Clinical Manager Care Management Org (JR232547)

<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,supervise,procedure,qualifications,certification,knowledge

Full time

$120,000.00-$150,000.00

Overview: The Clinical Manager has responsibility for the day-to-day operations of the multidisciplinary teams created to implement organizational programs.
Responsibilities: <ul> <li>The Clinical Manager supervises nursing, social work, administrative and other professional staff.</li> <li>The Manager ensures that appropriate actions are taken consistent with developed policies and procedures and using available automated systems (e.g., EPIC, CIS, tele-monitoring devices, etc.). &nbsp;</li> <li>The Clinical Manager assists in development of policies, procedures and workflows; monitors workflow and staff effectiveness; assures that appropriate interventions are offered to enrolled beneficiaries &amp; members; assists in program monitoring; and identifies and assists in resolving barriers to successful implementation of the Care Management/Utilization Management Programs.</li> <li>Position supports staff development and training.&nbsp;</li> </ul>
Requirements: <ul> <li>Bachelor's degree in nursing or a health-related field required, Master's degree preferred.</li> <li>Current active license/registration in New York State as applicable and additional state licenses/registration (NJ, CT, etc.) as required by Program.&nbsp;</li> <li>Medical Management experience in a managed health care setting preferred.&nbsp;</li> <li>5 years of clinical practice, preferably including at least 2 years in an outpatient setting.</li> <li>Minimum 2 years of supervisory experience.&nbsp;</li> <li>Professional certification in Case Management, Utilization Management, or Quality Management preferred.&nbsp;</li> <li>Knowledge of:&nbsp;<br /> <ul> <li>Medicare &amp; Medicaid benefits and guidelines.</li> <li>Case management concepts.</li> <li>Quality improvement techniques.</li> </ul> </li> </ul>