Medicaid Coordinator

Stony Brook University; Stony Brook (NY); On-site; USD 60,000 - 80,000; Full time

Job summary

The Long Island State Veterans Home, part of Stony Brook University, seeks a Medicaid Coordinator to manage Chronic Care Medicaid applications and recertifications for residents. You will interview applicants, analyze financial documents, counsel on required paperwork, and coordinate with DSS offices to ensure timely processing.

Ideal candidates have an associate degree or higher (or a high school diploma with 5+ years relevant experience), strong communication and computer skills, and a

Qualifications

• Excellent communication, writing and customer service skills.
• Proficient in Word and Excel.
• Interviews applicants and analyzes financial documents for Medicaid eligibility.

Responsibilities

• Interview applicants and analyze financial documents to establish Chronic Care Medicaid eligibility.
• Review Medicaid Checklist and counsel applicants on required documents and deadlines.
• Prepare Medicaid applications and conduct face-to-face interviews per NYS DSS regulations; submit applications and maintain contact with DSS caseworkers.
• Process annual Medicaid recertifications and conversions for residents as applicable.
• Maintain communication with families, attorneys, geriatric care managers and county DSS offices; prepare Medicaid tracking reports.

Skills

Communication

Customer service

Writing

Education

Associate's Degree or higher

High School Diploma + 5 years experience

Tools

Microsoft Word

Microsoft Excel

Job description

Job Description - Medicaid Coordinator (2603426)

Duties of a Medicaid Coordinator may include the following but are not limited to:

• 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 subject to irregular hours and pressure due to multiple calls and inquiries.

Qualifications

Required 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.

Preferred Qualifications

Resume/CV and cover letter should be included with the online application.

Prior to start date, the selected candidate must meet the following 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).

Please be advised that failure to comply with any of the above requirements could result in a delayed start date and/or revocation of the employment offer.

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 LISVH is a 24/7 skilled nursing facility. As such, all positions are subject to changes in pass days and shifts as necessary to meet the operating needs of the facility.

This position may require the wearing of respiratory protection, which may prohibit the wearing of facial hair.

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].
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Job Number

2603426

Salary

Commensurate with experience

Salary Grade

SL2

SBU Area

Long Island State Veterans Home

Schedule

Full-time

Shift

Day Shift

Shift Hours

8:30 am to 5:00 pm

Pass Days

Sat, Sun

Department/Hiring Area

Admissions