Clinical Manager Care Management Org

3000 Montefiore Medical Center; Norfolk (VA); On-site; USD 120,000 - 150,000; Full time

Job summary

Montefiore Medical Center in Yonkers, NY seeks a Clinical Manager to oversee day-to-day operations of multidisciplinary care management teams. The role supervises nursing, social work, administrative and other professionals, ensuring actions follow policy and utilize EPIC and related systems.

Ideal candidates have 5 years of clinical practice with supervisory experience and a nursing or health-related degree; NY licensure is required with potential cross-state familiarity.

Qualifications

• Knowledge of Medicare & Medicaid benefits and guidelines
• Case management concepts
• Quality improvement techniques

Responsibilities

• Lead day-to-day operations of multidisciplinary care management teams.
• Supervise nursing, social work, administrative and other staff.
• Ensure actions align with policies and use automated systems (e.g., EPIC).
• Assist in development of policies, workflows and staff training.

Skills

Case management concepts

Medicare benefits

Medicaid benefits

Quality improvement

Education

Bachelor degree in nursing or health-related field

Masters degree

Job description

City/State

Yonkers, New York

Grant Funded

No

Department

NCM - Care Management 3

Work Shift

Day

Work Days

MON-FRI

Scheduled Hours

9 AM-5:30 PM

Scheduled Daily Hours

7.5 HOURS

Pay Range

$120,000.00-$150,000.00

Job Summary

The Clinical Manager has responsibility for the day to day operations of the multidisciplinary teams created to implement organizational programs. The Clinical Manager supervises nursing, social work, administrative and other professional staff. 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.). The Clinical Manager assists in development of policies, procedures and work flows; monitors work flow and staff effectiveness; assures that appropriate interventions are offered to enrolled beneficiaries & members; assists in program monitoring; and identifies and assists in resolving barriers to successful implementation of the Care Management/ Utilization Management Programs. Position supports staff development and training.

Qualifications

• Bachelor degree in nursing or a health-related field required, Masters degree preferred.
• Current active license/registration in New York State as applicable and additional state licenses/registration (NJ, CT, etc.) as required by Program.
• Medical Management experience in a managed health care setting preferred.
• 5 years of clinical practice, preferably including at least 2 years in an outpatient setting .
• Minimum 2 years of supervisory experience.
• Professional certification in Case Management, Utilization Management, or Quality Management preferred.
• Knowledge of:
  • Medicare & Medicaid benefits and guidelines
  • case management concepts
  • quality improvement techniques

Equal Employment Opportunity Statement

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.

Contact Information

Calling All Nurses! Nurse Recruitment Hotline: [phone]; Monday-Friday: 9am-4pm

About Montefiore

Since its inception in 1884, Montefiore's mission has been to heal, to teach, to discover and advance the health of the communities we serve. Montefiore's state-of-the-art facilities include the internationally-recognized Children's Hospital at Montefiore 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 for primary and specialty care throughout the Bronx and Westchester County, Montefiore is the ideal organization to apply and hone your expertise. An assortment of insurance products and discount programs through Voluntary Benefits. Check out our comprehensive benefits available to you when you join our outstanding team! To heal, to teach, to discover and to advance the health of the communities we serve. To be a premier academic medical center that transforms health and enriches lives.

Notice

Automated Employment Decision Tools Notice (AEDT)