MEDICAL CERTIFICATION SPECIALIST 1
Location: Lafayette, Louisiana
Description: Louisiana Department of State Civil Service is employing MEDICAL CERTIFICATION SPECIALIST 1 right now, this job will be presented in Louisiana. For complete informations about this job opportunity kindly see the descriptions. MINIMUM QUALIFICATIONS: A baccalaureate degree plus three 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 one of the qualifying fields will substitute for a maximum of one year of the required experience. ACCREDITATION NOTE: Any college hours or degree must be from a school accredited by one of the following regional accrediting bodies: the Middle States Association of Colleges and Schools; the New England Association of Schools and Colleges; the North Central Association of Colleges and Schools; the Northwest Commission on Colleges and Universities; the Southern Association of Colleges and Schools; the Western Association of Schools and Colleges. NOTE: Selective certification and/or a current valid Louisiana license in an individual field may be required for some positions.
This vacancy may be filled either as a new hire; or a probational appointment; or by the promotion of a permanent state employee within the State of Louisiana.
This position is located in the cost center of Office of the Secretary- Health Standards , Lafayette Parish, (307-8141), pos#:147817.
**Preferred experience: Hiring RNs only.
This vacancy may be filled from this recruitment as a Medical Certification Specialist 1 or 2 depending on the level of experience of the selected applicant. The maximum salary for the Medical Certification Specialist 2 is $86,382. Please refer to the "Job Specifications" tab located at the top of the LA Careers "Current Job Opportunities page" for specific information on salary ranges, minimum qualification requirements and job concepts for each level. No Civil Service test score is required in order to be considered for this vacancy. 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. Ø You are strongly encouraged to apply for this posting using your online application. It is recommended that you apply for all of the job titles that you are interested in. Ø Specific information about this job will be provided to you in the interview process, should you be selected. However, there is no guaranteed that everybody that applies to this posting will be interviewed. Ø Your application status can be checked online. If your status reads that you have been place on the eligibles list, that means that your application has been forwarded to the hiring supervisor. Ø Keep in mind that the hiring supervisor has 90 days from the closing date of the announcement to make a hire.
Applicants can check the status of their application at any time by selecting the 'Application Status' link after logging into their account. Below are the most common status messages and their meanings. Application Status Message What it Means Application received Your application has been submitted successfully. Checking for required test score We are making sure you have an active, passing score for the required written test. Evaluating experience Your application is being reviewed by Human Resources to ensure you meet the minimum qualifications for the position. Eligible for consideration You are among a group of applicants who MAY be selected for the position. Referred to hiring manager for review Your application has been delivered to the hiring manager. You may or may not be called for an interview. Position filled Someone has been selected for the position. Position cancelled The agency has decided not to fill the position. Resumes will not be accepted in lieu of job experience on job application. For further information, that has not been stated above, about this vacancy contact: Stephanie Gilmore: stephanie.gilmore@la.gov **This organization participates in E-Verify and for more information on E-Verify, please contact DHS@ 1-888-464-4218.
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.
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If you were eligible to this job, please deliver us your resume, with salary requirements and a resume to Louisiana Department of State Civil Service.
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This job will be opened on: Fri, 20 Jul 2012 17:43:30 GMT
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