Medical Certification Specialist 1 -2

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Medical Certification Specialist 1 -2

Salary

$5,119.00 - $9,211.00 Monthly

Location

Baton Rouge, LA

Job Type

Classified

Job Number

OAAS/DPT/194151

Department

LDH-Office of Aging & Adult Services

Opening Date

05/01/2024

Closing Date

5/14/2024 11:59 PM Central

• Description

• Benefits

• Questions

Supplemental Information

The Louisiana Department of Health is dedicated to fulfilling its mission through direct provision of quality services, the development and stimulation of services of others, and the utilization of available resources in the most effective manner.

LDH serves as a model employer for individuals with disabilities.

This position is located within the Louisiana Department of Health / Office of Aging and Adult Services / Headquarters / East Baton Rouge Parish

Announcement Number: OAAS/DPT/194151

Cost Center: 3201022002

Position Number(s): 50383519

This vacancy is being announced as a Classified position and may be filled as a Probationary or Promotional appointment.

No Civil Service test scoreis required in order to be considered for this vacancy.

NOTE:

Current permanent status classified State Employees may be required to serve a new probationary period in lieu of promotion, if selected.

The maximum amount listed for this job title is the maximum salary a person can make as they gain experience in the position. It isnot the maximum amount that we are allowed to pay a new hire.

Please note: The standard schedule for this position will be 5 days per week in the domicile office except for periodic travel to other regions of the state.A hybrid or fully remote may be an option after an initial review period.

As part of a Career Progression Group, vacancies may be filled from this recruitment as a Medical Certification Specialist 1 or 2 depending on the level of experience of the selected applicant(s). The maximum salary for the Medical Certification Specialist 2 is $118,269.

Please refer to the 'Job Specifications' tab located at the top of the LA Careers 'Current Job Opportunities' page of the Civil Service website for specific information on salary ranges, minimum qualifications and job concepts for each level.

To apply for this vacancy, click on the “Apply” link above and complete an electronic application, which can be used for this vacancy as well as future job opportunities. Applicants are responsible for checking the status of their application to determine where they are in the recruitment process. Further status message information is located under the Information section of the Current Job Opportunities page.

Resumes WILL NOT be accepted in lieu of completed education and experience sections on your application. Applications may be rejected if incomplete.

A resume upload willNOTpopulate your information into your application. Work experience left off your electronic application or only included in an attached resume is not eligible to receive credit

For further information about this vacancy contact:

Debbie Parris-Thymes

Debbie.Parris-Thymes2@la.gov

LDH/HUMAN RESOURCES

BATON ROUGE, LA 70821

225 342-6477

This organization participates in E-verify, and for more information on E-verify, please contact DHS at 1-888-464-4218.

Minimum Qualifications

MINIMUM QUALIFICATIONS:

A baccalaureate degree plus two years of professional level experience in hospital or nursing home administration, public health administration, social services, nursing, pharmacy, dietetics/nutrition, physical therapy, occupational therapy, medical technology, or surveying and/or assessing health or social service programs or facilities for compliance with state and federal regulations.

SUBSTITUTIONS:

A current valid Louisiana license in one of the qualifying fields will substitute for the required baccalaureate degree.

A master's degree in hospital administration, nursing home administration, public health administration, social work, nursing, pharmacy, dietetics, nutrition, physical therapy, occupational therapy, or medical technology will substitute for a maximum of one year of the required experience.

NOTE:

Any college hours or degree must be from an accredited college or university.

NOTE:

A current valid Louisiana license in an individual field may be required for some positions.

Job Concepts

FUNCTION OF WORK:

To conduct surveys and/or assessments to verify that the services provided to individuals by providers, facilities, waivers, and/or long term care programs are in compliance with federal certification, state regulations, and established state standards.

LEVEL OF WORK:

Experienced.

SUPERVISION RECEIVED:

Broad review from Medical Certification Supervisor or other higher level agency administrator.

SUPERVISION EXERCISED:

None.

LOCATION OF WORK:

Department of Health and Hospitals.

JOB DISTINCTIONS:

Differs from Medical Certification Specialist 2 by the absence of Centers for Medicare and Medicaid Services certification and by the level of independence exercised in carrying out work responsibilities.

