Montefiore Einstein Technology · 2 months ago
CARE MANAGEMENT ANALYST CMO
200 Corporate Boulevard
Full-time
Onsite
Entry, Mid Level
$56K/yr - $70K/yr
2+ years expMontefiore Einstein Technology is part of the Montefiore Medical Center, and they are seeking a Care Management Analyst. The CMA is responsible for managing operational processes for various care management programs and utilizes information from multiple sources to make decisions regarding healthcare services.
Information Technology & Services
Responsibilities
Managing operational processes for care management programs including complex care, chronic care, palliative care, and care transitions programs
Collecting and organizing information from multiple sources including members, caregivers, physicians, clinical information systems, and electronic health records
Making decisions regarding the appropriateness of utilization and benefit application for specific health care services
Directing information to appropriate staff for intervention/follow-up in accordance with established organizational and/or departmental protocols, policies and procedures
Managing activities for a case load of members or specific processes and tasks related to case management and utilization management activities
Interfacing with and acting as a resource to team members, other MMC and CMO departments, members/caregivers and physicians/care providers
Qualification
Required
Associate Degree required
LPN (Licensed Practical Nurse, with valid NYS registration)
2 Years experience
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
Preferred
Master's Degree preferred
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
Company
Montefiore Einstein Technology
Montefiore Einstein Technology began a cultural transition from a provider of IT services and support to an integral component of Montefiore Medical Center/Systems and its affiliates located in the Bronx, Westchester, and Rockland Counties, with our focus on Customer Service and meeting Montefiore’s Health Systems Mission, Vision, and Values.
501-1000 employees
Funding
Current Stage
Late StageCompany data provided by crunchbase