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Coordinates the continuum of medical care services for patients to ensure optimum utilization of resources, delivery of quality patientcare, and compliance with regulatory, accrediting and contractual requirements. Determines the appropriateness of patientcare services,prepares clinical appeals for third party denials, and collects and interprets data for utilization, compliance, QI and other areas asassigned.

  • RN License & Registration
  • This position is 100% grant funded


Department: Montefiore Medical Group Bargaining Unit: NYSNA Campus: MMG  Employment Status: Regular Full-Time Address: 305 East 161st Street, BronxShift: Evening Scheduled Hours: 11:30 AM-8 PM Req ID: 111281 


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. 



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.

Define our philosophy of care, they shape our actions and motivate and inspire us to pursue excellence and achieve the goals we have set forth for the future. Our values include:

  • Humanity
  • Innovation
  • Teamwork
  • Diversity
  • Equity