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  • Nursing Home Medicaid Specialist
    Nursing Home Medicaid Specialist
    8 hours 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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  • NURSE - Staff Development Coordinator, Employee Health, Immunization Nurse
    NURSE - Staff Development Coordinator, Employee Health, Immunization Nurse
    2 months ago
    Full-time
    Queens Village, Queens

    REPORTS TO: Director of Nursing and Administrator / Mother Superior Responsible for planning overall orientation and ongoing education and in-service program for the development of skills so as to provide for quality of care. Provides safety/health teaching to Residents. • Responsible to track and maintain the annual PPD and Physicals for all employees and contracted staff. Responsible for maintaining record., • Immunizations, • Must be a graduate of an accredited School of Registered Nursing, licensed to practice in NY, • Must have training or experience in Long Term Care, • Must have leadership, self-reliance, creativity, integrity, initiative, good judgment and dependability. Very good communication and documentation skills preferably public speaking and teaching skills. Must be computer literate and have the ability to teach other the Point Click Care system., • Must possess an ability to work congenially with others, possessing a spirit of cooperation and enthusiasm in order to create an atmosphere conducive to Resident rehabilitation and staff growth., • Must have background experience or knowledge of Federal, State, and local codes and regulations governing long term care facilities as applicable to job objectives., • Must possess good written and verbal communication skills. Must be able to read, write and understand English. This job description is not intended to be all-inclusive. The employee will also perform other reasonable related duties as assigned by the supervisor or other management. Management reserves the right to change job responsibilities, duties and hours as needed. This document is not intended to imply a written or implied contract of employment.

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  • NCLEX exam tutor
    NCLEX exam tutor
    2 months ago
    $53.23–$57.61 hourly
    Part-time
    New Hyde Park

    Job description Company Description We specialize in providing highly qualified and dedicated tutors to help students succeed in their exams. Our tutors are committed to improving your scores and giving you the tools you need to excel. We aim to provide personalized support to ensure effective learning and success. Contact us to discover how our services can make a positive difference in your academic journey. Role Description This is a part-time position for an NCLEX Exam Tutor, located in New Hyde Park, NY, with flexibility for hybrid work. The tutor will be responsible for conducting 2-hour tutoring sessions, either online or in person, 2-3 times per week. Responsibilities include preparing study plans tailored to students' needs, guiding them through NCLEX concepts, providing constructive feedback, and helping students strengthen their understanding of nursing principles for exam success. Qualifications Key Qualifications & Degrees: Education: A Bachelor of Science in Nursing (BSN) is a strong foundation, with a Master of Science in Nursing (MSN) or higher often required or preferred, especially for larger programs or advanced tutoring. Licensure: Must hold a valid, active, and unrestricted nursing license (RN or LPN/LVN depending on the exam). Experience: Several years (e.g., 3-5+) of clinical nursing experience demonstrates real-world application of knowledge. Skills: Excellent communication, patience, motivational skills, and in-depth understanding of nursing concepts and test-taking strategies are essential. Who Qualifies: Experienced RNs: Those with BSNs or MSN/Doctorates who have practiced clinically. Nursing Educators: Instructors from nursing schools often tutor. Specialized Tutors: Professionals working for NCLEX prep companies (like Kaplan, Archer Review) or independently. In short, the more advanced the nurse's degree (MSN/DNP) and the more extensive their clinical and teaching experience, the better positioned they are to effectively tutor for the rigorous NCLEX exam.

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