UTILIZATION MANAGEMENT ANALYST:
Montefiore Medical Center

89443-en_US
Montefiore Medical Center
Yonkers New York
Healthcare
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Description

The Utilization Management Analyst, (UMA) is responsible for managing operational processes related to utilization management of the MLTC benefit package including but not limited to Home Care, DME, and transportation. The UMA Collects and organizes information from multiple sources including patients, caregivers, and various clinical information systems, care management systems, and electronic health records. The UMA demonstrates the ability to identify appropriate available resources to address the needs of the member. The UMA collaborates with the clinical team to ensure timely authorization entry in the UM system meeting regulatory guidelines and ensuring provision of member services in accordance with departmental guidelines. The UMA Interfaces with and acts as a resource to team members, other MMC and CMO departments, members/caregivers and physicians/providers.

 

Department: CMO Bargaining Unit: Non Union Campus: CORPORATE  Employment Status: Regular Full-Time Address: 200 Corporate Boulevard S, Yonkers
Shift: Day Scheduled Hours: 8:30 AM-5 PM Req ID: 89443 

 

Equal Opportunity Employer

 

N/A 

Basic Qualifications
Requirement