Lead Medicaid Unit Coordinator

Gurwin; Commack, Northern (NY, KY); Hybrid; USD 55,000 - 75,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Tuition Reimbursement

Sign-on bonus

Employee Referral Bonus

Starbucks on-site

Job summary

Gurwin Jewish Nursing & Rehabilitation Center on Long Island, NY, seeks a full-time Lead Medicaid Unit Coordinator to manage Medicaid/MLTC eligibility, applications, and recertifications, serving as liaison between residents, families, and state agencies.

The role requires a high school diploma and at least 3 years of SNF/DSS experience; responsibilities include pre-admission interviews, document review, timely filings, and coordination with case workers.

Qualifications

• High School Diploma required; 3+ years SNF/DSS experience.
• Experience handling Medicaid applications and recertifications.
• Strong organizational and communication skills.

Responsibilities

• Conduct pre-admission interviews with prospective residents and guide through Medicaid application process.
• Review documentation including 60 months of banking to determine Medicaid eligibility.
• Contact hospital, Medicaid, or attorney case workers for follow-up on applications.
• Maintain chronological log of contacts and follow-ups.
• Process Medicaid applications with residents, families, attorneys and Medicaid office.
• Process recertifications for counties and follow-ups with residents and families.
• Prepare and process Medicaid budgets and related filings.
• Review Admission Logs for new Medicaid Pending Applicants.
• Prepare and submit 3559 and Map forms as required.
• Monthly review of Medicaid Rosters.

Skills

Medicaid eligibility

Interpersonal skills

Documentation

Pre-admission interviews

Education

High School Diploma

Job description

Gurwin Jewish Nursing & Rehabilitation Center is a renowned healthcare provider located on Long Island, NY which offers a full continuum of services. The Nursing & Rehabilitation Center is a 460 bed facility providing services for short-term rehabilitation and long-term skilled nursing care, home care programs, an adult day health program, ventilator dependent care, palliative and hospice care, a Memory Care Unit and on-site dialysis. The Gurwin Family of Services also includes the 210-apartment Gurwin Jewish ~ Fay J. Lindner assisted living community and the Fountaingate Gardens independent living community on the Commack campus.

Our innovative facility and growing services offer opportunities to advance your career. We are currently seeking a full-time Lead Medicaid Unit Coordinator who will embody the passion and commitment required to deliver the ultimate care for our residents.

EDUCATION/EXPERIENCE REQUIREMENTS INCLUDE:

High School Diploma, minimum 3 years SNF, DSS or related experience.

JOB DESCRIPTION:

The Lead Medicaid Unit Coordinator manages the financial eligibility, application, and recertification processes for residents utilizing Medicaid and Managed Long-Term Care (MLTC) programs. Serving as the primary liaison between the facility, residents, families, and state agencies, this role ensures all necessary asset verifications, budgets, and filings are submitted accurately and on time to prevent disruptions in funding.

RESPONSIBILITIES INCLUDE, BUT ARE NOT LIMITED TO:

• Conduct pre-admission interviews with prospective resident family members and guide them through the Medicaid application process, collect necessary verifications (bank statements, income, assets), and submit filings, conversions, and yearly recertifications on time.
• Review all documentation including 60 months of banking to determine Medicaid eligibility or penalty periods incurred.
• Contact case workers at hospital, Medicaid, or attorney to follow up on Medicaid applications.
• Keep chronological listing of all contacts and follow-up calls.
• Process Medicaid Applications with residents, families, attorneys and respective Medicaid office in a timely and professional manner.
• Process Recertifications for appropriate county and follow-up with residents and families in a timely and professional manner.
• Process new, corrected and revised Budgets in a timely and accurate manner with related parties.
• Review Admission Logs to identify new Medicaid Pending Applicants on a timely basis.
• Prepare and process Medicaid Pick-Up Statements efficiently and accurately.
• Process new, revised, and corrected Pick-Up dates when needed, and follow-up with Attorney’s Case Workers and Elder Care Agencies to notify them of any changes on a timely basis.
• Conduct Face-to-Face interviews with Family and representatives while upholding a hi-level of professionalism and efficiency.
• Prepare and submit all required, applicable 3559 and Map forms timely.
• Monthly review of Medicaid Rosters.

Benefits:

• Medical Insurance (Anthem Blue Cross Blue Shield) for eligible employees, plus a family option. Includes:
• Fitness Reimbursement Program
• Wellness discounts
• Dental Insurance through MetLife
• Vision Insurance through MetLife
• Accrued holiday/personal and vacation time; payout for unused sick time for those who qualify
• Flexible Spending Account – Medical and/or Dependent Care
• Long term disability Insurance for those who qualify (no cost to employee)
• Life Insurance – value is equal to employee’s annual salary (no cost to employee)
• National Employee Assistance Program (no cost to employee)
• Childcare, membership and program discounts at Suffolk YJCC, Commack and Mid-Island YJCC, Plainview
• Tax deferred annuity plan – employee automatically enrolled with 3% contribution / employer contributes 4% after one year of service (graded vesting)
• Tuition Reimbursement up to $5,000 per year
• Sign-on bonus for specified clinical positions
• Employee Referral Bonus for specified clinical positions
• Starbuck’s café on-site
• Staff cafeteria with subsidized pricing
• Employee perks including holiday gift cards, System-wide annual BBQ and Winter Celebrations, meals, treats and other theme related staff events
• Other discounts and added value for employees from outside corporations including BJs membership discount, FourLeaf FCU savings perks, Plum Benefits Entertainment discounts and more!

EOE M/F/D/V