Medicare SMP Case Manager - Hybrid (Remote/Field)

A-Line Staffing Solutions LLC; Erie (Erie County); Híbrido; USD 30 000 - 42 000; Tempo integral

Resumo da oferta

A-Line Staffing Solutions is seeking a Case Manager to support the Senior Medicare Patrol (SMP) program in a hybrid location with field visits. You will educate beneficiaries and families on preventing Medicare fraud, assist with data collection, and ensure compliance with state and federal regulations.

The role includes outreach, reporting, and coordination with regional partners, as well as recruiting and training volunteers to support SMP activities in the assigned counties.

Qualificações

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

Responsabilidades

• 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.

Formação académica

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

Descrição da oferta de emprego

A-Line Staffing Solutions is seeking a Case Manager to support the Senior Medicare Patrol (SMP) program in a hybrid location with field visits. You will educate beneficiaries and families on preventing Medicare fraud, assist with data collection, and ensure compliance with state and federal regulations.

The role includes outreach, reporting, and coordination with regional partners, as well as recruiting and training volunteers to support SMP activities in the assigned counties.