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Working with IPA providers, other members of the interdisciplinary care team and CMO medical directors and in accordance with regulatory and benefit coverage parameters, help determine and coordinate comprehensive care plans appropriate to the health care needs of IPA members, including but not limited to, inpatient hospitalization, outpatient services, professional services, home care, durable medical equipment and other ancillary services. Evenings and weekend hours maybe required. NYS licensed RN and current registration, BS Nursing or related field and 5 years of clinical experience or a combination thereof required. Minimum of 2 years recent experience of utilization review or case management in a managed care organization required. Experience in the use of Med. Mgt/UM computer systems and the application of UM decision support criteria required. Experience in use of windows based software applications and data entry focus required. Excellent interpersonal and communication skills required. Commitment to interdisciplinary teamwork required. Experience in integrating and applying benefit coverage rules and assessing coordination of benefits guidelines and managed care regulation required.




Department: CMO Bargaining Unit: NYSNA Campus: YONKERS  Employment Status: Regular Full-Time Address: 200 Corporate Boulevard S, YonkersShift: Day Scheduled Hours: 8:30 AM-5 PM Req ID: 109783 


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




Nearest Major Market: Yonkers
Nearest Secondary Market: New York City