Program Supervisor, VOICES Medicaid Managed Care Education

US-NY-New York
1 week ago
Job ID
2017-9420
Category
Social Workers
Emp Status
Regular Full-Time
Hours per Week
35
Shift
Days

Overview

Program Supervisor, VOICES Medicaid Managed Care Education

Hospital for Special Surgery (HSS)

 

Position Summary:

 

The Supervisor, VOICES Medicaid Managed Care Education Program is a working supervisor involved in all Program activities, including supervising two Program Associates.

 

The Program’s goal is to assist patients in accessing and maintaining HSS's specialty care by providing education and advocacy, including insurance authorization for care, related to New York State Medicaid managed care programs. This includes patient education, collaboration with the HSS health care team, insurance companies, and community/government services. Responsibilities also include development of educational materials, staff training, monitoring and tracking data, generating reports, and special projects.

 

Position reports to the Associate Director, Department of Social Work Programs.

 

Specific Functions:

 

  • Provide education and advocacy in Ambulatory Care Center (ACC) clinics to primarily low-income, chronically-ill patients and their families regarding their options under Medicaid managed care.
  • Provide assistance, advocacy and intervention to patients with out-of-network insurance seeking care at the ACC.
  • Proactively identify re-visit patients with out-of-network Medicaid prior to their medical visits, and request authorization for care from managed care insurance companies.
  • Collaborate with the HSS health care team and staff, including doctors, nurses, social workers, registrars and surgical schedulers, to best meet patients’ insurance related needs.
  • Make appropriate referrals to HSS programs and services, such as the Financial Assistance Program and ACC Social Work, and community based agencies, such as NY Medicaid CHOICE and the NYC Human Resources Administration. 
  • Provide supervision to Program Associates to support all Program activities, including those listed above.
  • Collect Program data, including documentation of patient contacts and interventions and outcome measures.
  • Serve as an active participant in department, committees and job related meetings. 
  • Participate in special projects and additional duties as needed.

 

Qualifications:

 

Applicant must be highly committed to providing access to care, excellent patient education and advocacy, and team collaboration. Must be able to work independently in various areas of the Hospital, with a Bachelor’s degree and a minimum of 3 years of health care related experience, preferably related to public insurance. Computer literacy, familiarity with electronic medical records, detail focus and excellent written, verbal, and organizational skills are required. Bilingual (Spanish) preferred.

Other Requirements

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