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About the Role
HSS is a leading hospital for orthopedics and rheumatology, recognized by U.S. News & World Report and a recipient of the Magnet Award for Nursing Excellence. We offer an innovative, supportive, and inclusive environment for professionals at all career stages.
Responsibilities
- Assists in the negotiation of physician managed care contracts, analytics, and financial modeling.
- Coordinates physician enrollment in managed care plans.
- Ensures compliance of managed care companies with negotiated contracts.
- Follows-up and resolving payment issues with Insurance Payors.
- Acts as a liaison between physician offices and Insurance Payors.
- Schedules, coordinates, and documents for all PHO related meetings.
- Creates and maintains tracking logs for Insurance Payor issues and accountability for closing out items.
- Oversees PHO phone line, answers and responds to inquiries, and assists with urgent physician office issues.
- Maintains satisfactory attendance record.
- Reports for duty punctually.
- Adjusts to changing situations and work assignments.
Requirements
- Previous experience in a Healthcare/Medical setting as a Social Worker with Discharge Planning.
- Experience in supportive counseling for inpatients, especially with trauma, post-orthopedic surgery, substance abuse, chronic pain, child abuse/domestic violence and social barriers to discharge.
- Complex discharge planning experience.
- Training and experience with assessment and brief counseling support.
- Knowledge of DSM-V as a diagnostic tool for assessment and counseling.
- Experience with crisis intervention.
- NYS Screen Certified.
- Knowledge of regulatory agency standards.
- Good oral and written communication ability.
- Strong problem-solving skills.
- Ability to manage multiple tasks and projects independently.
- Good organizational skills.
Work Type
- Per Diem
- Part time
Experience Level
- Previous exp in Healthcare/Medical setting as a Social Worker with Discharge Planning
- Experience in supportive counseling for inpatients, especially with trauma, post-orthopedic surgery, substance abuse, chronic pain, child abuse/domestic violence and social barriers to discharge
- Complex discharge planning experience
- Training and experience with assessment and brief counseling support
- Knowledge of DSM-V as diagnostic tool for assessment and counseling
- Experience with crisis intervention
- NYS Screen Certified
- Knowledge of regulatory agency standards
- Good oral and written communication ability
- Strong problem solving skills
- Ability to manage multiple tasks and projects independently
- Good organizational skills
Education Level
- Bachelor's degree BSW
- Bachelors Social Work
- Masters Social Work
Salary/Compensations
- The base pay scale for this position is $0.00 - $0.00.
Benefits
- Eligible for additional benefits consistent with the role.
About the Company
- How you move is why we’re here.
- Get back to what you need and love to do.
- The possibilities are endless...
- Now more than ever, our guiding principles are helping us in our search for exceptional talent - candidates who align with our unique workplace culture and who want to maximize the abundant opportunities for growth and success.
- If this describes you then let’s talk!
- HSS is consistently among the top-ranked hospitals for orthopedics and rheumatology by U.S. News & World Report.
- As a recipient of the Magnet Award for Nursing Excellence, HSS was the first hospital in New York City to receive the distinguished designation.
- Whether you are early in your career or an expert in your field, you will find HSS an innovative, supportive and inclusive environment.
- Working with colleagues who love what they do and are deeply committed to our Mission, you too can be part of our transformation across the enterprise.
Equal Opportunity
- Hospital for Special Surgery is committed to providing high quality care and skilled, compassionate, reliable service to our community in a safe and healing environment.
- Consistent with this commitment, Hospital for Special Surgery provides care, admits, and treats patients and provides all services without regard to age, race, color, creed, ethnicity, religion, national origin, culture, language, physical or mental disability, socioeconomic status, veteran or military status, marital status, sex, sexual orientation, gender identity or expression, or any other basis prohibited by federal, state, or local law or by accreditation standards.