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Case Manager - Medical Indemnity Fund NYC job

Public Consulting Group jobs

Company

Skills

Benefits

Company Description

Public Consulting Group (PCG) is a sector management consulting and operations improvement firm. The Boston-based company partners with health, education, and human services agencies. Their goal is to help public sector organizations enhance their performance. Having a deep understanding of the challenges its clients face is a priority to PCG. The firm shares a commitment to its clients and staff as well. As diversity and inclusion are at the heart of its culture, PCG values different viewpoints. PCG seeks talented, results-oriented candidates with the determination and the ability to thrive. If you think it’s you and you’re eager to be part of a team-oriented environment, they welcome your job application. Whether you are a recent college graduate or a seasoned professional, they will offer you a benefits package to support your wellbeing and individual growth.

Job Description

Staffing Solutions Organization LLC (SSO), a wholly owned subsidiary of Public Consulting Group, is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed to a diverse workforce, which is a reflection of our clients and the people they serve.

Case Manager - Medical Indemnity Fund in New York City

Overall Responsibilities:

SSO is currently seeking a qualified Case Manager. The Case Manager will be responsible for assisting enrollees of a publicly administered Medical Fund on behalf of a state agency. The Case Manager will be charged with helping program recipients, family members, and caretakers navigate healthcare benefits offered through this Fund. The Case Manager will also be responsible for utilizing a case management software system on a day-to-day basis. The purpose of the Fund is to provide a funding source for future health care costs associated with birth-related neurological injuries.

The Case Manager will also assist in development of program policies and procedures, and program improvement processes. The Fund operations include, performing assessments, providing case management services, assisting families and program recipients through prior approval of certain healthcare services, and collaborating with the claims administration team. Successful candidates will be accountable for the full patient care cycle.

Responsibilities:

Responsible for helping program recipients, family members, and caretakers navigate healthcare benefits

Assists in the development of program policies and procedures

Responsible for the full patient care cycle.

Assesses, plans, implements, monitors and evaluates actions required to meet the clients health and human services needed.

Coordinates and provides care that is safe, timely, effective, efficient, equitable, and client-centered

Handles case assignments, draft service plans, review case progress and determine case closure

Travels within the State to conduct periodic in person assessments

Facilitates multiple care aspects (case coordination, information sharing, etc.)

Helps patients make informed decisions by acting as their advocate regarding their clinical status and treatment options

Develops effective working relations and cooperate with medical team throughout the entire case management process

Interacts with patients to keep track of their progress and to ensure satisfaction

Records case information, complete accurately all necessary forms and produce statistical reports

Document all care activity via case management software system

Promotes quality and cost-effective interventions and outcomes

Assesses and addresses motivational and psychosocial issues

Adheres to professional standards as outlined by protocols, rules and regulations

Minimum Qualifications:

BS degree in related healthcare field

Current license, certification or registration as a Registered Nurse or Social Worker

2+ years of experience working with pediatrics; experience or educational training in health or social services, preferably including work experience or a practicum that involved the performance of assessments and the development of case management plans.

Preferred Skills and Experience:

Excellent communication, interpersonal and client-facing skills.

Ability to work independently and on a team.

Proven working experience in case management, including as a nurse, medical, mental health care manager or a social worker

Excellent knowledge of case management principles, healthcare management and reimbursement

Previous experience working with case management software

Previous experience with psychological aspects of care

Effective communication skills

Excellent organizational and time management skills

Familiarity with professional and technical emerging knowledge

Problem solving skills and ability to multi-task

Compassionate with teamwork skills

Bilingual English/Spanish

All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity, marital status, age, national origin, protected veteran status, or disability.

Staffing Solutions Organization LLC is an e-Verify participant.

Other details

Pay Type
Salary

Travel Required
Yes

Travel %
40

Telecommute %
60

Required Education
Bachelors Degree

New York, NY, USA

by Jobble

TASKS

  • Counsel clients in individual or group sessions to assist them in dealing with substance abuse, mental or physical illness, poverty, unemployment, or physical abuse.
  • Monitor, evaluate, and record client progress with respect to treatment goals.
  • Interview clients, review records, conduct assessments, or confer with other professionals to evaluate the mental or physical condition of clients or patients.
  • Collaborate with counselors, physicians, or nurses to plan or coordinate treatment, drawing on social work experience and patient needs.

SKILLS

  • Reading ComprehensionUnderstanding written sentences and paragraphs in work related documents.
  • Active ListeningGiving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
  • WritingCommunicating effectively in writing as appropriate for the needs of the audience.
  • SpeakingTalking to others to convey information effectively.

KNOWLEDGE

  • ClericalKnowledge of administrative and clerical procedures and systems such as word processing, managing files and records, stenography and transcription, designing forms, and other office procedures and terminology.
  • Customer and Personal ServiceKnowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.
  • Computers and ElectronicsKnowledge of circuit boards, processors, chips, electronic equipment, and computer hardware and software, including applications and programming.
  • PsychologyKnowledge of human behavior and performance; individual differences in ability, personality, and interests; learning and motivation; psychological research methods; and the assessment and treatment of behavioral and affective disorders.
Health Insurance

Public Consulting Group

Type

Company - Private

Size

Large

Revenue

$100M to $500M

Location

New York, NY, and others

Founded

1986

CEO

William S Mosakowski

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