MONTEFIORE MEDICAL CENTER
Social Work - Social Worker - $58 per hour
MONTEFIORE MEDICAL CENTER, Bronx, New York, United States, 10400
Montefiore Medical Center is seeking a Social Work Social Worker for a job in Bronx, New York.Job Description & Requirements
Specialty:
Social WorkerDiscipline:
Social WorkDuration:
OngoingShift:
daysEmployment Type:
StaffRN Case ManagerCoordinates 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:BSN or a bachelor's degree in a related field required, Master's preferredNYS RN License requiredPRI assessor number required prior to end of 3-month probationary period3-5 years recent acute care clinical experience preferredExperience in utilization management preferredExperience in a managed care organization preferredCertification in Utilization Review or Case Management preferredAnalytical skills, problem-solving skills, conflict resolution and negotiation skillsDemonstrated knowledge of federal, state and commercial/third-party regulations related to utilization management functions, discharge planning and associated processesDemonstrated knowledge of quality/performance improvement tools and techniquesDemonstrated knowledge of utilization and case management principlesExperience in the application of utilization management decision support criteria preferredComputer skills including data entry, word processing, and electronic messaging.Experience in the use of Windows-based software applications.Experience in the use of an electronic clinical information system preferredExcellent verbal, written and interpersonal communication skills, as well as a commitment to interdisciplinary teamworkExcellent organization skills, teamwork skills and time management skillsExpert clinical knowledge of disease processes to identify care needsUnderstanding of the health care delivery system and its sites of care, delivery models, and the roles of various providers and health care professionalsExperience in interpreting and applying benefit coverage rules and assessing coordination of benefits guidelines and managed care regulations requiredDepartment:
Social Services
Bargaining Unit:
1199 RN
Campus:
WAKEFIELD
Employment Status:
Regular Full-Time
Address:
600 East 233rd Street, Bronx Shift:
Day
Scheduled Hours:
9 AM-5 PM
Req ID:
218651
Salary Range/Pay Rate:
$57.65For 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.To learn more about the “Montefiore Difference” – who we are at Montefiore and all that we have to offer our associates, please click
here.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 #1166406000. Posted job title: Case Manager-WakefieldAbout Montefiore Medical Center
Montefiore, 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.
Specialty:
Social WorkerDiscipline:
Social WorkDuration:
OngoingShift:
daysEmployment Type:
StaffRN Case ManagerCoordinates 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:BSN or a bachelor's degree in a related field required, Master's preferredNYS RN License requiredPRI assessor number required prior to end of 3-month probationary period3-5 years recent acute care clinical experience preferredExperience in utilization management preferredExperience in a managed care organization preferredCertification in Utilization Review or Case Management preferredAnalytical skills, problem-solving skills, conflict resolution and negotiation skillsDemonstrated knowledge of federal, state and commercial/third-party regulations related to utilization management functions, discharge planning and associated processesDemonstrated knowledge of quality/performance improvement tools and techniquesDemonstrated knowledge of utilization and case management principlesExperience in the application of utilization management decision support criteria preferredComputer skills including data entry, word processing, and electronic messaging.Experience in the use of Windows-based software applications.Experience in the use of an electronic clinical information system preferredExcellent verbal, written and interpersonal communication skills, as well as a commitment to interdisciplinary teamworkExcellent organization skills, teamwork skills and time management skillsExpert clinical knowledge of disease processes to identify care needsUnderstanding of the health care delivery system and its sites of care, delivery models, and the roles of various providers and health care professionalsExperience in interpreting and applying benefit coverage rules and assessing coordination of benefits guidelines and managed care regulations requiredDepartment:
Social Services
Bargaining Unit:
1199 RN
Campus:
WAKEFIELD
Employment Status:
Regular Full-Time
Address:
600 East 233rd Street, Bronx Shift:
Day
Scheduled Hours:
9 AM-5 PM
Req ID:
218651
Salary Range/Pay Rate:
$57.65For 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.To learn more about the “Montefiore Difference” – who we are at Montefiore and all that we have to offer our associates, please click
here.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 #1166406000. Posted job title: Case Manager-WakefieldAbout Montefiore Medical Center
Montefiore, 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.