CMO, Montefiore Care Management

Montefiore HMO LLC is a leading healthcare services organization specializing in population health management across a diverse, multi-payer landscape. Operating as a clinically integrated managed care entity, Montefiore manages health coverage and care delivery for more than 300,000 individuals through commercial health plans, government healthcare... programs, and Montefiore Diamond Care, its Medicaid Managed Long Term Care plan. The organization's mission centers on reducing healthcare inequities, improving clinical outcomes, and controlling medical expenses through evidence-based population health interventions. Montefiore coordinates care across a robust network of nearly 9,000 physicians, behavioral health specialists, and ancillary providers, delivering services that span hospital care, outpatient services, behavioral health and substance abuse treatment through its University Behavioral Associates division, rehabilitation, home care, remote patient monitoring, community-based programs, and professional support services. The organization employs a comprehensive, whole-person care model that integrates medical, behavioral health, and social determinants of health into individualized care plans. Leveraging proprietary care management technology and clinical analytics, Montefiore identifies high-risk members likely to experience preventable medical episodes and develops targeted interventions to manage them across the full continuum of care. The organization's integrated IT infrastructure enables real-time tracking and coordination of care across its delivery network, while its performance management methodologies drive continuous improvement in clinical programs, operational workflows, and staff effectiveness. With decades of experience pioneering population health management models, Montefiore has developed proven clinical, behavioral, and community-focused expertise that supports its ability to manage complex, medically and socially vulnerable populations while maintaining quality standards and cost ...Read More