Care Management Analyst CMO (JR229977)

<strong>To heal, to teach, to discover and to advance the health of the communities we serve.<br /></strong><br /> <p>To learn more about the &ldquo;Montefiore Difference&rdquo; &ndash; who we are at Montefiore and all that we have to offer our associates, please click <strong><a href="https://healthymebenefits.com/" target="_blank" title="Montefiore Difference" rel="noopener noreferrer">here</a></strong>.&nbsp;</p>

Yonkers, New York

Montefiore

<h4 class=""><strong>WHY TOP TALENT PICKS MONTEFIORE EINSTEIN&nbsp;<br /><br /></strong>Since its inception in 1884, Montefiore Einstein&rsquo;s mission has been to heal, to teach, to discover and advance the health of the communities we serve.<br /><br />Montefiore Einstein&rsquo;s state-of-the-art facilities include the&nbsp;<span class="">internationally-recognized</span>&nbsp;Children&rsquo;s Hospital at Montefiore Einstein and our Notable Centers of Excellence - Montefiore Einstein Center for Cancer Care, Montefiore Einstein Center for Heart and Vascular Care, Montefiore Einstein Center for Transplantation. Combined with a growing number of locations throughout the Bronx and Westchester County, Montefiore Einstein is the ideal organization to apply and hone your expertise.<br /><br /><span style="text-decoration: underline;"><a href="https://montefiore.wd12.myworkdayjobs.com/en-US/MMC/login" target="_blank" title="Candidate Home" rel="noopener noreferrer">Sign In</a></span>&nbsp;- Candidate Home<br /><span style="text-decoration: underline;"><a href="https://montefiore.wd12.myworkdayjobs.com/en-US/MMC/introduceYourself" target="_blank" title="Introduce Yourself " rel="noopener noreferrer">Introduce Yourself&nbsp;</a></span>-&nbsp;Please let us know about yourself so we can keep in touch about future job openings!<br /><br /><strong><span class="">NURSE&nbsp;RECRUITMENT&nbsp;HOTLINE:</span>&nbsp;<span class="">718-920-6697 (</span><span class="">Monday-Friday: 9am-4pm)&nbsp;&nbsp;</span></strong><br /><br /><strong>Check Out Our Employee&nbsp;<span style="text-decoration: underline;"><a href="https://healthymebenefits.com/" target="_blank" title="Benefits" rel="noopener noreferrer">Benefits</a></span></strong></h4> <h4 class="p1"><span style="text-decoration: underline;"><strong><a href="https://s3.us-east-1.amazonaws.com/vizi.vizirecruiter.com/MontefioreHealthSystem+RecruitingPractices.pdf" target="_blank" title="Safe Online Recruiting" rel="noopener noreferrer">Our Commitment to Safe Online Recruiting</a></strong></span></h4> https://www.montefiore.org/

keywords: position summary,pay rate,quality assurance,education,license,experience

Day / 8:30 AM-5 PM

$59,328.05-$74,160.06

Overview: Working under the supervision of a licensed/certified clinical professional, the Care Management Analyst (CMA) is responsible for managing operational processes for the Comprehensive Kidney Care Contracting (CKCC) program. The CMA is responsible for onboarding and consenting patients for the program. The CMA collects and organizes information from multiple sources including members, caregivers, physicians, clinical information systems and electronic health records. The CMA uses this information to make decisions regarding the appropriateness of utilization and benefit application for specific health care services and/or directs this information to appropriate staff for intervention/follow-up in accordance with established organizational and/or departmental protocols, policies and procedures. The CMA may assume responsibility for managing the above activities for a case load of members or may manage specific processes and tasks related to case management activities. The CMA interfaces with and acts as a resource to CKCC team members, other MMC and CMO departments, members/caregivers and physicians/care providers. This position will require&nbsp;in-person work with patients and travel to different sites of care.
Responsibilities: <ul> <li> <p>Ensure that patients are aware of their enrollment in the program, obtain consent forms, provider verification</p> </li> <li> <p>Ensure that Rx fills, appointment scheduling, F/u appt with provider,&nbsp; finding transportation for patients are secured</p> </li> <li> <p>Facilitate completion of Patient Activation Measure forms</p> </li> <li> <p>Support completion of post-discharge calls and scheduling of post-discharge visits</p> </li> <li> <p>Facilitate referrals to dialysis facilities for new outpatient dialysis starts</p> </li> </ul>
Requirements: <ul> <li> <p>Associates degree required. Bachelor&rsquo;s Degree preferred.</p> </li> <li> <p>Required Licensure in a health or human services discipline (e.g. LPN, LMSW, LCSW,&nbsp; Registered Dietitian, etc.).&nbsp;</p> </li> <li> <p>Current active license/registration in New York State.</p> </li> <li> <p>Medical Management experience in a managed health care setting preferred.</p> </li> <li> <p>Appropriate training and experience in case management preferred.</p> </li> </ul>