FIELD MONITOR, QUALITY CONTROL UNIT
: Job Details :

Job DescriptionAPPLICANT MUST BE PERMANENT IN THE CASEWORKER TITLE OR IF HIRED PROVISIONALLY IN THIS TITLE, YOU MUST TAKE AND PASS THE CIVIL SERVICE EXAM WHEN IT BECOMES AVAILABLE TO BE ELIGIBLE FOR CONTINUED EMPLOYMENT.Home Care Services Program administers specialized programs for eligible individuals in a variety of settings to promote independence and well-being. The Home Care Services Program (HCSP) is a Medicaid funded program that facilitates the provision of long-term care to medically fragile and venerable individuals who require assistance with activities of daily living through the Community Alternative Systems Agency (CASA), Managed Long Term Care (MLTC) Program, the Assisted Living Program, Care at Home Program and Homebound Medicaid.The Caseworker, under supervision of the Team Supervisor, with considerable latitude for independent judgement, as an individual or as a member of a team, identifies, develops, and implements service plans for New York City residents who demonstrate a medical and/or social need for home care services. The Case manager is responsible for all critical eligibility determinations for the different levels of home care depending on the individual's medical need, including the Long-Term Health Care Program informational and referral services.Home Care Services Program (HCSP) is recruiting for One (1) Caseworker to function as Field Monitor for HCSP's Quality Assurance Unit, who will:- Provide mandated social services under the Social Security Act Title XIX, which provides coverage for long term health care and home care services to individuals when the services are medically reasonable and necessary.- Interview applicants, relatives, and necessary persons at their home or in the office to determine an initial or on-going home care service plan; applies agency criteria to assure that clients are enrolled in the appropriate service plan and receive the appropriate number of hours of care per day.- Evaluate and review case records including M11-q to ensure that the physician has completed, and signed M-11q is submitted to Medicaid within 30 days of conducting the medical examination. Review resources, agency contracts and other matters bearing on eligibility or need for service to determine and evaluate a service plan.- Provide counseling to clients; assist clients to initiate home care applications and to identify the best level of home care depending on the client's medical need; facilitate the securing of these services and through periodic field contact ensures that services are provided as contracted in a satisfactory manner.- Maintain liaison with the authorized provider service agency in the local community, doctors, State Department of Health (SDOH), Home Care Services Divisions, and other private agencies obtaining and conveying information to coordinate and facilitate home care services.- Interact with nurses and social workers as a team, when visiting client's home to provide assistance in the evaluation of nursing and fiscal assessments for home care services.- Prepare reports on work activities, documenting information on HCSP cases, referrals, processed, closed and transferred cases to other service programs.- Maintain and update computer systems of Home Care Services case records, coding information obtained and action taking during interviews, updating assessment data; develop and maintain resource files of alternative care facilities.- Make referrals and congers with consultants and other specialist in areas of rehabilitation, housing, health, etc.Perform other related duties.Hours/Schedule: 9AM - 5PM (1 HR FLEX)Salary Range: $46,689- $53,692Qualifications1. 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 InformationThe 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 individual's sex, race, color, ethnicity, national origin, age, religion, disability, sexual orientation, veteran status, gender identity, or pregnancy.