Care Management Analyst CMO

Montefiore Health System; New York (NY); On-site; USD 59,328 - 74,160; Full time

Job summary

Montefiore Health System is looking for a Care Management Analyst in Yonkers, New York. The role involves managing processes for the Comprehensive Kidney Care Contracting program, including onboarding patients and ensuring their care needs are met. The ideal candidate will have a degree in health or human services and relevant licensure in New York State. Strong communication skills and a background in case management are preferred.

This is a day shift position with a pay range of $59,328.05 - $74,160.06. You will engage directly with patients and collaborate with various healthcare professionals to facilitate care.

Qualifications

• Associate’s degree required; Bachelor’s degree preferred.
• Required Licensure in a health or human services discipline.
• Current active license/registration in New York State.

Responsibilities

• Ensure patient enrollment and obtain consent forms.
• Facilitate referrals to dialysis facilities.
• Support completion of post-discharge calls.

Skills

Medical management experience

Case management training

Patient communication

Education

Associate’s degree

Bachelor’s degree

Job description

Care Management Analyst - Overview

Location: Yonkers, New York

Department: NCM - Care Management 4

Work Shift: Day (Mon-Fri, 8:30 AM-5 PM, 7.5 hours daily)

Pay Range: $59,328.05 - $74,160.06

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 in-person work with patients and travel to different sites of care.

Key Responsibilities In The CKCC Program

• 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 post-discharge calls and scheduling of post-discharge visits
• Facilitate referrals to dialysis facilities for new outpatient dialysis starts

Requirements

• Associate’s degree required. Bachelor’s degree preferred.
• 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.
• Medical management experience in a managed health care setting preferred.
• Appropriate training and experience in case management preferred.

Montefiore Medical Center is an equal employment opportunity employer. Montefiore Medical Center 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.