Caseworker

Job summary

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.

When applying for this vacancy, please note that there will be permanent, fixed term and secondment posts available. This is a joint recruitment for the Caseworker role across Dental, GP, Ophthalmic and Operations Assurance. If you are offered an interview, you will have the opportunity to express your preference to the interview panel.

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

Main duties of the job

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.

By building effective relationships with Primary Care Contractors and the wider NHS, caseworkers will contribute to the delivery of improved services to patient and increased value for tax payers' money. The Assurance Services programme is a fast paced, evolving and high profile part of our business and therefore is subject to performance measures and targets. The nature of the casework calls for high levels of security and confidentiality.

About us

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 welcome applications from people of all backgrounds and circumstances. We are committed and proud to be a flexible employer and will endeavour to offer a working pattern that suits you wherever possible, whether that be hybrid working, flexible hours, job sharing and more.

Ready to join us on our journey to be a catalyst for better health? Apply today and see where the NHSBSA can take you.

We are people connected to care.

Job description

Job responsibilities

In this role, you are accountable for:

1. Ensuring all casework is carried out in accordance with Governance frameworks, policies and procedures ensuring that accurateand 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 reviewmeetings.

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 answeringenquiries to provide an excellent level of customer service. Where necessary, conducts research/obtains information to resolvequeries.

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 confrontationalsituations 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 assuranceactivities 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, withtimely constructive feedback.

16. Make effective and timely use of all relevant HR policies to support performance management and implement policies inaccordance with the values and capabilities promoted by the organization.

Person Specification

Qualifications

Essential

Minimum of 5 GCSE's (or equivalent) at Grade C or above, including English and Mathematics, or can demonstrate equivalent work experience or further education.

Desirable

NVQ level 3 or equivalent in a relevant discipline.

Personal Qualities, Knowledge and Skills

Essential

Understanding of best practice when collecting, managing and presenting data and other information. IT literate in Microsoft packages, able to use database, word processing, spread sheet and presentational packages to enable accurate analysis and reporting. Able to produce reports and operational information.

Desirable

Understanding of policy and procedures.

Experience

Essential

Significant demonstrable experience in a post involving data collection, validation and analysis. Experience in personally resolving complex queries. Experience of working to strict guidelines and deadlines. Experience of working in a customer service environment

Desirable

Experience of using Case Management systems.

---