Lead Medicaid Unit Coordinator

Gurwin Jewish Nursing & Rehabilitation Center is a renowned healthcare provider located on Long Island, NY which offers a full continuum of services, including short-term rehabilitation, long-term skilled nursing care, home care programs, adult day health, ventilator dependent care, palliative and hospice care, a Memory Care Unit, and on-site dialysis.

About the role

The Lead Medicaid Unit Coordinator manages the financial eligibility, application, and recertification processes for residents utilizing Medicaid and Managed Long-Term Care (MLTC) programs. Serving as the primary liaison between the facility, residents, families, and state agencies, this role ensures all necessary asset verifications, budgets, and filings are submitted accurately and on time to prevent disruptions in funding.

Requirements

• High School Diploma
• Minimum 3 years of experience in a skilled nursing facility (SNF), Department of Social Services (DSS), or related field

Responsibilities

• Conduct pre-admission interviews with prospective resident family members and guide them through the Medicaid application process
• Collect necessary verifications (bank statements, income, assets) and submit filings, conversions, and yearly recertifications on time
• Review all documentation, including 60 months of banking, to determine Medicaid eligibility or penalty periods incurred
• Contact case workers at hospitals, Medicaid offices, or attorneys to follow up on Medicaid applications
• Maintain a chronological listing of all contacts and follow-up calls
• Process Medicaid applications with residents, families, attorneys, and respective Medicaid offices in a timely and professional manner
• Process recertifications for the appropriate county and follow up with residents and families
• Process new, corrected, and revised budgets accurately and timely with related parties
• Review admission logs to identify new Medicaid pending applicants on a timely basis
• Prepare and process Medicaid Pick-Up Statements efficiently and accurately
• Process new, revised, and corrected Pick-Up dates when needed, and follow up with attorneys, case workers, and elder care agencies to notify them of any changes
• Conduct face-to-face interviews with family and representatives while upholding a high level of professionalism and efficiency
• Prepare and submit all required, applicable 3559 and MAP forms timely
• Perform monthly reviews of Medicaid rosters

Benefits

• Medical Insurance (Anthem Blue Cross Blue Shield) for eligible employees, plus a family option
• Fitness Reimbursement Program and wellness discounts
• Dental Insurance through MetLife
• Vision Insurance through MetLife
• Accrued holiday, personal, and vacation time; payout for unused sick time for those who qualify
• Flexible Spending Account – Medical and/or Dependent Care
• Long-term disability insurance (no cost to employee)
• Life Insurance equal to employee’s annual salary (no cost to employee)
• National Employee Assistance Program (no cost to employee)
• Childcare, membership, and program discounts at Suffolk YJCC, Commack, and Mid-Island YJCC, Plainview
• Tax-deferred annuity plan – employee automatically enrolled with 3% contribution; employer contributes 4% after one year of service (graded vesting)
• Tuition reimbursement up to $5,000 per year
• Sign-on bonus for specified clinical positions
• Employee referral bonus for specified clinical positions
• On-site Starbucks café and staff cafeteria with subsidized pricing
• Employee perks including holiday gift cards, system-wide annual BBQ and Winter Celebrations, meals, treats, and other theme-related staff events
• Discounts from outside corporations including BJs membership discount, FourLeaf FCU savings perks, Plum Benefits entertainment discounts, and more