Clinical Assessment & Eligibility Specialist

The Fedcap Group; New York (NY); On-site; USD 72,000 - 78,000; Full time

Benefits offered by this job

Health insurance (Medical, Dental, Vis

Paid time off (Vacation, Sick Floating

Retirement plan 403(b)

Flexible Spending Account (FSA)

Commuter Benefits

Life/Accident insurance

Long-term Disability Insurance

Employee Assistance Plan (EAP)

Job summary

The Fedcap Group seeks a Clinical Assessment Specialist (QHP) to evaluate participants for work readiness under the WeCARE program in New York. You will document findings and support eligibility determinations for disability benefits.

Join a multidisciplinary team, manage documentation in FedcapCARES and SEAMS, and coordinate with healthcare providers to optimize client outcomes. Fluency in English required; Spanish preferred.

Qualifications

• Master’s degree in public health, health administration, nursing, social services, business administration, or related field.

Responsibilities

• Orient WeCARE clients to the WeCARE Program, including all phases of the Clinical Assessment.
• Collect and file all pertinent documentation to support a complete Clinical Assessment.
• Review prior assessments, case notes, physicians' reports and other relevant documentation.
• Conduct participant interviews covering medical, mental health, housing, employment history, and supports.
• Review accommodations for participation and determine changes or new accommodations.
• Conduct sequential evaluation to determine potential SSI/SSDI eligibility.
• Assess and document functional capacity outcomes with justification for physician review.
• Explain how different determinations affect participation in WeCARE.
• Document services in Fedcap and HRA MIS (SEAMS and FedcapCARES).
• Escalate outreach for clients who miss appointments.

Skills

Bilingual (English/Spanish)

Education

Master's degree in public health, health administration, nursing, social services, or related field

Tools

SEAMS

FedcapCARES

Job description

The Fedcap Group seeks a Clinical Assessment Specialist (QHP) to evaluate participants for work readiness under the WeCARE program in New York. You will document findings and support eligibility determinations for disability benefits.

Join a multidisciplinary team, manage documentation in FedcapCARES and SEAMS, and coordinate with healthcare providers to optimize client outcomes. Fluency in English required; Spanish preferred.