Senior Hospital Care Investigator

Marketing Statement NYC Health + Hospitals/Metropolitan is the community hospital of choice for residents of East Harlem, northern Manhattan, and neighboring communities. The hospital provides culturally-sensitive care in a welcoming and hospitable setting, emphasizing primary care medicine and utilizing the latest advances in medical science. Metropolitan delivers high quality health services with compassion, dignity, and respect to all, without exception. Since its founding in 1875, the hospital has been affiliated with New York Medical College, representing the oldest partnership between a hospital and a private medical school in the United States. Metropolitan is a part of the NYC Health + Hospitals, the largest municipal hospital and health care system in the country. At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons. Duties & Responsibilities Purpose of Position: Under general supervision, supervisions a unit conducting investigations in hospitals to determine eligibility of applicants for medical assistance at public expense, or a unit reviewing applications or conducting investigations of non-hospitalized and noninstitutionalized applicants for medical assistance, or a unit of Hospital Care Investigators engaged in other related activity; performs related work. Supervises a unit engaged in medical assistance, investigation activities, assigning and controlling the flow of work, training and advising subordinates in difficult matters, evaluating staff and recommending appropriate personnel action when indicated. Reviews case records and/or recommendations for approval or denial and for appropriateness of category of assistance. Authorizes or denies medical assistance for inpatient care and determines eligibility for other medical assistance. May conduct special or emergency investigations, or investigations of a more difficult or complex nature. Interprets departmental, City, State and Federal rules and regulations for the unit staff. Maintains statistical records and prepares status reports. Minimum Qualifications Six months of service as a Hospital Care Investigator. #J-18808-Ljbffr NYC Health + Hospitals