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Medical Unit Coordinator
2 months ago
Montefiore Medical Center is seeking a skilled Registered Nurse (RN) to fill a Case Management position in our Bronx, New York location.
Job Summary:We are looking for a dedicated and compassionate RN to coordinate the continuum of medical care services for patients, ensuring optimum utilization of resources, delivery of quality patient care, and compliance with regulatory, accrediting, and contractual requirements.
Responsibilities:- Coordinates patient care services to ensure efficient use of resources and delivery of quality care.
- Prepares clinical appeals for third-party denials and collects and interprets data for utilization, compliance, quality improvement, and other areas as assigned.
- Demonstrates knowledge of federal, state, and commercial/third-party regulations related to utilization management functions, discharge planning, and associated processes.
- Utilizes quality/performance improvement tools and techniques to enhance patient care and outcomes.
- Applies utilization management decision support criteria to ensure optimal patient care.
- Develops and maintains strong relationships with healthcare providers, patients, and families to ensure seamless care coordination.
- BSN or a bachelor's degree in a related field required; Master's preferred.
- 3-5 years of recent acute care clinical experience preferred.
- Experience in utilization management, case management, or a related field preferred.
- Certification in Utilization Review or Case Management preferred.
- Excellent organizational, teamwork, and time management skills.
- Expert clinical knowledge of disease processes to identify care needs.
- Understanding of the healthcare delivery system and its sites of care, delivery models, and the roles of various providers and healthcare professionals.
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 knowledge, and promoting health and wellness in our communities.
We are an equal opportunity employer and welcome applications from diverse candidates. Our organization is committed to diversity, equity, and inclusion, and we strive to create a workplace that is inclusive and respectful of all employees.
