Medicaid Presumptive Eligibility Specialist

1 week ago

Bloomfield, NJ, United States Partnership for Children of Cumberland County Full time

Partnership for Children of Essex (PCE) is a private non-profit care management organization (CMO) dedicated to assisting youth with complex needs that include: emotional/behavioral, intellectual/developmental and substance use. PCE is a part of New Jersey's Children's System of Care. PCE utilizes a Wraparound model of care while working in partnership with youth and families to design and implement a plan of care that is specific to the youth's individual strengths and needs. PCE is committed to keeping youth safe in their home, school, and community.

Partnership for Children of Essex (PCE) is currently seeking aMedicaid Presumptive Eligibility (PE) Specialist.

Qualified Candidates will be able to do the following:

  • Assist with reviewing eligibility documents and calculate household income to determine initial and continuing eligibility for Medicaid coverage in accordance with federal, state, and agency regulations.
  • Record and track Medicaid eligibility upon admission and ongoing basis.
  • Assist Care Managers and management in gathering additional information as it relates to Presumptive Eligibility/Medicaid enrollment.
  • Track various systems to conduct searches for initial applications, redetermination, and pending applications.
  • Effective communication with families and Medicaid by phone and written correspondence.
  • Ability to explain program requirements and procedures to Caregivers.
  • Ability to enter data via internal and external databases with high regard to accuracy.
  • Counseling families regarding program eligibility requirements and their rights and responsibilities.
  • Participate in staff meetings and training workshops.
  • Provide quality customer service to families.
  • Coordinate, prepare, and distribute appropriate communications to Caregivers.
  • Maintain, secure, and safeguard confidential information.
  • Gather and analyze documents received for authenticity, validity, and accuracy.
  • Provide support in other areas as requested, assigned, or directed to meet the needs of the Department.
Knowledge and Skills:
  • Strong verbal and written communication skills.
  • Ability to communicate effectively with diverse populations.
  • Strong critical thinking, analytical, and problem-solving skills.
  • Strong attention to detail.
  • Strong organizational skills.
  • Ability to multi-task in a fast-paced environment.
  • Ability to perform intermediate-level math.
  • Ability to enter data with a high degree of speed and accuracy.
  • Ability to meet productivity standards within established timelines.
  • Knowledge of Medicaid eligibility.
  • Knowledge of Microsoft Office.
Education and Experience:
  • High school diploma required; associate degree preferred
  • Experience in human services preferred
  • Bilingual in Spanish, Portuguese, or Creole a plus.


The Partnership for Children of Essex (PCE) is a non-profit organization dedicated to creating a pathway for hope and improving the quality of life for youth and their families.

Excellent benefits including medical, dental & vision, 403(b), generous PTO, life insurance, flexible schedule.

PCE is An Equal Opportunity Employer- M/F/D/V

  • Personal Care Specialist

    6 days ago

    Bloomfield, NJ, United States Green Thumb Industries INC Full time

    The Role RISE Personal Care Specialists engage in one-on-one interactions with patients and/or customers from the time they enter the retail area until they check out and exit the store. Our ideal Personal Care Specialist candidate should be friendly and upbeat, much like a barista in your favorite coffee shop. Our incredible Personal Care Specialists are...

  • Personal Care Specialist

    2 weeks ago

    Bloomfield, NJ, United States Green Thumb Industries INC Full time

    The Role RISE Personal Care Specialists engage in one-on-one interactions with patients and/or customers from the time they enter the retail area until they check out and exit the store. Our ideal Personal Care Specialist candidate should be friendly and upbeat, much like a barista in your favorite coffee shop. Our incredible Personal Care Specialists are...

  • Eligibility Assistant

    4 weeks ago

    Bloomfield, United States Knowledge Services Full time

    Eligibility AssistantThis position is located in Bloomfield, Indiana. Knowledge Services has a great opportunity for a strong customer service focused individual who wants to make a difference in their daily work life with the FSSA / Division of Family Resources (DFR) as an Eligibility Assistant. This position will provide general office support and...

