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CARE MANAGEMENT ANALYST CMO
CARE MANAGEMENT ANALYST CMOMontefiore Health System • Burlington, Halton Region, CA
CARE MANAGEMENT ANALYST CMO

CARE MANAGEMENT ANALYST CMO

Montefiore Health System • Burlington, Halton Region, CA
9 days ago
Job type
  • Full-time
Job description

CARE MANAGEMENT ANALYST CMO

Montefiore Health System

Location : Yonkers, New York

Work Shift : Day

Work Days : MON-FRI

Scheduled Hours : 8 : 30 AM-5 PM (7.5 Hours)

Pay Range : $56,000.00-$70,000.00

Job Summary

Working under the supervision of a licensed / certified clinical professional, the Care Management Analyst (CMA) manages operational processes for care management programs that include, but are not limited to complex care, chronic care, palliative care, and care transitions programs. The CMA collects and organizes information from multiple sources including members, caregivers, physicians, clinical information systems and electronic health records. Using this information, the CMA makes decisions regarding utilization and benefit applications, directing staff for intervention and ensuring adherence to established protocols.

Key Responsibilities

  • Managing the above activities for a case load of members or specific processes related to case management and utilization management.
  • Interfacing with and acting as a resource to team members, other MMC and CMO departments, members / caregivers, and physicians / care providers.

Requirements

  • Associate Degree required; Master's Degree preferred.
  • LPN (Licensed Practical Nurse with valid NYS registration).
  • 2 years experience.
  • Preferred experience in Hematology / Oncology and medication prior authorization.
  • Medical Management experience in a managed health care setting preferred.
  • Appropriate training and experience in case management preferred.
  • Equipment Operation

  • MS Office, email, internet.
  • Experience working within case / utilization management systems, data entry and typing.
  • Automatic phone distribution systems.
  • Electronic fax systems.
  • Copier / scanning machine.
  • Familiarity with web-based information systems.
  • Equal Employment Opportunity

    Montefiore Medical Center is an equal employment opportunity employer. Montefiore Medical Center will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status or partnership status, or any other characteristic protected by law.

    Seniority level

    Entry level

    Employment type

    Full-time

    Job function

    Business Development and Sales

    Industries : Hospitals and Health Care

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    Management Analyst • Burlington, Halton Region, CA

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