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Trabajos federal nursing en Valley Stream, New YorkCrear alertas

  • Nursing Home Medicaid Specialist
    Nursing Home Medicaid Specialist
    hace 12 días
    Jornada completa
    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
    hace 2 meses
    $42–$48 por hora
    Jornada parcial
    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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