  • Billing and Payroll Specialist

    4 weeks ago

    Bloomfield Hills, United States SIGMA HomeCare Full time

    About Sigma Homecare Sigma Homecare is a Michigan-based home healthcare agency that provides essential support to some of our state's most vulnerable populations. Behind every caregiver in the field is a small, dedicated team working to make sure everything runs smoothly - from scheduling and compliance to payroll and billing. We're looking for a Payroll and...

  • Billing and Payroll Specialist

    1 week ago

    Bloomfield Hills, United States SIGMA HomeCare Full time

    About Sigma HomecareSigma Homecare is a Michigan-based home healthcare agency that provides essential support to some of our state's most vulnerable populations. Behind every caregiver in the field is a small, dedicated team working to make sure everything runs smoothly - from scheduling and compliance to payroll and billing.We're looking for a Payroll and...

  • Speech Language Specialist

    1 week ago

    Bloomfield, United States ECHN Full time

    POSITION SUMMARY: Join our team as a Speech Language Specialist, where you will have the opportunity to make a significant impact on the lives of patients. You will evaluate patients' speech and language functions, selecting and applying appropriate treatments to enhance or restore their abilities. Collaborating with a multidisciplinary team, you'll also...

  • Training Specialist

    2 days ago

    Bloomfield, United States TJX Full time

    Training Specialist - B ShiftPosition: Training Specialist - B Shift Thursday-Sunday 5 AM- 3:30 PMPay-Range- $24.60-$33.20Department: Training DepartmentReports to: Training SupervisorAssesses Supervisor and non-exempt associate training and developmental needs. Develops required training in partnership with Home Office Learning and Development and D/C...

  • Accounts Payable Specialist

    3 weeks ago

    Bloomfield, United States Aston Carter Full time

    Job Title: Entry Level - Accounts Payable Specialist Location: Bloomfield, CT Pay Rate: $25–$27 per hour This is a great opportunity for recent College Graduates looking to land an entry level Accounting role and work for a great local company in Farmington, CT! Job Description The Accounts Payable Specialist is responsible for managing the financial...

  • Community Living Specialist 2

    2 weeks ago

    Bloomfield, Connecticut, United States VIABILITY, INC Full time $30,000 - $60,000 per year

    Welcome Thank you for exploring a career with Viability Our team of 400+ dedicated staff members share the desire to do meaningful work and make a difference in the lives of individuals with disabilities in Massachusetts, Connecticut, New York, Rhode Island, and Oklahoma.**$500 sign on bonus ($250 at the completion of first week of training and $250 after...

  • Entry Level

    5 days ago

    Bloomfield, United States Aston Carter Full time

    Entry Level - Accounts Payable Specialist Job Title: Entry Level - Accounts Payable Specialist Location: Bloomfield, CT Pay Rate: $20$22 per hour Responsibilities: Process ~500 invoices weekly using the True Links ERP system Ensure timely and accurate vendor payments Maintain compliance with company policies and procedures Perform data entry and filing tasks...

  • Accounts Payable Specialist

    4 weeks ago

    Bloomfield, United States Aston Carter Full time

    Accounts Payable SpecialistThe Accounts Payable Specialist is responsible for managing the financial processing of invoices and payments for the organization. This role ensures timely and accurate payment of vendor invoices, maintains compliance with company policies, and supports the overall efficiency of the Accounts Payable...

  • Program Assistive Technology Specialist

    6 days ago

    Bloomfield, CT, United States VIABILITY, Inc Full time

    "Looking for an opportunity to build an Assistive Tech and Virtual Reality program?""This position will join a collaborative multidisciplinary team to provide services that are aligned with the mission of Viability implementing best practices in Assistive Tech and VR."**$500 sign on bonus ($250 at the completion of first week of training and $250 after...