Examples of Work

EXAMPLES LISTED BELOW ARE BRIEF SAMPLES OF COMMON DUTIES ASSOCIATED WITH THIS JOB TITLE. PLEASE NOTE THAT NOT ALL TASKS ARE INCLUDED.

Conducts surveys of health and social services programs, facilities, and providers that are state licensed and/or certified for state and federal programs.

Conducts assessments to ensure receipt of quality services by contracted providers.

Studies the facility or other Medicaid enrolled provider relative to quality of medical services to determine the extent of compliance with state/federal regulations, state licensing, or established state standards.

Obtains information from review of records, staff interviews, resident interviews, personal observations relative to the operation of the medical facility, compliance standards, and quality of medical care provided.

Evaluates equipment and environmental factors of the facility for compliance with federal and state regulations.

Compiles information derived from surveys or paid Medicaid claims data and reports findings to recommend whether licensure and/or certification should be granted, denied, deferred, continued, or a change in Medicaid reimbursement is warranted.

Conducts special investigations in response to complaints and prepares report findings.

Certifies individuals as medically eligible to receive waiver services.

Creates and monitors a continuous quality improvement process.

Approves waiver recipients' comprehensive plan of care and annually evaluates the overall effectiveness of waiver recipients' comprehensive plan of care. Ensures that personal outcomes resulting from the receipt of waiver services are reflective of the person-centered goals identified in their comprehensive plan of care.

Conducts quality assurance of case management agencies and service providers relative to organization, policies and procedures, administration, qualifications of staff and quality of services to determine the extent of compliance with Medicaid regulations and waiver recipients comprehensive plan of care.

Evaluates the appropriateness and the quality of medical care based on personal observations, interviews, and/or established state performance standards.

Receives, reviews, and determines appropriateness of recipient appeals of denied services. Gathers factual information and prepares summary of evidence. Presents testimony before Administrative Law Judge.

Louisiana State Government represents a wide variety of career options and offers an outstanding opportunity tomake a differencethrough public service. With an array of career opportunities in every major metropolitan center and in many rural areas, state employment provides an outstanding option to begin or continue your career.

As a state employee, you will earn competitive pay, choose from a variety of benefits, and have access to a great professional development program:

Insurance Coverage More information can be found at https://info.groupbenefits.org/

Parental Leave– Up to six weeks paid parental leave

More information can be found athttps://www.civilservice.louisiana.gov/Parental-Leave/Default.aspx

Holidays and Leave – State employees receive the following paid holidays each year:

• New Year's Day

• Martin Luther King, Jr. Day,

• Mardi Gras,

• Good Friday,

• Memorial Day,

• Independence Day,

• Labor Day,

• Veteran's Day,

• Thanksgiving Day and Christmas Day.

* Additional holidays may be proclaimed by the Governor

State employees earn sick and annual leave which can be accumulated and saved for future use. Your accrual rate increases as your years of service increase.

Retirement – State of Louisiana employees are eligible to participate in various retirement systems (based on the type of appointment and agency for which an employee works). These retirement systems provide retirement allowances and other benefits for state officers and employees and their beneficiaries. State retirement systems may include (but are not limited to):

• Louisiana State Employees Retirement System (www.lasersonline.org). LASERS has provided this video (https://lasersonline.org/wp-content/uploads/2016/07/Your_Retirement_System.mp4) to give you more detailed information about their system

• Teacher's Retirement System of Louisiana (www.trsl.org),

• Louisiana School Employees Retirement System (www.lsers.net), among others

  01

  Are you able to travel on state business? (i.e. Do you have a valid driver's license, minimum liability coverage on your vehicle, as required by Louisiana law, and no major moving violations in the past 12 months?)

• Yes

• No

  02

  Are you proficient in Microsoft Office Software?

• Yes

• No

  Required Question

Agency

State of Louisiana

Address

For agency contact information, please refer to

the supplemental information above.

Louisiana State Civil Service, Louisiana, 70802

Phone

(866) 783-5462

Website

http://agency.governmentjobs.com/louisiana/default.cfm

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