MEDICAL CERTIFICATION SPECIALIST 2
Location: Hammond, Louisiana
Description: Louisiana Department of State Civil Service is employing MEDICAL CERTIFICATION SPECIALIST 2 right now, this vacancy will be delegated in Louisiana. More details about this vacancy opportunity please give attention to these descriptions. MINIMUM QUALIFICATIONS: A baccalaureate degree plus four years of professional level experience in hospital or nursing home administration, p! ublic 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 licen! se in an individual field may be required for some positions. NECESSARY SPECIAL REQUIREMENT: FOR HEALTH STANDARDS SECTION JOBS ONLY In accordance with Federal regulations at 488.314, a candidate must have completed a required training course and passed a Surveyor Minimum Qualification test or equivalent administered by the federal government through the Health Care Financing Administration at the time of appointment.
This position is located at Developmental Disabilities in Hammond. No Civil Service test score is required in order to be considered for this vacancy. Preference may be given to applicants who possess a working knowledge of the Developmental Disability Program. 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 outside of FPHSA will be asked to serve a probationary period of not less than 12 months and not more than 24. ! 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. Applicants are strongly encouraged to ! apply for this position online. Those wishing to submit a paper applica! tion may mail their application to Florida Parishes Human Services Authority (see mailing address). Paper applications may be downloaded from the Civil Service Website by clicking here . Mailing address:
Florida Parishes Human Services Authority
Attn: Gloria Robertson HR Analyst C Human Resources
11236 Hwy 16
Amite, LA 70422 Additional information may be obtained by contacting the Human Resources Office during the hours of 8 am â€" 4:00pm, Monday through Friday at 985-748-2220.
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: Advanced. SUPERVISION RECEIVED: Broad direction from Medical Certification Supervisor or other higher level agency administrator. SUPERVISION EXERCISED: N! one. LOCATION OF WORK: Department of Health and Hospitals. JOB DISTINCTIONS: Differs from Medical Certification Specialist 1 by the possession of the Centers for Medicare and Medicaid Services certification and by the level of independence exercised in carrying out work responsibilities. Differs from Medical Certification Supervisor by the absence of supervisory 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 enrolled providers relative to quality of medical services to determine the extent of compliance with state/federal regulations, state licensing, or established st! ate standards. Obtains information from review of records, staff interv! iews, 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 a 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. Evaluates the appropriateness and the quality of medical care based on personal observations, resident interviews, or established state performance standards.
Presents survey findings to staff and/or governing bodies of facilities. Conducts special investigations in response to complaints and reports findings. Certify individuals as medically eligible to receive waiver services. Creates and monitors a continuous quality improvement process. Approves waiver recipien! t comprehensive plan of care and annually evaluates the overall effectiveness of waiver recipient 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. 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 vacancy, please give us your resume, with salary requirements and a resume to Louisiana Department of State Civil Service.
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This vacancy starts available on: Tue, 16 Apr 2013 18:30:23 GMT
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