- Ensure that patients are aware of their enrollment in the program, obtain consent forms, provider verification
- Ensure that Rx fills, appointment scheduling, F/u appt with provider, finding transportation for patients are secured
- Facilitate completion of Patient Activation Measure forms
- Support completion of postdischarge calls and scheduling of postdischarge visits
- Facilitate referrals to dialysis facilities for new outpatient dialysis starts
- Medical Management experience in a managed health care setting preferred.
- Appropriate training and experience in case management preferred.
care management analyst cmo - Yonkers, United States - MONTEFIORE MEDICAL CENTER
Description
Care Management Analyst(Grant Funded)
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 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 in-person work with patients and travel to different sites of care.Key responsibilities in the CKCC program include:
Required Licensure in a health or human services discipline (e.g. LPN, LMSW, LCSW, Registered Dietitian, etc.). Current active license/registration in New York State.
Department:
Care Management
Bargaining Unit:
Non Union
Campus:
YONKERS
Employment Status:
Regular Full-Time
Address:
200 Corporate Boulevard S, YonkersShift:
Day
Scheduled Hours:
8:30 AM-5 PM
Req ID:
215747
Salary Range/Pay Rate:
$75, $75,000.00
For positions that have only a rate listed, the displayed rate is the hiring rate but could be subject to change based on shift differential, experience, education or other relevant factors.
here.
Diversity, equity and inclusion are core values of Montefiore.
We are committed to recruiting and creating an environment in which associates feel empowered to thrive and be their authentic selves through our inclusive culture.
We welcome your interest and invite you to join us.Montefiore is an equal employment opportunity employer.
Montefiore will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law.
N/AMission:
To heal, to teach, to discover and to advance the health of the communities we serve.
Vision:
To be a premier academic medical center that transforms health and enriches lives.
ValuesDefine our philosophy of care, they shape our actions and motivate and inspire us to pursue excellence and achieve the goals we have set forth for the future
Our values include:
HumanityInnovationTeamworkDiversityEquity
#J-18808-Ljbffr