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Home care nurse jobs in New York, New YorkCreate job alerts

  • Nursing Home Medicaid Specialist
    Nursing Home Medicaid Specialist
    2 months 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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  • Care Manager (Bilingual in Mandarin or Cantonese)
    Care Manager (Bilingual in Mandarin or Cantonese)
    7 days ago
    $29.87–$31.93 hourly
    Full-time
    Manhattan, New York

    Position Summary The Care Manager provides services within the Care Management programs, including Health Home Care Comprehensive Care Management, HCBS Basic Plan Support, and State Paid Care Management services. This position may support Willowbrook Class Members. The core responsibility of the Care Manager is to oversee and coordinate access to services for people with intellectual and developmental disabilities. The Care Manager works with the member, their family and/or representative, and providers to develop, implement, and monitor an integrated and person-centered driven Life Plan, following the completion of a comprehensive assessment process. The Life Plan is the foundation upon which service delivery is built. The Life Plan identifies services that meet medical and behavioral health needs, community, social supports, and other necessary services to support them to live their healthiest and most meaningful life. A key function of this role is being a strong advocate in supporting the member to access needed services to reach their identified goals and live a meaningful and quality life. ACA/NY is a 501(c)(3) not for profit organization that has been designated as a Care Coordination Organization/Health Home (CCO/HH) by New York State. ACA/NY is dedicated to meeting the needs of people with Intellectual and Developmental Disabilities by providing comprehensive care management and coordination of service. ACA/NY supports 25,000+ people in its program with support services spanning New York City, Long Island, and the Lower Hudson Valley. Duties & Responsibilities • Deliver person-centered care management services in compliance with regulatory standards and in alignment with the agency’s quality management plan, policies, and standard operating procedures., • Responsible for the completion of a comprehensive assessment/reassessment process., • Identify gaps in service provision and make referrals when appropriate. Advocate on the member’s behalf, to reach their identified goals and live a meaningful and quality life., • Develop, implement, and monitor member Life Plans within required timeframes, by leading an interdisciplinary team planning process, with the person at the center., • Develop strategies that address conflict or disagreements in the person-centered planning process and working with the interdisciplinary team to resolve those conflicts in a timely manner., • Complete all required service documentation with stated timeframes. Ensure all billing critical documentation is present and valid prior to the submission of any billable service documentation., • Maintain the member’s continued eligibility for care management through the completion of an annual Level of Care (Re)Determination, ensuring OPWDD eligibility is maintained, and enrolling in the Home and Community Based (HCBS) waiver., • Identify and access benefits and entitlements (Medicaid, Social Security, SNAP, etc.) when a member is eligible. Ensure existing benefits and other entitlements are maintained., • Ensure a current and accurate information sharing consent is present within the electronic health record and updated as necessary when changes occur or are requested by the member and/or representative., • Coordinates and provides access to high quality healthcare services, inclusive of medical, behavioral health, specialized services. Provides regular communication, monitoring, and action oriented follow up on critical and acute healthcare needs., • Identifies, coordinates, and provides access to preventative and health promotion services as needed., • Coordinates transitional care inclusive of appropriate follow up from inpatient to other settings, discharge planning, facilitating transfers within the healthcare system, residential settings and aging out of childhood services to adult services., • Use health information technology in the delivery of care management services, included but not limited to the use of the electronic health records and programs to facilitate telehealth services for members. Maintain a thorough and accurate electronic health record for all assigned members., • Attend department/team meetings, trainings, supervisions, etc. as scheduled and in accordance with agency practice and policy., • Complete all required trainings within required timeframes., • Travel throughout the designated service area to meet with members as needed in alignment with regulatory standards and to ensure identified needs are met. Travel is required to meet with providers, members of the interdisciplinary team, and accompany members where indicated to necessary appointments., • Identify and follow all incident reporting guidelines and procedures, ensuring the immediate safety of the member., • Maintains confidentiality in accordance with HIPAA and privacy practices., • Adheres to all policies and standard operating procedures for the delivery of comprehensive care management and ancillary functions of the Care Manager., • Adheres to and upholds ACA/NY’s Code of Conduct., • Perform other duties, as assigned. Qualifications • A Bachelor of Arts or Science degree with two years of relevant experience, or a license as a Registered Nurse with two years of relevant experience, or a master’s degree with one year of relevant experience., • Fluent understanding of community cultural traditions, norms, and practices of Members and their families., • Absolute sense of integrity and personal commitment to serving people with I/DD and their families., • Excellent interpersonal, public speaking, and written communication skills., • Ability to work autonomously., • Demonstrate professionalism, respect, and ability to work in a team environment.

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  • Home Health Aide
    Home Health Aide
    2 months ago
    $18–$22 hourly
    Part-time
    Keyport

    FLOBEGA HEALTH, LLC is seeking a compassionate and dedicated Home Health Aide to provide essential care and support to clients in their homes. In this vital role, you will help individuals maintain their independence and enhance their quality of life. Proficiency in Spanish is required to effectively communicate with clients. Key Responsibilities include: • Assisting clients with personal care activities such as bathing, dressing, grooming, and hygiene., • Helping with mobility, transfers, and ambulation., • Preparing nutritious meals and assisting with feeding if necessary., • Performing light housekeeping tasks to ensure a clean and safe environment., • Providing companionship and engaging clients in stimulating activities., • Monitoring vital signs and reporting any changes in the client's condition to the supervising nurse., • Assisting with medication reminders., • Running errands or accompanying clients to appointments. Qualifications: • High school diploma or GED equivalent., • Current Home Health Aide (HHA) certification, or willingness to obtain one., • Demonstrated compassion, patience, and reliability., • Excellent interpersonal and communication skills., • Ability to follow care plans and adhere to health and safety protocols., • Physical ability to perform duties, including lifting, bending, and standing., • Successful completion of a background check and drug screening. Must be able to speak Spanish.

    Immediate start!
    No experience
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