Case Manager

A-Line Staffing Solutions LLC; Pittsburgh (Allegheny County); Híbrido; USD 30.000 - 42.000; Jornada completa

Descripción de la vacante

A-Line Staffing is now hiring a Case Manager for the Senior Medicare Patrol program in Pennsylvania. This hybrid role blends remote work with field visits, requiring travel to multiple counties and a schedule from 8am to 4:30pm.

The position offers $26.00 per hour, with benefits after 90 days. A Bachelor's degree in communications, social work, public health, or a related field is required, and statewide program experience is preferred.

Formación

• Bachelor's degree in communications, social work, public health, or a related field.
• Experience in statewide human services programs preferred.

Responsabilidades

• Delivers SMP services to Medicare beneficiaries and caregivers.
• Educates and assists on preventing, detecting, and reporting Medicare fraud.
• Collects and analyzes information to evaluate program administration.
• Monitors compliance with federal, state, and departmental regulations.
• Develops reports evaluating program effectiveness and outcomes.
• Recruits, trains, and manages volunteers within the assigned region.
• Engages in community outreach and education activities.
• Supports program planning, reporting, and compliance efforts.
• Builds relationships with community organizations and beneficiaries.
• Collaborates with SMP Project Manager and regional specialists.

Descripción del empleo

A-Line Staffing is now hiring a Case Manager.

Pay Range - $26.00 an hour Schedule - M-F 8am-4:30pm- Hybrid Role - Remote/Field Visits Benefits - active after 90 days Travel required - Must live in on the following counties to be considered Mifflin, Juniata, Perry, Cumberland, Adams, Franklin, Fulton, Huntingdon, Bedford, Blair, Cambria, Somerset, Fayette, Westmoreland, Indiana, Armstrong, Allegheny, Beaver, Washington, or Greene. Travel is required.

Key Responsibilities

• Delivers Senior Medicare Patrol (SMP) services to Medicare beneficiaries, their families, and caregivers.
• Provides group education and one-on-one assistance on how to prevent, detect, and report Medicare fraud, errors, and abuse.
• Collects and analyzes information to evaluate program administration and effectiveness.
• Monitors compliance with federal, state, and departmental regulations and objectives.
• Researches, analyzes, and reviews data to develop and recommend policies and procedures.
• Develops reports evaluating program effectiveness and program outcomes.
• Resolves Medicare beneficiary complaints and concerns.
• Conducts community outreach and education activities.
• Assists with program planning, reporting, and compliance efforts.
• Recruits, trains, and manages volunteers within the assigned region.
• Supports Medicare beneficiary empowerment initiatives focused on preventing fraud before it occurs.
• Builds relationships with community organizations, beneficiaries, families, and caregivers.
• Consults and collaborates with other Regional Program Specialists.
• Works closely with the SMP Project Manager housed in PDA's Education and Outreach Office.
• Supports the implementation and administration of statewide SMP program goals and initiatives within the assigned region.

Minimum Qualifications

• Bachelor's degree in communications, social work, public health, or a related field.

Preferred Qualifications

• Prior experience working within a statewide human services program as a social worker, outreach specialist, or program specialist.

INDKS