Current jobs related to Medicaid Eligibility Specialist - New York - City of New York
-
Medicaid Eligibility Specialist
1 week ago
New York, New York, United States MJHS Full time## Job Summary We are seeking a skilled Medicaid Eligibility Specialist to join our team at MJHS. As a Medicaid Eligibility Specialist, you will play a critical role in establishing financial status and Medicaid eligibility for patients prior to admission and maintaining eligibility throughout their stay. ## Responsibilities * Establish financial status...
-
Medicaid Eligibility Specialist
3 days ago
New York, New York, United States MJHS Full timeJob SummaryWe are seeking a highly skilled Medicaid Eligibility Specialist to join our team at MJHS. As a Medicaid Eligibility Specialist, you will play a critical role in establishing financial status and Medicaid eligibility for our patients prior to admission and maintaining eligibility throughout their stay.ResponsibilitiesEstablish financial status and...
-
Medicaid Eligibility Specialist
3 days ago
New York, New York, United States MJHS Full timeJob SummaryWe are seeking a highly skilled Medicaid Eligibility Specialist to join our team at MJHS. As a Medicaid Eligibility Specialist, you will play a critical role in establishing financial status and Medicaid eligibility for our patients prior to admission and maintaining eligibility throughout their stay.ResponsibilitiesEstablish financial status and...
-
Medicaid Eligibility Specialist
3 weeks ago
New York, New York, United States MJHS Full timeAbout the RoleWe are seeking a highly skilled Medicaid Eligibility Specialist to join our team at MJHS. As a Medicaid Eligibility Specialist, you will play a critical role in ensuring that our patients receive the care they need while meeting the requirements of the Medicaid program.Key ResponsibilitiesEstablish and maintain Medicaid eligibility for patients...
-
Medicaid Eligibility Specialist
4 days ago
New York, New York, United States City of New York Full timeJob Title: Medicaid Eligibility SpecialistWe are seeking a highly skilled and detail-oriented Medicaid Eligibility Specialist to join our team at the City of New York. As a key member of our Medical Assistance Program (MAP), you will play a critical role in ensuring that eligible individuals and families receive the healthcare benefits they need.Job...
-
Medicaid Eligibility Specialist
3 weeks ago
New York, New York, United States City of New York Full timeJob SummaryWe are seeking a highly skilled Eligibility Specialist II to join our team at the City of New York. As a Medicaid Eligibility Specialist, you will play a critical role in ensuring the accuracy and efficiency of Medicaid eligibility determinations.Key ResponsibilitiesConduct comprehensive reviews of applications, including financial and legal...
-
Medicaid Eligibility Specialist
7 days ago
New York, New York, United States MJHS Full timeAbout the RoleWe are seeking a skilled Medicaid Eligibility Specialist to join our team at MJHS. As a key member of our healthcare team, you will be responsible for establishing financial status and Medicaid eligibility for patients prior to admission and maintaining eligibility throughout their stay.ResponsibilitiesConduct thorough financial assessments to...
-
Medicaid Eligibility Specialist
1 week ago
New York, New York, United States City of New York Full timeJob SummaryThe City of New York is seeking a highly skilled Medicaid Eligibility Specialist to join our team. As a key member of our Medical Assistance Program (MAP), you will play a critical role in ensuring that eligible individuals and families receive the healthcare benefits they need.Key ResponsibilitiesConduct comprehensive reviews of applications,...
-
Medicaid Eligibility Specialist
4 weeks ago
New York, New York, United States VNS Health Full timeOverviewAs a key member of VNS Health, the Medicaid Eligibility Specialist plays a vital role in supporting our members through the Medicaid application and recertification process. This position involves engaging with VNS Health Plans members to facilitate their Medicaid applications and ensure timely recertification. You will be responsible for entering...
