Registered Nurse III

22nd Century Technologies, Inc. • Trenton, NJ • 2h ago

Job Title: Registered Nurse III Location: Hamilton, NJ, 08619 Duration: 09 + Months Schedule: 8:30 am to 4:30 pm Role & Responsibilities:- Gain understanding of Medicaid- Gain understanding of the Managed Care Contract- Address member care concern inquiries - serve as a liaison to the MCO and will involve telephone contact with member/member representative, emails/telephone calls with MCOs, lookups in Medicaid databases, data entry into OQA tracking database on a daily basis. Initial outreach expected to member/MCO immediately upon receipt of call, ongoing follow-up with MCO expected every 48 hours until case closure.- Answer office phones, as necessary- Review MCO marketing material for clinical accuracy, provide email communication with requested edits to OQA supervisors- Review MCO member manuals for clinical accuracy, provide email communication with requested edits to OQA supervisors- Additional training in OQA activities of grievances/appeals reporting, childhood lead program, external quality review, and member transitions to be provided.- Once knowledge set is attained, may support this work of the office.Certification Required:- Active RN license- Active CPR/BLS- COVID card- Updated ResumeAbout our Company: - 22nd Century Technologies, Inc., is one of the fastest growing IT Service Integrator and Workforce Solution companies in the United States. Founded in 1997, 22nd Century Technologies is a Certified National Minority Business Enterprise with 6,000+ people including 600+ Cyber SMEs nationwide supporting our customers in all 50 states, Canada, and Mexico. With HQs in Somerset, NJ and Mclean, VA, 22nd Century has 14 offices throughout the United States. As part of our unrelenting focus on quality and compliance, 22nd Century Technologies' delivery is based on Certified Matured Processes including CMMI L3 Dev & SVC, ISO 20000, ISO 27001, and ISO 9001 quality processes. With a strong focus on the public sector, 22nd Century currently holds government contracts with 14 out of 15 Federal Executive agencies including DoD, 37 other Federal agencies, 50 States, 115+ Local agencies, and 37 School Districts. In the last three years, we have expanded our services to Fortune 500 and other commercial clients and currently support 80+ commercial clients. Recognized among Best Company to Work For by Forbes, 22nd Century Technologies, Inc., consistently exceeds our clients' expectations by focusing on their absolute satisfaction with jobs while keeping our employees motivated. 22nd Century Technologies is an Equal Opportunity Employer" and US Citizens & all other parties authorized to work in the US are encouraged to apply." All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

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