, COPD, Road to Recovery, and Community Based Palliative Care.
  • Identify and assess whether Home Health Face-to-Face documentation mandated by the Centers for Medicare and Medicaid Services is in each Medicare patient’s medical record.
  • Meet assigned e-learning and annual health assessment deadlines.
  • Maintain clear, legible documentation that reflects adherence to Joint Commission standards, local, state, and federal regulations, and third-party payer requirements in hospital and agency records.

Desired Qualifications

  • A bachelor’s degree in nursing is preferred.

About the Company

MJHS Health System

Non-profit hospital and elder care system

MJHS Health System is a nonprofit, non-sectarian health care organization that has focused on elderly care since 1875. It has evolved from a traditional nursing home into a large, multi-service health system offering a continuum of elder care on its campus and in the surrounding community. The system operates a multi-service campus on four acres and provides a range of services beyond inpatient care, extending into community-based programs to meet senior health needs. The product is not a single device or app but a coordinated set of medical and support services designed to care for older adults across different settings. Compared with other providers, MJHS stands out through its long history, nonprofit and non-sectarian mission, campus-based infrastructure, and a broad mix of services on site and in the community. The goal is to deliver comprehensive, accessible, and continuous health care and support for the elderly, improving quality of life and health outcomes over time.

Company size
201-500
Company stage
Not listed
Total funding
Not listed
Headquarters
New York City, New York
Founded
1875

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