-
Medicaid Eligibility Specialist
3 weeks ago
New York, New York, United States VNS Health Full timeAbout the RoleWe are seeking a highly motivated and detail-oriented Medicaid Eligibility Coordinator to join our team at VNS Health. As a Medicaid Eligibility Coordinator, you will play a critical role in supporting prospective members, members, and their families by providing access to community resources, advocating for their needs, and linking them to...
-
Medicaid Eligibility Specialist
1 week ago
New York, New York, United States MJHS Full timeMedicaid Coordinator Job DescriptionReq #: 1237 Job ID: 12860Job Location: New York, NYCategory: Office and Administrative SupportAgency: Isabella Center for Rehabilitation & Nursing CareStatus: Regular Full-TimeOffice: Office-basedSalary: $46, $58,300.19 per yearLocated in the heart of the community, our rehabilitation and nursing care facility provides...
-
Medicaid Eligibility Specialist
3 days ago
New York, New York, United States MJHS Full timeJob Title: Medicaid CoordinatorReq #: 1237 Job ID: 12860Job Location:New York, NYCategory:Office and Administrative SupportAgency:Isabella Center for Rehabilitation & Nursing CareJob Type:Regular Full-TimeOffice:Office-basedSalary:$46, $58,300.19 per yearWe are seeking a skilled Medicaid Coordinator to join our team at Isabella Center for Rehabilitation &...
-
Medicaid Eligibility Analyst
3 weeks ago
New York, New York, United States City of New York Full timePosition OverviewThe City of New York is seeking an experienced professional to fill the role of Eligibility Specialist II within the Medical Assistance Program (MAP). This position is critical in administering public health insurance programs, including Medicaid, ensuring that individuals and families receive the necessary support and coverage.Key...
-
Medicaid Eligibility Analyst
3 weeks ago
New York, New York, United States City of New York Full timePosition OverviewThe City of New York is seeking an Eligibility Specialist II to join the Medical Assistance Program (MAP), focusing on Medicaid eligibility assessments. This role is crucial in ensuring that individuals and families receive the necessary health coverage in accordance with Federal and State regulations.Key ResponsibilitiesConduct thorough...
-
Medicaid Eligibility Analyst
3 weeks ago
New York, New York, United States City of New York Full timePosition OverviewThe City of New York is seeking a qualified individual to fill the role of Eligibility Specialist II within the Medical Assistance Program (MAP). This position is essential in managing public health insurance programs, specifically Medicaid, ensuring compliance with Federal and State guidelines.Key ResponsibilitiesConduct thorough...
-
Medicaid Eligibility Coordinator
7 days ago
New York, United States VNS Health Full timeOverview Provides support to prospective members, members and their families including community resource planning, advocacy, skill building, linking patient/families to community resources and providing assistance with entitlements. Works closely with client, support system and/or family to obtain Medicaid and connect client to appropriate MLTC in the...
-
Medicaid Eligibility Coordinator
4 weeks ago
New York, United States VNS Health Full timeOverview Provides support to prospective members, members and their families including community resource planning, advocacy, skill building, linking patient/families to community resources and providing assistance with entitlements. Works closely with client, support system and/or family to obtain Medicaid and connect client to appropriate MLTC in the...
-
Medicaid Eligibility Unit Manager
3 weeks ago
New York, New York, United States City of New York Full timeJob SummaryWe are seeking a highly skilled and experienced Medicaid Unit Supervisor to join our team at the City of New York. As a key member of our Medicaid Eligibility Unit, you will be responsible for overseeing the productivity of case processing, supervising staff, and ensuring compliance with Medicaid policies and procedures.Key ResponsibilitiesOversee...
-
Medicaid Eligibility Unit Manager
4 weeks ago
New York, New York, United States City of New York Full timePosition Overview:The Medicaid Eligibility Unit is a critical component of the Home Care Services Program (HCSP), which is funded by Medicaid to provide essential long-term care to individuals who are medically fragile and require assistance with daily living activities.Key Responsibilities:The selected candidate will take on the role of a Medicaid Unit...
