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  • Nursing Home Medicaid Specialist
    Nursing Home Medicaid Specialist
    10 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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  • Program Coordinator
    Program Coordinator
    1 month ago
    $25–$30 hourly
    Part-time
    Rockaway Park, Queens

    Job Description: Reporting to the Director of Programs, the Program Coordinator runs the day-to-day operations of The Rockaway Hotel and Ocean Park Apartments program sites. They ensure swim lessons run smoothly, staff are supported, meals are provided and participants have a safe, positive, and engaging experience. The Program Coordinator is responsible for all registration of participants, liability waivers, swimming gear, scheduling, communication between the facility and the organization as well as participants and staff. The Program Coordinator supervises Swim Instructors, Coaches, Field Staff, Seasonal Staff, etc. The Program Coordinator helps to track data, survey completion and reporting post programs. Paid staff training will take place at the end of June for 8 hours (Date & Location TBD). 📅 Regular Weekly Schedule: 📅 • The Rockaway Hotel: Tuesdays, Wednesdays, Thursdays from 7:15 am to 9:45 am., • Ocean Park Apartments: Tuesdays and Wednesdays from 10:45 am to 1:15 pm Note: Some weekly remote admin hours are also required. Key Responsibilities: • Manage daily site operations and schedules, • Support Swim Instructors, Coaches and Field Staff during program delivery, • Communicate with participants, and providers, • Track attendance, participation, and engagement, • Manage on-site materials, equipment, and space setup, • Ensure safety protocols and program standards are followed, • Serve as the primary on-site point of contact Minimum Requirements: • Must be legally allowed to work in the state of New York, • Must pass a certified background check Additional Preferences: • Strong communication and leadership skills, • Comfortable managing groups of people, • Experience in youth programs, education, or aquatics preferred, • Organized, dependable, and calm under pressure What We Provide: • A safe, inclusive, and mission-driven work environment, • Staff training and uniforms If you believe in our mission and think you could contribute, we encourage you to apply — even if your experience doesn’t align perfectly with this job description. All applicants must apply via our website's application form.

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