Long-Term Care Compliance Expert

1 week ago


Johnson City, New York, United States VestraCare Full time
Key Responsibilities
  • Provides education and assistance to facilities on Medicare/Medicaid-related areas, including eligibility, certification, coverage, documentation, utilization, and reimbursement.
  • Interacts with Medicare, Managed Care, and Medicaid claims review units and compliance units to assist facilities in complying with company procedures and federal, state, and local regulations.
  • Completes compliance with Medicare, Managed Care, Medicaid, and third-party payers and company procedures, establishing systems and programs designed to correct any non-compliance situation.
  • Maintains current statistical data associated with the Medicare, Managed Care, and Medicaid programs by region, cooperating with operations to monitor activities for contractor programs.

The ideal candidate will have a minimum of 2 years of long-term care experience, with a NYS Licensed Practical Nurse (LPN) license and RAC-CT certification preferred. The salary range for this position is $29-$32 per hour, depending on experience.



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