Medical Unit Professional

3 weeks ago


Fort Lee, New Jersey, United States Montefiore Medical Center Full time
Job Title: Medical Unit

Montefiore Medical Center is seeking a skilled Registered Nurse to fill a Case Management position in Fort Lee, New Jersey.

Job Summary:

The ideal candidate will coordinate the continuum of medical care services for patients, ensuring optimal resource utilization, quality patient care, and compliance with regulatory requirements.

Responsibilities:
  • Determine the appropriateness of patient care services
  • Prepare clinical appeals for third-party denials
  • Collect and interpret data for utilization, compliance, and quality improvement
  • Collaborate with healthcare professionals to ensure seamless care transitions
  • Develop and implement effective care plans to meet patient needs
Requirements:
  • BSN or a bachelor's degree in a related field
  • 3-5 years of recent acute care clinical experience
  • Experience in utilization management and case management
  • Certification in Utilization Review or Case Management
  • Excellent communication and organizational skills
About Montefiore Medical Center:

Montefiore Medical Center is a leading academic medical center and a major healthcare provider in the New York metropolitan area. We are committed to delivering exceptional patient care, advancing medical research, and educating the next generation of healthcare professionals.

We are an equal opportunity employer and welcome applications from diverse candidates. Our organization is dedicated to fostering a culture of inclusion, respect, and empathy.



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