Clinical Manager Care Management Org; JR

Introduction

To heal, to teach, to discover and to advance the health of the communities we serve.

To learn more about the "Montefiore Difference" – who we are at Montefiore and all that we have to offer our associates, please .

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 workflows; monitors workflow 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.

• Bachelor's degree in nursing or a health-related field required, Master's 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.