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Nursing Home Liaison - Suffolk, Nassau, and /or Westchester Coun
Category: Health Care Industry
  • Your pay will be discussed at your interview

Job code: lhw-e0-89742886

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  Job posted:   Thu May 17, 2018
  Distance to work:   ? miles
  3 Views, 0 Applications  
Nursing Home Liaison - Suffolk, Nassau, and /or Westchester Coun
The Nursing Home Liaison provides administrative support to the Integrated Products (IP), Management Services Organizations (MSO) and the PHSP lines of business in enrollment and retention of Custodial Medicaid Eligibility. This includes, but is not limited to, coordinating with internal departments as well as the external Nursing Home agencies on submission and approval of Medicaid Applications. Ensuring the process and member experience is of high quality. The Nursing Home Liaison is expected to contribute creative solutions and take ownership of daily assignments to ensure seamless communication and systematic completion of routine and special projects.

Job Description**

+ Conduct and coordinate monthly enrollments for permanently placed consumers enrolling in the Managed Long Term Care program

+ Provides administrative support to the Intake & Enrollment department by acting as a liaison between Nursing Homes and our Care Management and Intake & Enrollment departmentsTrack the Custodial Care Medicaid Applications submitted to the LDSS/HRA for approval by maintaining daily reports

+ Conduct daily Nursing Home visits to follow-up with applications and inquiriesMonitors Medicaid Renewal time frames for members for each line of businessPrepares weekly summary reports for each line of business to show the status of the Custodial and Renewal process

+ Reports to management progress of all applications during weekly meetingsIdentify and escalate to teams all immediate outstanding issuesServes as a resource on Nursing Home Medicaid and other entitlement. Keeps up-to-date on Medicaid and other entitlement program issues and on changes in Medicaid/Medicare/HMO laws and shares information with Care Team Social Work and other Care Team members as appropriate

+ Coordinate a synchronized workflow while maintaining the integrity of confidential information about prospective enrollees, as well as, proprietary business information in collaboration with staff in Marketing, Relationship Coordinators, Intake RN, Intake Coordinators, Care Management Teams and Team Leads

+ Weekly field visits to the Nursing Homes for follow up on institutional Medicaid Applications

**Minimum Qualifications**

+ Associate's degree or higher from an accredited institution

+ Medicare, Medicaid, or Managed Care experience

+ Previous training experience in Managed Long Term Care and customer service settingExperience with servicing the frail adult or elderly population

+ Ability to create a positive impression during the first contact with prospective members by setting the tone and being able to immediately demonstrate product knowledge and credibility with the goal of maximizing the number of scheduled appointments to achieve daily, weekly, and monthly goals

+ Understanding of and sensitivity to cultural differences and needs of the community are essential

+ Adept at operating within a diverse and multi-cultural work environment and community of Members such as Spanish, Chinese, Russian, Creole and Korean

+ Adept at working in an environment with fast-past changing priorities including high stress while achieving quota expectations -Ability to maintain a calm, neutral disposition while managing many details in a distracting environment

+ Valid driver's license

+ Insured vehicle

**WE ARE AN EQUAL OPPORTUNITY EMPLOYER.** Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

If you have a disability under the Americans with Disability Act or a similar law, and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to or calling 1-212-801-6000. In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within Healthfirst Management Services will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with Healthfirst Management Services.

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Healthfirst is a provider-sponsored health insurance company that serves more than 1.2 million members in downstate New York. With more than 4,000 employees, a network of nearly 30,000 providers, and revenues in excess of $8.6 billion, Healthfirst is one of the largest health plans in the New York City area.

Our members are our North Star, and our mission is guided by their needs and preferences in ensuring a superior experience and access to the highest quality healthcare when and where they need it. Healthfirst's commitment to quality and member satisfaction has helped us earn top ratings for HMO health plans in New York City. We know that employees shape our company and connect us to our communities, and we look to recruit and retain intelligent, driven leaders who are passionate about healthcare and embody our five culture drivers:

+ **Dream Big, Plan Wisely**

+ **Break Down the Walls**

+ **Think Critically, Speak Up, Deliver with Pride**

+ **Inspire Through Trust, Lead By Example**

+ **Be Unstoppable**

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