NYC Health + Hospitals

Supervising Hospital Care Investigator

NYC Health + Hospitals$75K — $95K *
Hospitals & Medical Centers
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Minimum six months as a Senior Hospital Care Investigator.
  • Demonstrated experience in supervising investigative teams.
  • Ability to interpret and apply policies and regulations.
  • Strong analytical and statistical skills for reporting.
  • Excellent communication skills for training and meetings.

Responsibilities

  • Supervise Senior Hospital Care Investigators and their units.
  • Plan and coordinate staff schedules for optimal efficiency.
  • Establish and maintain statistical controls and data.
  • Oversee training programs for new and existing staff.
  • Conduct staff meetings and interpret policies for team guidance.
  • Prepare detailed performance reports and evaluations.
  • Participate in program conferences and maintain communication schedules.

Benefits

  • Comprehensive Health Benefits for employees working 20+ hours/week.
  • Retirement Savings and Pension Plans.
  • Paid Holidays and Vacation per employee contracts.
  • Loan Forgiveness Programs for eligible staff.
  • College tuition discounts and opportunities for professional growth.
  • College Savings Program available.
  • Union Benefits applicable for certain titles.
  • Employee discounts programs offered.
  • Commuter Benefits Programs for eligible employees.
Full Job Description
Work Shifts

No Weekends

9:00 A.M - 5:00 P.M

Duties & Responsibilities

Purpose of Position:

Under general supervision, supervises a hospital care investigating field office located in a hospital, or a review section at the Central Office, or a unit processing special claims for reimbursement at the Central Office, or acts as principal assistant to a higher ranking Hospital Care Investigator; performs related work.

Examples of Typical Tasks:
1. Supervises Senior Hospital Care Investigators in charge of individual units conducting investigations to determine eligibility and/or reviewing applications for eligibility for medical assistance.
2. Plans and coordinates staff schedules and assignments to assure maximum utilization of available personnel.
3. Establishes statistical controls and data to be maintained in the staff units.
4. Supervises training programs.
5. Conducts staff meetings.
6. Interprets policy, rules and regulations for the guidance of the staff, serves as a case consultant in difficult cases and directs the investigations of difficult cases.
7. Prepares detailed reports on work flow and performance of the unit, evaluating staff according to established standards of performance and recommending appropriate personnel action when indicated.
8. Participates in program conferences, sets up and maintains regular conference schedules, is available for other conferences when necessary and participates in meetings for the exchange of information.

Minimum Qualifications

Six months of service in the title of Senior Hospital Care Investigator.

Benefits

NYC Health and Hospitals offers a competitive benefits package that includes:
  • Comprehensive Health Benefits for employees hired to work 20+ hrs. per week
  • Retirement Savings and Pension Plans
  • Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts
  • Loan Forgiveness Programs for eligible employees
  • College tuition discounts and professional development opportunities
  • College Savings Program
  • Union Benefits for eligible titles
  • Multiple employee discounts programs
  • Commuter Benefits Programs


If you wish to apply for this position, please apply online by clicking the "Apply for Job" button.

About NYC Health + Hospitals

NYC Health + Hospitals is a healthcare system that provides medical care to residents of New York City. The system was founded in 1969 and is headquartered in New York, New York. NYC Health + Hospitals has a network of hospitals, clinics, and other healthcare facilities throughout the city. The system provides a wide range of medical services, including primary care, specialty care, and emergency care. NYC Health + Hospitals is committed to providing high-quality, affordable healthcare to all New Yorkers, regardless of their ability to pay.
Learn more about NYC Health + Hospitals
Size
42,000 employees
Industry
Net Income
-$500,000
5 Year Trend
-10%
Revenue
$7 billion

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