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  • Nursing Home Medicaid Specialist
    Nursing Home Medicaid Specialist
    29 days ago
    Full-time
    Hewlett

    Job Overview We are seeking a dedicated and detail-oriented Nursing Home Medicaid Specialist to join our team. In this vital role, you will serve as a key resource in navigating the complex Medicaid reimbursement process for nursing home residents. Your expertise will ensure compliance with state and federal regulations, facilitate accurate documentation, and support residents' access to necessary benefits. This position offers an exciting opportunity to make a meaningful impact on patient care and facility operations through proactive case management and thorough knowledge of healthcare policies. Duties • Review and interpret medical records, discharge summaries, and clinical documentation to determine Medicaid eligibility for nursing home residents, • Collaborate with social workers, healthcare providers, and discharge planners to gather necessary documentation and ensure timely processing of Medicaid applications, • Conduct intake assessments, verify patient information, and facilitate the submission of Medicaid claims in accordance with state guidelines, • Utilize CPT (Current Procedural Terminology) coding, ICD-9, and ICD-10 coding systems to accurately classify diagnoses and procedures for billing purposes, • Maintain comprehensive medical records, ensuring HIPAA compliance and confidentiality at all times, • Assist with case management by coordinating services, supporting discharge planning, and addressing behavioral health or pediatric needs when applicable, • Proven experience in hospital or healthcare settings, particularly with acute care environments or discharge planning processes, • Strong knowledge of medical terminology, CPT coding, ICD-9/ICD-10 coding systems, and medical records management, • Familiarity with social work practices, behavioral health considerations, pediatrics (if applicable), and patient service protocols, • Understanding of HIPAA regulations to safeguard patient information during all stages of case management, • Excellent organizational skills with the ability to manage multiple cases efficiently under tight deadlines, • Effective communication skills to collaborate across multidisciplinary teams and explain complex processes clearly

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  • Part Time RBT Need
    Part Time RBT Need
    4 days ago
    $18–$25 hourly
    Part-time
    Bronxville

    Position Overview We are seeking a motivated and caring Behavior Technician (BT) to join our growing team. In this role, you will work one-on-one with children and adolescents with developmental disabilities, implementing individualized treatment plans under the supervision of a Board Certified Behavior Analyst (BCBA). This is a rewarding opportunity for individuals passionate about working with children and making a positive impact every day. Responsibilities • Implement individualized behavior intervention plans (BIPs) developed by a BCBA, • Provide one-on-one therapy in home, clinic, school, or community settings, • Collect accurate data on client progress, • Assist clients in developing communication, social, daily living, and coping skills, • Maintain a safe and supportive learning environment, • Collaborate with supervisors, families, and team members, • Participate in ongoing training and team meetings Preferred Experience We strongly encourage applicants with experience in the following roles to apply: • Special Needs Teacher, • Special Education Teacher, • Paraprofessional, • Teacher or Teacher Assistant, • Daycare Worker or Childcare Provider, • ABA Therapist or Registered Behavior Technician (RBT), • Direct Support Professional (DSP), • Youth Counselor, • Early Intervention Specialist Experience working with individuals with autism spectrum disorder (ASD), developmental disabilities, or behavioral challenges is highly valued. Qualifications • High school diploma required (Bachelor’s degree in Psychology, Education, Social Work, or related field preferred), • Experience working with children or individuals with special needs preferred, • Strong communication and interpersonal skills, • Ability to remain patient, professional, and compassionate, • Reliable transportation (if required for travel), • Ability to pass background check, • RBT certification preferred (or willingness to obtain within 60 days of hire)

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