Medicaid Specialist NJ

Outcome HC; Eatontown (NJ); On-site; USD 60,000 - 80,000; Full time

Job summary

Outcome HC is seeking a seasoned Medicaid Liaison in New Jersey to ensure LTC Medicaid eligibility processes are completed accurately and timely. The candidate will perform financial assessments, explain eligibility requirements to residents and representatives, and collaborate with county Boards of Social Services and OCCO Office.

This role requires at least two years of LTC NJ Medicaid experience, strong knowledge of NJ Medicaid rules and regulations, and the ability to work independently

Qualifications

• Two years or more experience with New Jersey Long Term Care (Nursing Home) Medicaid.
• Experience with New Jersey Medicaid rules of eligibility.
• Ability to perform financial assessments of residents and explain Medicaid to residents.
• Must be organized and able to work independently.

Responsibilities

• Have expertise with NJ LTC Medicaid Eligibility, NJ Board of Social Services and OCCO Office.
• Demonstrate knowledge of New Jersey Medicaid rules and regulations.

Skills

NJ LTC Medicaid Eligibility

NJ Medicaid rules

Financial assessment

Independent work

Resident education

State agency communication

Job description

The successful candidate will have two years or more experience working with New Jersey Long Term Care (Nursing Home) Medicaid. Must have experience with New Jersey Medicaid rules of eligibility. Must be able to perform financial assessments of residents, meet with residents and families to explain Medicaid. The Medicaid Liaison must be organized and able to work independently.

The Medicaid Liaison must:

Have expertise and experience with NJ LTC Medicaid Eligibility, NJ Board of Social Services and the OCCO Office.

Demonstrate knowledge of New Jersey Medicaid rules and regulations.

Perform financial assessment of all residents to determine if Medicaid assistance is needed.

Take a hands on approach to educating residents and authorized representatives of eligibility requirements while timely assisting to obtain and review documents for LTC Medicaid eligibility.

Will frequently communicate with county Board of Social Services and OCCO Office as well as any other State Agency to ensure timely processing of cases.

File for and attends state hearings and appeal adverse actions when necessary

Have 2+ years LTC NJ Medicaid experience

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