Medical Certification Specialist 1-2

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　　Medical Certification Specialist 1-2

　　Salary

　　Depends on Qualifications

　　Location

　　Statewide, LA

　　Job Type

　　Classified

　　Job Number

　　OS/DRT/189312

　　Department

　　LDH-Office of Secretary

　　Opening Date

　　01/23/2024

　　Closing Date

　　1/30/2024 11:59 PM Central

　　Description

　　Benefits

　　Questions

　　Supplemental Information

　　This position is located within the Louisiana Department of Health / Office of the Secretary / Health Standards / Statewide - Region 1

　　Announcement Number: OS/DRT/189312

　　Cost Center: 3071040213

　　Position Number(s): 50367317

　　This vacancy is being announced as a Classified position and will be filled as a Probationary appointment.

　　Applicants who possess a Louisiana RN License are strongly encouraged to apply

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

　　LDH/OS/Health Standards Section has a Special Entrance Rate (SER)for employees that are in possession of a valid Louisiana registered nurse license to practice professional nursing, a multi-state license issued by a Nursing Licensure Compact (NLC/eNLC) state, or a licensed physician (Doctor of Medicine).

　　Medical Certification Specialist 1 - $2,924.80 bi-weekly

　　Medical Certification Specialist 2 - $3,129.60 bi-weekly

　　Job Description

　　60% Conducts surveys with certified surveyor/surveyors on approximately 35 different health care providers/suppliers that operate in the State. This is done to determine conformity with state and federal regulations relative to licensure and certification which requires a broad knowledge of all state and federal program requirements. Conducts a facility review relative to organization, policies, and procedures, administration and quality of services to determine the extent of compliance with the state licensure standards and Medicare and Medicaid regulations. Obtains information from review of records, personnel interviews, resident interviews, and personal observations relative to the delivery of healthcare services and relative to the aspects of the operation of the facility and compliance standards. Compiles information derived from surveys, prepares reports on results of the surveys; describes findings as related to established program procedures and processes; determines conclusions based upon facts obtained, and formulates reports of these findings to enable the program desks to determine whether licensure or certification should be granted, denied, or altered depending upon established laws and regulations. When necessary, testifies in legal hearings relative to survey findings. Performs all surveys in a professional manner at all times, adheres to all assigned mandates, follows directions as given by supervisor, and assures accurate completion of duties in accordance with established state and federal guidelines and timelines. Participates in an ongoing quality assurance program to ensure program integrity.

　　40% Conducts special investigations with certified surveyor/surveyors in response to complaints and prepares reports of findings. Interprets state and federal regulations to providers/suppliers as needed. Cooperates with administrators of facilities and professional groups in the preparation and presentation of education programs for healthcare providers and staff. Participates in an ongoing quality assurance program to ensure program integrity.

　　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:

　　Deanda Thymes

　　[email protected]

　　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.

　　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

　　Do you possess a valid Louisiana license or temporary permit to practice professional nursing or a multi-state license issued by a Nursing Licensure Compact (NLC/eNLC)?

　　Yes

　　No

　　02

　　If you answered 'YES' to the question above, please list the license TYPE, NUMBER, ORIGINAL ISSUE DATE and EXPIRATION DATE. If you answered no, enter N/A.

　　03

　　Do you possess a current intern's permit from the Louisiana Board of Pharmacy OR a current Louisiana license to practice pharmacy?

　　Yes

　　No

　　04

　　If you answered 'YES' to the question above, please list the license TYPE, the issuing STATE, license NUMBER and the EXPIRATION date. If you answered no, please type N/A.

　　05

　　Do you possess a current Louisiana Occupational Therapist permanent license issued by the Louisiana State Board of Medical Examiners?

　　Yes

　　No

　　06

　　If you answered yes to the previous question, please list your license number, original issue date and expiration date. If you answered no, indicate "NA".

　　07

　　Do you possess a current Clinical Laboratory Scientist--Generalist or Specialist license issued by the Louisiana State Board of Medical Examiners as required by law based upon the duties of the position?

　　Yes

　　No

　　08

　　If you answered 'YES' to the question above, please list the license TYPE, the issuing STATE, and the EXPIRATION date.

　　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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