Caseworker

5 months ago


Eastbourne, United Kingdom NHS Business Services Authority Full time

NHSBSA Assurance Services works on behalf of NHS England, Welsh Government and Department of Health and Social Care to conduct activities that assures the accuracy of contractual data, provides regular monitoring and reporting of performance, and enables the identification and challenge of systematic and behavioural risk. These activities facilitate action to prevent, deter or recover inappropriate payments from NHS funds and identify quality improvements that can be delivered through education or policy change.

What do we offer?

27 days leave ( increasing with length of service ) plus 8 bank holidays
Flexible working (we are happy to discuss options such as compressed hours)
Flexi time
Hybrid working model (we are currently working largely remotely )
Career development
Active wellbeing and inclusion networks
Excellent pension
NHS Car lease scheme
Access to a wide range of benefits and high street discounts

Working as part of the Assurance Services Team within our Primary Care Services business area, Caseworkers are an integral part of our team, ensuring that England community Primary Care Contractors are paid appropriately on behalf of the NHS. Our Assurance Services collaborate with clinicians, health-care teams, commissioners and contract managers to assure quality outcomes and value for money across the NHS.

Caseworkers will use their analytical and judgement skills to review information and assess data before providing input into the preparation of high quality reports which outline recommendations for further action. A key element of the role involves working with internal and external stakeholders and caseworkers need high levels of communication and presentation skills to approach this effectively.

Here at the NHS Business Services Authority (NHSBSA), what we do matters.

 We manage the NHS Pension scheme, process prescription payments and much more. Our services are used by NHS organisations, contractors and the public: we take pride in being part of something so meaningful, that touches millions of lives.

 Just as we design our services around the needs of our customers, we place our people at the heart of our organisation. That’s why when you join us, you’ll be empowered and given the right support to help your career grow.

 As one of the UK’s Best Big Companies to work for, we’re all connected to our values: Collaborative, Adventurous, Reliable and Energetic. We care about our people, our purpose, and your progress.

We strive to offer a fantastic colleague experience, where every voice is heard, and every colleague is supported and respected. Wellbeing, diversity and inclusion is at the centre of this, so when you join us, you can connect with our Lived Experience Networks who help us to bring our authentic selves to work.

We are people connected to care.

**In this role, you are accountable for**:
1. Ensuring all casework is carried out in accordance with Governance frameworks, policies and procedures ensuring that accurate
and timely records of activities are maintained.

2. Self-managing and planning your own workloads to ensure optimally effective outputs.

3. Collating and interpreting data obtained from records, other business areas and stakeholders.

4. Identify contractors or activities for each review exercise as part of a defined sampling process.

5. Manage review exercises and coordination of authorized overpayment recoveries.

6. Understanding and interpreting regulations and guidance and analyzing data to enable well informed evidence-based decisions to be made, referring exceptional risks and issues to Provider Assurance Lead

7. Producing reports on casework and associated activity including recommendations for further action in preparation for review
meetings.

8. Liaising with relevant internal and external stakeholders to discuss cases.

9. Communicates effectively in writing and on the telephone with internal/external stakeholders, resolving queries and answering
enquiries to provide an excellent level of customer service. Where necessary, conducts research/obtains information to resolve
queries.

10. Accurately collect and collate, analyse and report information in a timely manner.

11. Contacting Primary Care Contractors and the wider NHS to discuss report content, potentially dealing with confrontational
situations with a professional and productive approach.

12. Contributing towards the preparation of accurate and valid workload plans.

13. Contributing to the ongoing review and development of our casework operations, ad hoc audits and other quality assurance
activities as required.

14. Ensuring your objectives are developed and owned that, in turn, fully support the service objectives.

15. Be accountable for your performance and development. Agree realistic targets, monitor and evaluate your achievement, with
timely constructive feedback.

16. Make effective and timely use of all relevant HR policies to support performance management and implem


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