Senior Hospital Care Investigator

• 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.

Department Preferences

• Demonstrated ability managing morning distributions
• Experience with Financial Assistance in outpatient self-pay procedures.
• Experience managing work queue and ensuring all upcoming imaging self-pay cases are cleared.
• Experience reviewing aged cases, advanced imaging cases for 14 days out, and providing feedback to staff.