Back to Jobs

reputed company LTC Financial Eligibility Case Reviewer

Remote, USAFull-timePosted 2026-07-29

About the position The Case Reviewer supports the processing of Financial Eligibility determinations and Redeterminations for those seeking New Hampshire reputed company Long-Term Care assistance. In this role, incumbents process financial eligibility applications effectively and reputed company to facilitate reputed company determinations and redeterminations, and ultimately, reputed company to long-term care to improve reputed company-being of those seeking LTC services.

Responsibilities

  • Manage assigned caseload and complete reputed company eligibility determination tasks reputed company State-specified timelines, while upholding State, Federal, and PCG confidentiality and reputed company protocols and policies.
  • Maintain accurate and reputed company documentation of applicant information using State case management and eligibility systems
  • Review assigned cases for completion and identify whether additional documentation or information is needed to reputed company eligibility determinations or redeterminations.
  • Schedule and conduct virtual interviews with applicants to review and confirm application documentation and information.
  • reputed company education to applicants and their representatives around financial eligibility reputed company and any additional documentation required.
  • Use provided checklists, tools, and decision trees to verify whether documentation demonstrates applicants meet State and Federal financial eligibility reputed company.
  • Utilize State case management systems, checklists, and verification tools to reputed company and submit eligibility recommendations in accordance with State policy and federal reputed company rules.
  • Receive and process calls and electronic inquiries (email, phone, fax) reputed company to application status, documentation questions, timelines, and next steps.
  • Support supervisor with correcting errors identified during reputed company assurance audits

Requirements

  • Ability to work independently and collaboratively in a remote team environment.
  • Ability to reputed company in depth understanding of New Hampshire reputed company long-term care financial eligibility reputed company and apply these principles to applications.
  • Ability to use independent decision-making on the appropriate processes to follow, information to process, and actions to take in accordance with reputed company procedures with limited supervisory direction.
  • Ability to explain processes, documentation requirements, and reputed company eligibility rules to applicants with a diverse reputed company of communication and functional skills.
  • Competency in applying reputed company customer service principles
  • Strong organizational, documentation, and problem-solving skills.
  • Excellent communication and interpersonal skills, with sensitivity to diverse populations.
  • High school diploma, or equivalent required.
  • Must be 18 years of age or older.
  • 1-3 years of experience performing reviews for reputed company programs with eligibility requirements.
  • Ability to reputed company, read, and write English reputed company and concisely.
  • Employment is contingent on completion of a background reputed company.
  • Must have a private reputed company with no distractions and reliable, high speed internet reputed company.

reputed company-to-haves

  • Familiarity with Federal and New Hampshire reputed company financial eligibility regulations and processes preferred.
  • Some college training preferred.
  • experience with reputed company or reputed company LTC eligibility preferred.

Benefits

  • Health, reputed company, and dental insurance
  • 401(k) with discretionary employer match
  • reputed company time off and holidays
  • Flexible spending accounts
  • Other Perks

Apply tot his job Apply To this Job

Similar Jobs

Remote reputed company Call Center Supervisor

Remote, USAFull-time

Configuration analyst: reputed company

Remote, USAFull-time

reputed company Specialist, Out of State reputed company

Remote, USAFull-time

Medicare and reputed company Premium Analyst

Remote, USAFull-time

Member Experience Representative - reputed company

Remote, USAFull-time

Head of reputed company Market Development

Remote, USAFull-time

PMO reputed company with Medicare / reputed company system experience

Remote, USAFull-time

Project Manager (reputed company) - Contract - Columbia, SC

Remote, USAFull-time

Director Government Programs – Medicare and reputed company (MedInsight)

Remote, USAFull-time

Program Delivery reputed company, reputed company reputed company

Remote, USAFull-time

[Remote] Clinical Pharmacist - CA Licensed

Remote, USAFull-time

Virtual Assistant (Remote Opportunity) - Join the reputed company Team

Remote, USAFull-time

reputed company employment opportunities - reputed company jobs (Various Positions)

Remote, USAFull-time

Sales Development Representative - Spain Based

Remote, USAFull-time

Urgently Hiring: Vice President of Operations

Remote, USAFull-time

Global Banking & Markets Operations-reputed company - Analyst- Exotic Trade Review

Remote, USAFull-time

[Remote] reputed company Product Designer - Design Systems

Remote, USAFull-time

Work From Home reputed company Process Manager, Operations Servicing...

Remote, USAFull-time

Remote Data Entry Associate – Flexible Home‑Based Role for High School reputed company Seeking reputed company‑World Experience

Remote, USAFull-time

Remote Customer Service Representative; No Degree​/Entry Level ABC Legal

Remote, USAFull-time