Medicaid Coordinator

Long Island State Veterans House; Stony Brook (NY); Sur place; USD 72 000 - 82 000; Plein temps

Résumé du poste

The Long Island State Veterans Home, located on the campus of Stony Brook University, seeks a Medicaid Coordinator to assist with admissions and ensure continued Medicaid coverage for eligible residents.

Responsibilities include interviewing applicants, preparing Medicaid applications, recertifications, and conversions, while maintaining communications with families and DSS offices. Strong writing, communication and Excel skills are essential.

Qualifications

• Associate's Degree or higher plus a minimum of three (3) years preparing Chronic Care Medicaid applications and recertifications.
• High School Diploma plus five (5) years preparing Chronic Care Medicaid applications and recertifications.
• Experience submitting cases with Suffolk County, Nassau County and NYC HRA; proficient in Word and Excel; strong communication and customer service skills.

Responsabilités

• Interview applicants and analyze financial documents to establish Chronic Care Medicaid eligibility, identifying issues within a five-year look-back period.
• Review Medicaid Checklist and counsel applicants on required documents and deadlines.
• Prepare Medicaid applications and conduct face-to-face interviews to satisfy NYS DSS regulations; submit and maintain communications with DSS.
• Process annual Medicaid recertification for residents and handle conversions from community to institutional coverage.
• Maintain communications with families, attorneys, geriatric care managers and county DSS; prepare Medicaid tracking reports for senior management.
• Maintain relationships with Suffolk County DSS, Nassau County DSS, NYC HRA and other county DSS offices; attend Medicaid training.
• Explain Medicaid Chronic Care eligibility and document requirements to applicants considering nursing home placement; keep current with Medicaid laws.
• Maintain a working relationship with the Business Office to expedite Medicaid budgets, NAMI, budget corrections and MLTC enrollments.
• Prepare reports identifying critical cases for review at scheduled meetings; ensure compliance with regulations and policies.
• Assist Admissions Director with eligibility issues; perform other tasks as assigned by CFO and Director of Admissions.

Connaissances

Communication

Customer service

Writing

Formation

Associate's Degree or higher

High School Diploma + 5 years

Outils

Word

Excel

Description du poste

Job Description - Medicaid Coordinator (2603426)

Position Summary

The Medicaid Coordinator is responsible for assisting with the admissions process and continued Medicaid coverage for all eligible residents through their stay at the Home.

Duties

• Interview applicants and analyze financial documents in order to establish eligibility for Chronic Care Medicaid. Identify and evaluate critical issues within five-year look-back period.
• Review Medicaid Checklist and counsel applicants on accessing required documents pursuant to Medicaid deadlines.
• Prepare Medicaid applications and conduct face-to-face interviews in satisfaction of the New York State Department of Social Services regulations. Submit applications and maintain continuous communications with DSS caseworker.
• Process annual Medicaid recertification for Long Island State Veterans Home residents. Process Medicaid conversions from community coverage to institutional coverage.

Maintain continuous communication with families, attorneys, geriatric care managers and county DSS agencies with regards to Medicaid eligibility processes. Prepare and maintain pending Medicaid tracking reports required by senior management.

• Maintain collegial relationships with Suffolk County DSS, Nassau County DSS, NYC HRA and other county DSS offices as required.
• Attend Medicaid training or update seminars as needed to keep current in Medicaid laws.
• Explain Medicaid Chronic Care eligibility and document requirements to applicants inquiring about nursing home placement.
• Maintain a working relationship with the Business Office to expedite the processing of all Medicaid budgets,NAMI, budget corrections and MLTC enrollments.
• Prepare report identifying critical cases to be reviewed at scheduled meetings.
• Comply with all federal and state regulations and documents as required by department standards. Comply with all Long Island State Veterans Home policies and procedures.
• Assist the Admissions Director with admission eligibility issues. Perform other tasks as assigned by the Chief Financial Officer and Director of Admissions.

Working Conditions

Working conditions may involve exposure to infectious disease, blood, body fluids and/or tissue as well as other unpleasant elements such as accidents, injuries and illness. May be exposed to and be required to handle varying unpredictable, emergency and crisis situations. Occasionally subjected to irregular hours and pressure due to multiple calls and inquiries.

Qualifications

Associate's Degree of higher plus a minimum ofthree (3) or more years preparing Chronic Care Medicaid applications and recertifications. In lieu of Associate's Degree of higher, High School Diploma plus a minimum of five (5) years preparing Chronic Care Medicaid applications and recertifications. Must have experience submitting cases with Suffolk County, Nassau County and NYC HRA. The incumbent must be proficient in various PC software, including Word and Excel. This position requires excellent communication, writing and customer service skills.

Requirements

• The selected candidate must successfully clear a background investigation.
• Successfully complete pre-employment physical examination and obtain medical clearance from the Long Island State Veterans Home Employee Health Department.
• Complete electronic reference check with a minimum of three (3) professional references.
• Provide a copy of the required license(s)/certificate(s).

Special Notes

• The Long Island State Veterans Home is a tobacco-free environment. Tobacco products are strictly prohibited anywhere on our 25-acre campus, including parking lots and outdoor areas on the premises.
• Essential Position: This position has been designated as an essential position based on the duties of the job and the functions performed. This means that when the Long Island State Veterans Home is faced with an emergency, employees in such positions are required to remain at their work location or to report to work.

The Long Island State Veterans Home, located on the campus of Stony Brook University, is a 350-bed skilled nursing facility with a 40-slot Adult Day Health Care Program dedicated to the care of honorably discharged Veterans of the United States Armed Forces, their spouses and Gold Star parents. Join an organization whose people make a difference every day and where commitment, compassion, initiative and leadership are recognized and rewarded. We care for America's heroes every day.

Stony Brook University is committed to excellence in diversity and the creation of an inclusive learning, and working environment. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, pregnancy, familial status, sexual orientation, gender identity or expression, age, disability, genetic information, veteran status and all other protected classes under federal or state laws.

If you need a disability-related accommodation, please call the University Office of Equity and Access at [phone].

In accordance with the Title II Crime Awareness and Security Act. Copy of our crime statistics can be viewed here.

Job Number

2603426

Salary

$72,000 - $82,000 (and $4,000 location pay)

Salary Grade

SL2

SBU Area

Long Island State Veterans Home

Posting Start Date

Sep 11, 2026

Schedule

Full-time