Clinical Care Coordinator
4 weeks ago
The Clinical Care Coordinator will play a critical role in coordinating medical care services for patients. This includes ensuring efficient utilization of resources, delivering high-quality patient care, and maintaining compliance with relevant regulatory, accrediting, and contractual requirements.
Key Responsibilities:
Assess the appropriateness of patient care services
Prepare and submit clinical appeals for denied claims
Compile and analyze data to support utilization reviews, quality improvement initiatives, and other areas as assigned
Requirements:
BSN or a bachelor's degree in a related field required
Master's preferred
NYS RN License required
PRI assessor number required prior to end of 3-month probationary period
3-5 years recent acute care clinical experience preferred
Experience in utilization management preferred
Experience in a managed care organization preferred
Certification in Utilization Review or Case Management preferred
What We Offer:
Competitive salary and benefits package
Opportunities for professional growth and development
Collaborative and dynamic work environment
About Us:
Montefiore Medical Center is a premier academic medical center that transforms health and enriches lives. We are committed to delivering high-quality patient care, advancing medical knowledge, and promoting health and wellness in the communities we serve.
-
Clinical Care Coordinator LPN
3 weeks ago
Bronx, New York, United States Metropolitan Jewish Health System Full timeAbout the Role:We are seeking a skilled Licensed Practical Nurse to join our team at Metropolitan Jewish Health System. As a Clinical Care Coordinator LPN, you will play a vital role in providing high-quality care to patients in their homes.Key Responsibilities:Implement and evaluate treatment plans for patientsDocument visits electronically and complete...
-
Clinical Coordinator
4 weeks ago
Bronx, New York, United States KDI Knickerbocker Dialysis, Inc. Full timeJob SummaryWe are seeking a skilled Clinical Coordinator to join our team at KDI Knickerbocker Dialysis, Inc. As a Clinical Coordinator, you will play a vital role in coordinating patient care and services, ensuring the highest level of care is delivered to our patients.Key ResponsibilitiesCoordinate ESRD patient care and services, including trend lab...
-
Clinical Nurse Coordinator
3 weeks ago
Bronx, New York, United States Inova Health System Full timeJob Description & RequirementsWe are seeking a skilled Registered Nurse to join our team as a Clinical Nurse Coordinator. This role will involve coordinating patient care and services, ensuring the highest level of care is delivered to our patients.At least 6 months of dialysis experience is required.Coordinate ESRD patient care and services, including trend...
-
Clinical Data Coordinator
4 weeks ago
Bronx, New York, United States MONTEFIORE MEDICAL CENTER Full timeJob Summary:Montefiore Medical Center is seeking a skilled Clinical Data Coordinator to join our team. The successful candidate will be responsible for the registration of all patients in clinical databases, working in collaboration with physicians and other healthcare providers. This role requires advanced clinical knowledge and skills in data entry,...
-
Clinical Care Specialist
3 weeks ago
Bronx, New York, United States Susquehanna University Full timeThe Clinical Care Specialist will work as part of the OMH care team with mental health professionals to assist clients in their transition from hospitals back to the community.The team will follow individuals into the community using the evidence-based Critical Time Intervention model of care to ensure they become linked and engaged with identified community...
-
Clinical Care Specialist
3 weeks ago
Bronx, New York, United States Centene Corporation Full timeJob Summary: We are seeking a skilled Clinical Care Specialist to join our Medical Management/Health Services team. As a Clinical Care Specialist, you will play a critical role in ensuring our members receive the necessary services to achieve optimal health outcomes.Key Responsibilities:Conduct thorough assessments with members, caregivers, or providers to...
-
Clinical Care Specialist
4 weeks ago
Bronx, New York, United States Services for the UnderServed Full timeRole OverviewThe Clinical Care Specialist will work as part of a multidisciplinary team to provide comprehensive care to individuals with mental health needs. The role involves conducting medical assessments, coordinating medication delivery, and providing education and consultation to clients on their health needs.Key responsibilities include:Completing...
-
Nurse Care Coordinator
4 weeks ago
Bronx, New York, United States Catholic Guardian Services Full timeJob Title: Nurse Care CoordinatorCatholic Guardian Services is seeking a skilled Nurse Care Coordinator to join our team. As a key member of our healthcare team, you will be responsible for ensuring that children in our care receive high-quality medical and dental care.Key Responsibilities:Coordinate and monitor the healthcare of children in your assigned...
-
Clinical Research Assistant
4 weeks ago
Bronx, New York, United States Care Access Full timeAbout the RoleCare Access is seeking a highly motivated and detail-oriented Clinical Research Assistant to join our team in the US Base. As a Clinical Research Assistant, you will play a critical role in supporting the conduct of clinical trials and ensuring the highest level of quality and integrity in our research.Key ResponsibilitiesAssist in the...
