Review Physician - WeCARE in New York, NY at ResCare

Date Posted: 10/19/2018

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    New York, NY
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    10/19/2018

Job Description

ResCare 

Title: Review Physician - WeCARE

Job Category: Quality & Compliance

Line of Business: Workforce Services

About Workforce Services

Join us in transforming peoples' lives and their communities! ResCare is a one-of-a-kind human services company offering services for people with intellectual and developmental disabilities, home care for seniors, as well as education, vocational training, and job placement for people of all ages and skill levels. Right now, we have an exciting opportunity for you to join our team as a Review Physician - WeCARE.

About this Line of Business

The Wellness, Comprehensive Assessment, Rehabilitation and Employment (WeCARE) Program provides a continuum of integrated services that evaluate the abilities and address the needs of Cash Assistance (CA) clients with medical and/or mental health condition(s) that may affect their employability. Clinical assessment processes determine clients’ functional capacity outcomes and ability to achieve the goals of wellness and employment or to apply for and receive federal disability benefits.

The WeCARE program has been successful in assisting thousands of New York City clients with clinical barriers achieve self-sufficiency. ResCare Workforce Services is a funded provider for WeCARE services through the New York City Human Resources Administration (HRA).

As a(n) Review Physician - WeCARE you will: 

  • Conducts medical reviews as needed to support the clinical assessment process and to make functional capacity outcome determinations for customers
  • Reviews all applicable customer documentation, including the clinical assessment and all of its related documents 
    • The customer’s medical, mental health, and substance abuse assessments, treatments, and results (as provided by the customer and/or received from providers with customer consent)
    • Prior WeCARE participation documents and updates, as applicable
    • The determination about the need for reasonable accommodations and/or language services 
    • The results of the bio psychosocial assessment
    • Noted discrepancies between the customer’s case record and documentation provided and the information they provided during the interview with the Qualified Health Professional (QHP)
    • The results of any mental health and/or substance abuse screenings conducted by the QHP
    • The results of the Social Security Administration five-step sequential evaluation 
    • The Functional Capacity Outcome (FCO) decision-support matrix, FCO determination, and rationale for the determination
  • Completes standard medical review of systems 
  • Makes Functional Capacity Outcome (FCO) determinations for customers and provides written justification of the FCO 
  • May order or request additional assessments to support diagnoses and FCO determination
  • Works collaboratively with service track staff to interpret any medical evaluation findings or documents that affect service planning and delivery
  • May conduct training for other WeCARE team members in effective use of clinical assessment results in service planning
  • Participates in team meetings to evaluate and improve clinical assessment processes, including providing input to the design of any review physician forms
  • Participates in any required training related to the position and its responsibilities
  • Understands and adheres to HRA policies and procedures and RWS standard operating procedures related to the clinical assessment process and physician review requirements, specifically

Position Requirements

  • Must be a Physician, a New York State licensed doctor (Medical Doctor) with training in internal medicine, family practice, physical medicine and rehabilitation, or in other medical disciplines as designated by HRA 
  • Five years’ experience in conducting medical evaluations resulting in functional capacity outcome determinations 
  • Experience in a fast-paced, team environment that is performance driven
  • Excellent organizational skills and strong attention to detail
  • Experience with publicly-funded programs; TANF experience preferable
  • Knowledge of laws and regulatory requirements related to program responsibilities 
  • Ability to use various electronic systems to carry out duties and responsibilities
  • Bilingual or multilingual preferred

Additional Information



Benefits

ResCare offers a comprehensive benefits package to full-time employees including medical, dental, vision, paid time off, disability, life, and tuition reimbursement. All employees age 21 and older are eligible to participate in the 401(k) retirement savings plan.

ResCare is an Equal Opportunity Employer. ResCare does not discriminate against any person on the basis of gender, race, color, national origin, religion, disability, age, veteran status, gender identity or sexual orientation in admission, treatment, or participation in its programs, services and activities, or in employment, or on the basis of gender in its health programs and activities.

494 8th Avenue Suite 1500 , New York, NY 10001 USA