Public Consulting Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986, PCG employs approximately 2,000 professionals throughout the U.S.—all committed to delivering solutions that change lives for the better. The firm is a member of a family of companies with experience in all 50 states, and clients in three Canadian provinces and Europe. PCG offers clients a multidisciplinary approach to meet challenges, pursue opportunities, and serve constituents across the public sector. To learn more, visit www.publicconsultinggroup.com.

PCG Health team helps our clients meet the complex financial, regulatory, and operational challenges of today’s changing health care landscape, so they can provide the best care, most effectively, to those they serve. Our in-depth programmatic knowledge and regulatory expertise help state and municipal health agencies respond to regulatory change, improve access to health care, maximize program revenue, improve business processes, and achieve regulatory compliance.

Services:

Third Party Administrator Services

Enhance Health and Public Safety Services

Claims Processing Services and Solutions

Consulting and Advisory Services

Cost Allocation Plans and Time Studies

Cost Settlement and Supplemental Payment Strategies

Healthcare Access and Markets

Duties and Responsibilities

Responsible for helping program recipients, family members, and caretakers navigate healthcare benefitsAssists in the development of program policies and proceduresResponsible for the full patient care cycle.Assesses, plans, implements, monitors and evaluates actions required to meet the client’s health and human services needed.Coordinates and provides care that is safe, timely, effective, efficient, equitable, and client-centeredHandles case assignments, draft service plans, review case progress and determine case closureTravels within the State to conduct periodic in person assessmentsFacilitates multiple care aspects (case coordination, information sharing, etc.)Helps patients make informed decisions by acting as their advocate regarding their clinical status and treatment optionsDevelops effective working relations and cooperate with medical team throughout the entire case management processInteracts with patients to keep track of their progress and to ensure satisfactionRecords case information, complete accurately all necessary forms and produce statistical reports Promotes quality and cost-effective interventions and outcomesAssesses and addresses motivational and psychosocial issuesAdheres to professional standards as outlined by protocols, rules and regulations

Required Skills

Excellent communication, interpersonal and client-facing skills. Bilingual Preferred.Ability to work independently and on a team.Proven working experience in case management, including as a nurse, medical, mental health care manager or a related jobExcellent knowledge of case management principles, healthcare management and reimbursementPrevious experience with psychological aspects of careEffective communication skillsExcellent organizational and time management skillsFamiliarity with professional and technical emerging knowledgeProblem solving skills and ability to multi-taskCompassionate with teamwork skills

Qualifications

BS degree in related healthcare field preferredExperience working with pediatrics; Experience or educational training in health or social services, preferably including work experience or a practicum that involved the performance of assessments and the development of case management plans.Current license, certification or registration as a Registered Nurse or Social Worker

Working Conditions

Office Setting

The above is intended to describe the general contents and requirements of work being performed by people assigned to this classification. It is not intended to be construed as an exhaustive statement of all duties, responsibilities or skills of personnel so classified.

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Compensation for roles at Public Consulting Group varies depending on a wide array of factors including, but not limited to, the specific office location, role, skill set, and level of experience.  As required by applicable law, PCG provides the following reasonable range of compensation for this role: $76,400-$105,000.

Compensation:

Compensation for roles at Public Consulting Group varies depending on a wide array of factors including, but not limited to, the specific office location, role, skill set, and level of experience.  As required by applicable law, PCG provides the following reasonable range of compensation for this role below. In addition, PCG provides a range of benefits for this role, including medical and dental care benefits, 401k, PTO, parental leave, bereavement leave.

EEO Statement

Public Consulting Group is an Equal Opportunity Employer dedicated to celebrating diversity and intentionally creating a culture of inclusion. We believe that we work best when our employees feel empowered and accepted, and that starts by honoring each of our unique life experiences. At PCG, all aspects of employment regarding recruitment, hiring, training, promotion, compensation, benefits, transfers, layoffs, return from layoff, company-sponsored training, education, and social and recreational programs are based on merit, business needs, job requirements, and individual qualifications. We do not discriminate on the basis of race, color, religion or belief, national, social, or ethnic origin, sex, gender identity and/or expression, age, physical, mental, or sensory disability, sexual orientation, marital, civil union, or domestic partnership status, past or present military service, citizenship status, family medical history or genetic information, family or parental status, or any other status protected under federal, state, or local law. PCG will not tolerate discrimination or harassment based on any of these characteristics. PCG believes in health, equality, and prosperity for everyone so we can succeed in changing the ways the public sector, including health, education, technology and human services industries, work.