-
Supervisor of Care Coordination
4 weeks ago
Bronx, New York, United States Callen-Lorde Community Health Center Full timeAbout the Role:As a Supervisor of Care Coordination at Callen-Lorde Community Health Center, you will play a critical role in overseeing a team of dedicated professionals and ensuring the delivery of high-quality care to our patients. You will be responsible for managing caseloads, providing clinical supervision, and coordinating care across various...
-
AOT Care Coordinator
4 weeks ago
Bronx, New York, United States Essen Medical Associates Full timeJob SummaryThe AOT Care Coordinator plays a critical role in ensuring the success of our Assisted Outpatient Treatment program. This position requires a highly skilled and compassionate individual who can provide exceptional care coordination services to individuals with serious mental illness. The successful candidate will be responsible for maintaining a...
-
Patient Care Coordinator
4 weeks ago
Bronx, New York, United States MONTEFIORE MEDICAL CENTER Full timeJob SummaryThe Montefiore Medical Center seeks a skilled Patient Care Coordinator to join our team. As a key member of our healthcare team, you will be responsible for coordinating patient care services, ensuring seamless transitions, and promoting excellent patient outcomes.Key ResponsibilitiesSystematically assess patient health needs and develop...
-
Care Coordinator Specialist
4 weeks ago
Bronx, New York, United States Services for the UnderServed Full timeJob Title: Care CoordinatorJob Summary: We are seeking a highly motivated and compassionate Care Coordinator to join our team at Services for the UnderServed (S:US). As a Care Coordinator, you will play a critical role in providing services to HIV-positive clients living with complex medical conditions, severe mental illness, substance abuse, and long-term...
-
Clinical Therapist
3 weeks ago
Bronx, New York, United States Children's Aid Full timeClinical Therapist - Family Services CoordinatorAt Children's Aid, we are seeking a highly skilled Clinical Therapist to join our team as a Family Services Coordinator. This role will play a vital part in our mission to provide quality care and support to families in need.About the Role:The Clinical Therapist - Family Services Coordinator will be responsible...
-
Senior Care Coordinator
3 weeks ago
Bronx, New York, United States The W Management Group LLC Full timeWe are seeking a compassionate and dedicated Senior Care Coordinator to join our team at The W Group Assisted Living Company.The ideal candidate will have a proven track record of successfully coordinating services for residents, while remaining committed to excellence in resident satisfaction.The chosen candidate will have the opportunity to work with a...
-
Research Associate
3 weeks ago
Bronx, New York, United States MONTEFIORE MEDICAL CENTER Full timeClinical Trials Support RoleThe Cancer Clinical Trials CRC at Montefiore Medical Center supports the research team in the overall conduct of clinical trials using Good Clinical Practice. As a Research Associate, you will work under direct supervision to ensure the smooth execution of trials.Key Responsibilities:Support the research team in the conduct of...
-
Nurse Care Manager
4 weeks ago
Bronx, New York, United States Catholic Guardian Services Full timeJob DescriptionCatholic Guardian Services is seeking a skilled Nurse Care Manager to join our team. In this role, you will be responsible for coordinating medical and dental care services for children placed in foster care within our foster care programs.Key Responsibilities:Coordinate, monitor, and document the health care of foster children placed within...
-
Care Coordinator Supervisor
4 weeks ago
Bronx, New York, United States Essen Medical Associates Full timeJob SummaryThe Care Coordinator Supervisor for Health Home is responsible for ensuring the quality of service delivery for enrolled members. This role involves direct management and supervision of care coordinators, including administration, staff supervision, and monitoring of care coordination services.Key ResponsibilitiesTrains and supervises care...
-
Nurse Care Coordinator for Ambulatory Care
3 weeks ago
Bronx, New York, United States TAG MedStaffing Full timeLooking for a rewarding career in healthcare? Consider joining TAG MedStaffing as a Nurse Care Coordinator for Ambulatory Care!Position OverviewWe are seeking a dedicated and compassionate Registered Nurse to provide exceptional patient care in our outpatient clinic in the Bronx, New York. As a Nurse Care Coordinator, you will play a vital role in ensuring...
-
Bronx, New York, United States Volunteers of America-Greater New York Full timeDirector of Social Work and Client Care CoordinatorVolunteers of America-Greater New York is seeking a highly skilled and experienced Director of Social Work and Client Care Coordinator to enhance existing services and develop a thorough assessment of clients' long-term goals at intake.The ideal candidate will have a Master's Degree in Social Work with LCSW...