care management analyst cmo

7 hours ago

Burlington, Ontario, Canada Montefiore Health System Full time US$56,000 - US$70,000 per year

City/State
Yonkers, New York

Grant Funded
No

Department
NCM - Central Intake Unit

Work Shift
Day

Work Days
MON-FRI

Scheduled Hours
8:30 AM-5 PM

Scheduled Daily Hours
7.5 HOURS

Pay Range
$56,000.00-$70,000.00

Working under the supervision of a licensed/certified clinical professional, the Care Management Analyst (CMA) is responsible for managing operational processes for care management programs that include, but are not limited to complex care, chronic care, palliative care, and care transitions programs. 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 and utilization management activities. The CMA interfaces with and acts as a resource to team members, other MMC and CMO departments, members/caregivers and physicians/care providers.

Requirements

  • Associate Degree required, Master's Degree preferred.
  • LPN (Licensed Practical Nurse, with valid NYS registration)
  • 2 Years experience
  • Preferred experience in Hematology/Oncology and Medication prior authorization.
  • Medical Management experience in a managed health care setting preferred.
  • Appropriate training and experience in case management preferred.

Equipment Operation

  • MS Office, email, internet
  • Experience working within case/utilization management systems, data entry and typing
  • Automatic phone distribution systems
  • Electronic fax systems
  • Copier/scanning machine
  • Familiarity with web-based information systems

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.

  • Account Analyst

    1 week ago

    Burlington, Ontario, Canada Caressant Care Nursing and Retirement Homes Ltd. Full time $45,000 - $65,000 per year

    Caressant Care is looking for a passionate and experiencedAccount Analystto join our team of care providers.About Caressant CareFor nearly 50 years, Caressant Care has created a comfortable and caring home environment for our residents across Ontario to receive high-quality care. We proudly serve over 1,500 residents across our 15 long-term care homes and...

  • Care Manager

    2 weeks ago

    Burlington, Ontario, Canada Sunrise Senior Living Full time $40,000 - $60,000 per year

    ‎ When you join Sunrise Senior Living, you will be able to use your unique skills to empower residents to live longer, healthier, and happier lives. Not only will you build meaningful relationships with residents, their families, and team members alike, you will also gain joy in serving others and deep fulfillment in your work. Explore how you can follow...

  • Care Manager

    5 days ago

    Burlington, Ontario, Canada Sunrise Senior Living Full time $40,000 - $60,000 per year

    ‎ When you join Sunrise Senior Living, you will be able to use your unique skills to empower residents to live longer, healthier, and happier lives. Not only will you build meaningful relationships with residents, their families, and team members alike, you will also gain joy in serving others and deep fulfillment in your work. Explore how you can follow...

  • Care Manager

    1 hour ago

    Burlington, Ontario, Canada Sunrise Senior Living Full time $40,000 - $60,000 per year

    ‎ When you join Sunrise Senior Living, you will be able to use your unique skills to empower residents to live longer, healthier, and happier lives. Not only will you build meaningful relationships with residents, their families, and team members alike, you will also gain joy in serving others and deep fulfillment in your work. Explore how you can follow...

  • Programmer Analyst

    7 days ago

    Burlington, Ontario, Canada Yochana Full time $80,000 - $120,000 per year

    Role: Programmer AnalystLocation: 880 Laurentian Drive, Burlington ON L7N 3V6 CanadaThe candidate should be a Programmer Analyst and should be capable to coordinating the activities between the client and the offshore team.Job Description - Programmer AnalystThe position is responsible for iSeries/AS400 based technical design, analysis, programming, testing,...

  • Assistant Property Manager

    2 weeks ago

    Burlington, Ontario, Canada Melbourne Property Management Full time $40,000 - $45,000 per year

    ABOUT USMelbourne Property Management is a Toronto-based firm serving the Ontario market. It is built on over 100 combined years of our team's experience in the property management industry. Melbourne Property Management aims to create a sense of community within each condominium we manage, in the same way that the City of Melbourne focuses on being one of...

  • Analyst, Quality Assurance

    6 days ago

    Burlington, Ontario, Canada Cogeco Full time $60,000 - $90,000 per year

    Our culture lifts you up—there is no ego in the way. Our common purpose? We all want to win for our customers. We aim to always be evolving, dynamic, and ambitious. We believe in the power of genuine connections. Each employee is a part of what makes us unique on the market: agile and dedicated.Time Type:RegularJob Description :Quality Assurance...

  • Senior Salesforce Business Analyst

    7 days ago

    Burlington, Ontario, Canada Cloud SynApps Inc. Full time $80,000 - $120,000 per year

    Company DescriptionCloud SynApps Inc. is a Systems Integration firm specializing in Cloud-based digital solutions powered by Salesforce and its ecosystem partners. The company is dedicated to delivering customized solutions that enhance operational efficiency and align with client objectives. Cloud SynApps Inc. combines innovation with technical expertise to...

  • Temporary Analyst

    2 weeks ago

    Burlington, Ontario, Canada HALTON DISTRICT SCHOOL BOARD Full time $106,000 - $150,000 per year

    NOTICE OF TEMPORARY M.A.S.S. VACANCYPosition: Analyst - Server & Application SupportSalary Range: Band 5: $ $ 50.71 per hour + 4% vacation payLocation: Information Services, J. W. Singleton Education CentreWork Schedule: 35 hours/week, 12 months/yearEffective Date: As Soon As Possible to August 31, 2026Position Summary:The Analyst - Server Support position...

  • Temporary Analyst

    1 hour ago

    Burlington, Ontario, Canada HALTON DISTRICT SCHOOL BOARD Full time $104,904 - $144,999 per year

    M.A.S.S. NOTICE OF TEMPORARY VACANCYPosition: Analyst - Server & Application SupportSalary Range: Band 5: $ $ 50.71 per hour + 4% vacation payLocation: Information Services, J. W. Singleton Education CentreWork Schedule: 35 hours/week, 12 months/yearEffective Date: As Soon As Possible to August 31, 2026Position Summary:The Analyst - Server Support position...