Clinical Case Coordinator

1 week ago


Bronx, New York, United States Montefiore Medical Center Full time
About the Role at Montefiore Medical Center

We are seeking a Case Manager to oversee the coordination of healthcare services for our patients. This position is crucial in ensuring that our patients receive comprehensive medical care tailored to their needs.

  • Specialty: Case Management
  • Discipline: Healthcare Services
  • Duration: Ongoing
  • Shift: Daytime
  • Employment Type: Staff Position

Key Responsibilities:

  • Optimize resource utilization to enhance patient care quality
  • Prepare and manage clinical appeals for denied claims
  • Analyze and interpret data for compliance and utilization
  • Facilitate the continuum of care for patients

Qualifications:

  • A Bachelor's degree in Nursing or a related field is required; a Master's degree is preferred
  • Experience in utilization management and managed care is advantageous
  • Familiarity with federal, state, and commercial healthcare regulations
  • Strong analytical, problem-solving, and communication abilities
  • In-depth clinical knowledge and understanding of the healthcare delivery system

About Montefiore Medical Center:

Montefiore Medical Center is a prominent academic medical institution committed to delivering exceptional healthcare and advancing medical research. We value diversity, equity, and inclusion in our workforce and are proud to be an equal opportunity employer.



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