Job Location : Bronx,NY, USA
Montefiore Medical Center is seeking a Registered Nurse (RN) Case Management for a nursing job in Bronx, New York.
Job Description & RequirementsRN Case Manager
Coordinates the continuum of medical care services for patients to ensure optimum utilization of resources, delivery of quality patient care, and compliance with regulatory, accrediting and contractual requirements. Determines the appropriateness of patient care services, prepares clinical appeals for third party denials, and collects and interprets data for utilization, compliance, QI and other areas as assigned.
Requirements:
Experience in interpreting and applying benefit coverage rules and assessing coordination of benefits guidelines and managed care regulations required
Department: Care Management Bargaining Unit: 1199 RN Campus: WAKEFIELD Employment Status: Regular Full-Time Address: 600 East 233rd Street, BronxShift: Day Scheduled Hours: 9 AM-5 PM Req ID: 218720 Salary Range/Pay Rate: $57.65
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.
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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.
Montefiore Medical Center Job ID #116#######. Posted job title: Case Manager-Wakefield
About Montefiore Medical CenterMontefiore, the University Hospital for Albert Einstein College of Medicine, is one of nation's largest academic medical centers. Those who work here are driven by a passion to serve and a desire to provide excellent care to all. We are a growing organization and one of New York's top employers.
Join us as we further our reputation as a leader in clinical care, healthcare research, education and social commitment.