-
Eligibility Specialist II
3 weeks ago
New York, New York, United States City of New York Full timeJob SummaryWe are seeking a highly skilled Eligibility Specialist II to join our team at the City of New York. As a Medicaid Eligibility Specialist, you will play a critical role in determining eligibility for Medicaid coverage for applicants and recipients.Key ResponsibilitiesConduct comprehensive reviews of applications, including financial and legal...
Medicaid Eligibility Specialist
3 months ago
Job Description
IF YOU ARE HIRED PROVISIONALLY IN THIS TITLE, YOU MUST TAKE AND PASS THE CIVIL SERVICE EXAM WHEN IT BECOMES AVAILABLE TO BE ELIGIBLE FOR CONTINUED EMPLOYMENT.
The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term care to medically fragile and vulnerable individuals who require assistance with activities of daily living through the Community Alternative Systems Agency (CASA), Managed Long Term Care (MLTC) Program, the Assisted Living Program, Care at Home Program and Homebound Medicaid. The Medicaid Eligibility Unit is responsible for the Medicaid eligibility review and processing of initial applications, change actions, and renewals for all Medicaid funded long term care programs. This unit is responsible for the processing of Medicaid eligibility for consumers who receive services through one of the HCSP programs.
Under the supervision of the Medicaid Eligibility Team Supervisor, with some latitude for independent judgement and decision, is responsible for the review of applicants assets and documentation to ascertain initial or continuing eligibility for Medicaid Home Care Services.
Medicaid Administration Program (MAP) is recruiting for fourteen (14) Eligibility Specialist II to function as a Medicaid Eligibility Specialist, who will:
- Review Medicaid applications and renewals for consumers applying for, or in receipt of Home Care Services.
- Document for completeness and adequacy to make the appropriate eligibility decision, using the applicable NYC, NYS and Federal guidelines and procedures.
- Complete the required case action utilizing the Welfare Management System (WMS) and various external program applications, such as the Eligibility Data Image Transfer System (EDITS) PLUS, the HRA One Viewer and eMedNY and complete the requisite consumer notices, forms, and system updates.
- Determine whether additional documentations are required or referrals to an outside Agency is necessary, to make an eligibility decision.
- Consult with the Units Supervisor, as needed, on overall problems and complicated cases to ensure timely completion of work within strictly enforced timeframes.
Qualifications
1. Completion of 30 semester credits at an accredited college or university; or
2. A four high school diploma or its educational equivalent and one year of full-time satisfactory experience in one or more of the following areas; performing the work described below:
a. Interviewing, gathering information and/or preparing necessary documentation for the purpose of making recommendations concerning eligibility for public assistance or unemployment, health benefits, social security, insurance, or participation in social services or community programs, and other similar benefits; or
b. Performing bookkeeping, bank teller duties, housing office teller duties, purchasing agent, assistant store manager, sales representative responsible for accounts, or customer service duties or a job in which the duties include helping customers with questions or concerns; or
c. Dealing with social service agencies, legal representatives, or aiding individuals in navigating housing, social, financial or health problems or application systems; or
3. A satisfactory combination of education and/or experience equivalent to "1" or "2" above. College education may be substituted for the experience in "2" above on the basis that 30 semester credits from an accredited college or university may be substituted for each year of required experience. However, all candidates must have at least a four year high school diploma or its educational equivalent.
Special Note
Work experience which provides only incidental opportunities to perform the job duties as described in "2a", "2b" and "2c" above are not acceptable for meeting the minimum qualification requirements.
Additional Information
The City of New York is an inclusive equal opportunity employer committed to recruiting and retaining a diverse workforce and providing a work environment that is free from discrimination and harassment based upon any legally protected status or protected characteristic, including but not limited to an individual's sex, race, color, ethnicity, national origin, age, religion, disability, sexual orientation, veteran status, gender identity, or pregnancy.
