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Clinical Case Manager
2 months ago
Montefiore Medical Center is seeking a skilled Clinical Case Manager to join our team. As a key member of our Utilization Management department, you will play a critical role in ensuring the optimal utilization of resources and delivery of quality patient care.
Key Responsibilities- Coordinate Continuum of Care: Work closely with patients, families, and healthcare providers to develop and implement comprehensive care plans that meet the unique needs of each individual.
- Utilization Management: Conduct thorough assessments to determine the appropriateness of patient care services, ensuring compliance with regulatory and contractual requirements.
- Clinical Decision Making: Analyze data and make informed decisions regarding patient care, taking into account medical necessity, quality of care, and cost-effectiveness.
- Communication and Collaboration: Effectively communicate with patients, families, and healthcare providers to ensure seamless transitions of care and optimal patient outcomes.
- Quality Improvement: Participate in quality improvement initiatives to identify areas for improvement and implement evidence-based practices to enhance patient care and outcomes.
- Education: Bachelor's degree in a related field (e.g., nursing, healthcare administration, social work) or equivalent experience.
- Experience: 3-5 years of experience in a clinical or utilization management setting, preferably in a managed care organization.
- Certifications: Certification in Utilization Review or Case Management is preferred.
- Skills: Excellent analytical, problem-solving, and communication skills; ability to work effectively in a fast-paced environment; and proficiency in electronic clinical information systems.
- Competitive Salary: $61.68 per hour.
- Opportunities for Growth and Development: Montefiore Medical Center is committed to investing in the growth and development of our employees, offering a range of training and education programs to support your career advancement.
- Diverse and Inclusive Work Environment: Join a team that values diversity, equity, and inclusion, and is committed to creating a workplace culture that is welcoming and inclusive of all employees.
