Supervising Hospital Care Investigator

About the role

Lincoln Medical and Mental Health Center is one of New York City’s premier acute care hospitals. Located in Downtown Bronx, Lincoln is a teaching hospital renowned for its Centers of Excellence, and a recognized industry leader in the implementation of state-of-the-art medical technology and best practices. Our team of highly trained and caring medical professionals is dedicated to providing the highest quality health care that is safe, compassionate, culturally competent and patient-centered. Comprehensive services are offered in three major primary care areas: Medicine, Pediatrics, and Women’s Health in addition to more than eighty (80) specialty services. At Lincoln, the safety and comfort of our patients is our number one priority. 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.

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.

• Supervises Senior Hospital Care Investigators in charge of individual units conducting investigations to determine eligibility and/or reviewing applications for eligibility for medical assistance.
• Plans and coordinates staff schedules and assignments to assure maximum utilization of available personnel.
• Establishes statistical controls and data to be maintained in the staff units.
• Supervises training programs.
• Conducts staff meetings.
• 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.
• 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.
• Participates in program conferences,