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  • Nursing Home Medicaid Specialist
    Nursing Home Medicaid Specialist
    12 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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  • Director of Patient Services (DPS) for Home Care
    Director of Patient Services (DPS) for Home Care
    2 months ago
    $42–$48 hourly
    Part-time
    Forest Hills, Queens

    We are a licensed home care agency dedicated to providing high-quality, compassionate care to our clients. We are seeking an experienced and motivated Registered Nurse to serve as our Director of Patient Services (DPS) and lead our clinical operations. Position Summary The Director of Patient Services (DPS) is responsible for overseeing all clinical and patient care services, ensuring compliance with New York State regulations, and maintaining high standards of quality and safety. This role requires strong leadership, organizational, and clinical management skills. Key Responsibilities • Serve as the agency’s designated Director of Patient Services in accordance with NYS Department of Health regulations, • Oversee and manage all patient care services and clinical staff, • Ensure compliance with state, federal, and agency policies and procedures, • Supervise, train, and evaluate nursing and clinical personnel, • Conduct patient assessments, care plan reviews, and case conferences, • Monitor quality assurance and performance improvement programs, • Ensure proper documentation and regulatory reporting, • Collaborate with management, caregivers, and referral sources, • Participate in audits, surveys, and inspections as required, • Support agency growth and patient satisfaction initiatives Qualifications • Current, active Registered Nurse (RN) license in New York State (Required), • Eligible to serve as DPS under NYS regulations (Required), • Minimum of [2–3+] years of nursing experience, preferably in home care or community health, • Prior supervisory or management experience preferred, • Strong knowledge of NYS home care regulations, • Excellent communication and leadership skills, • Strong organizational and time-management abilities, • Proficiency with electronic medical records (EMR) and EVV systems preferred Compensation & Benefits • Competitive salary based on experience, • Hourly and per visit rates, • 401k, • Paid time off, • Professional development opportunities, • Supportive and collaborative work environment

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  • Direct Service Provider Bilingual Cantonese
    Direct Service Provider Bilingual Cantonese
    2 months ago
    $17–$19 hourly
    Part-time
    Manhattan, New York

    The role of a Direct Support Professional (DSP) is to work with children and their families to provide resources and support, as well as strengthen daily living skills. The services are provided in the individual's home or community setting, giving the families respite while gaining important life skills. Activities as a DSP for the OPWDD(Office of People with Developmental Disabilities) program recipients primarily involve teaching them the following: how to accomplish daily living tasks, improve socialization among peers, and acclimate to community activities such as traveling, interacting with store staff/community helpers, and adhering to appropriate social boundaries. • Assist individuals in meeting their service plan goals., • collaborate scheduling between the individual and the DSP., • Communicate effectively with families and supervisors., • Problem solve and communicate with supervisors as concerns arise., • Document session activities with the individuals in a timely manner., • Bilingual in Cantonese., • Applicants must be at least 18 years old and legal to work in the US., • High school diploma or GED required, Associate's or Bachelor's Degree preferred., • Computer proficiency (MS Office – Word, Excel and Outlook)., • Ability to work independently and to carry out assignments to completion within the parameters of instructions given, prescribed routines, and standard accepted practices., • Can communicate in Cantonese as well as English., • Ability to safely and successfully perform the essential job functions consistent with the ADA, FMLA and other federal, state and local standards, including meeting qualitative and/or quantitative productivity standards., • Ability to maintain regular, punctual attendance consistent with the ADA, FMLA and other federal, state and local standards., • Must be able to lift 35 lbs., • Must be able to talk, listen and speak clearly. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position.

    No experience
    Easy apply
  • Direct Service Provider Bilingual Chinese
    Direct Service Provider Bilingual Chinese
    2 months ago
    $17–$19 hourly
    Part-time
    Manhattan, New York

    The role of a Direct Support Professional (DSP) is to work with children and their families to provide resources and support, as well as strengthen daily living skills. The services are provided in the individual's home or community setting, giving the families respite while gaining important life skills. Activities as a DSP for the OPWDD(Office of People with Developmental Disabilities) program recipients primarily involve teaching them the following: how to accomplish daily living tasks, improve socialization among peers, and acclimate to community activities such as traveling, interacting with store staff/community helpers, and adhering to appropriate social boundaries. • Assist individuals in meeting their service plan goals., • collaborate scheduling between the individual and the DSP., • Communicate effectively with families and supervisors., • Problem solve and communicate with supervisors as concerns arise., • Document session activities with the individuals in a timely manner., • Bilingual in either Cantonese or Mandarin., • Applicants must be at least 18 years old and legal to work in the US., • High school diploma or GED required, Associate's or Bachelor's Degree preferred., • Computer proficiency (MS Office – Word, Excel and Outlook)., • Ability to work independently and to carry out assignments to completion within the parameters of instructions given, prescribed routines, and standard accepted practices., • Can communicate in Mandarin/Cantonese as well as English., • Ability to safely and successfully perform the essential job functions consistent with the ADA, FMLA and other federal, state and local standards, including meeting qualitative and/or quantitative productivity standards., • Ability to maintain regular, punctual attendance consistent with the ADA, FMLA and other federal, state and local standards., • Must be able to lift 35 lbs., • Must be able to talk, listen and speak clearly. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position.

    No experience
    Easy apply