FIELD MONITOR

Brooklyn, NY - USA

Monthly Salary: Not Disclosed

Posted on: 7 hours ago

Vacancies: 1 Vacancy

Job Summary

The Medical Assistance Program (MAP) administers Medicaid and related public health insurance programs for the City of New York. Applying individuals and families are approved for eligibility against applicable Federal and State guidelines. Those found to be eligible can use coverage provided to access doctors medication and other health care services at little or no cost.

The Medical Assistance Program (MAP)/Managed Care Contract Monitoring Unit is recruiting for one (1) Caseworker to function as a Field Monitor who will:

-Conduct unannounced field visits to designated sites four days per week to observe presentations by Maximus and to ensure that all terms conditions and deliverables agreed to in the Maximus contract are being met.

-Conduct on-site monitoring of Community Based Organization activity with regards to Maximus.

-Communicate any problems/issues identified through routine monitoring efforts that may be resolved and referred to the service provider.

-Monitor presentations that contain key messages regarding the basis of managed care how to choose a plan access to emergency services self-referral wrap around services complaint procedure exemption/exclusion procedures member rights and responsibilities.

-Ensure that Medicaid beneficiaries are informed of all plan choices available.

-Ensure that Medicaid beneficiaries are referred to the toll-free helpline for answers to additional questions and problems.

-Monitor overall presentation quality including politeness and professionalism of counselors assistance with the completion of enrollment forms presentation and collection of evaluation forms which will be used for corrective action if warranted.

-Report findings of any gross violations of the Maximus Quality Assurance Plan to MAPs Central Office within 24 hours to ensure immediate corrective action.

-Monitor Maximus Helpline performance and assist with the conduct of monthly audits to provide data regarding effectiveness of operation.

Salary Range: $48206 to $55437

CASEWORKER - 52304

Qualifications :

1. A baccalaureate degree from an accredited college or university accredited by regional national professional or specialized agencies recognized as accrediting bodies by the U.S. Secretary of Education and by the Council for Higher Education Accreditation (CHEA).

Additional Information: Section 424-a of the New York State Social Services Law requires an authorized agency to inquire whether a candidate for employment with child-care responsibilities is or has been the subject of an indicated child abuse and maltreatment report on file with the State Central Register for child abuse and maltreatment. State Central Register screening will be conducted prior to considering a candidate for employment as a Caseworker. Candidates who have been the subject of an indicated child abuse and maltreatment report will not be assigned to any position which requires child-care responsibilities. Employees who have been the subject of such a report may be reassigned or terminated from employment from their positions as Caseworker.

Additional Information :

The City of New York is an inclusive equal opportunity employer committed to recruiting and retaining a diverse workforce and providing a work environment that is free from discrimination and harassment based upon any legally protected status or protected characteristic including but not limited to an individuals sex race color ethnicity national origin age religion disability sexual orientation veteran status gender identity or pregnancy.

Remote Work :

Employment Type :

Full-time