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.
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
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.
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
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
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.
New York, NY, USA