PASRR Nurse Consultant

Agency Dept of Health and Human Services Division HEALTH BENEFITS Job Classification Title Nurse Consultant II (NS) Position Number 60042699 Grade MH17 About Us The North Carolina Department of Health and Human Services (DHHS) is one of the largest, most complex agencies in the state, and has approximately 17,000 employees. It is responsible for ensuring the health, safety, and well-being of all North Carolinians, providing human service needs for special populations including individuals who are deaf, blind, developmentally disabled, and mentally ill, and helping poor North Carolinians achieve economic independence. Description of Work The position is responsible for maintaining an active role on the LTSS Team. The Nurse Consultant recommends changes in policy as practice patterns change and new programs and services are developed. It is responsible for the planning, implementation and updating of PASRR policy. The position is responsible for creating and performing audits to prevent program abuse, assessing and documenting the PASRR program. The Nurse Consultant is also responsible for assuring that quality control is maintained through review of diagnoses, related treatment, costs incurred; evaluation of invoices, monthly audits of vendor performance, and assurance of compliance with Federal and State standards. The responsibilities of this position directly affect the safety and well-being of Medicaid beneficiaries seeking admission to Medicaid certified nursing homes as well as the effective expenditure of public funds relating to this program. Knowledge Skills and Abilities/Management Preferences Salary Grade Range $66,696 - $110,049 Recruitment Range $66,696 - $ 81,612 **Position is eligible for a hybrid-teleworking schedule to include weekly onsite work hours** Candidates now meet the minimum qualifications of a position if they meet the minimum education and experience listed on the vacancy announcement. The Knowledge, Skills, and Abilities (KSAs)/ Management Preferences are not required. Applicants who possess the following skills are preferred: Licensed to practice as a Registered Nurse in the State of North Carolina and two years of clinical experience in the area of specialization. Proven ability in establishing and maintaining effective working relationships with internal and external stakeholders. Excellent oral and written communication skills. Demonstrated ability to understand and translate complex medical and regulatory requirements into practical, clear and unambiguous policies and procedures. Proficiency in Microsoft Office, including Outlook, Word, and Excel. Management Preferences Familiarity with relevant and current NC Medicaid operations Knowledge of Long-Term Care, Managed Care and Home and Community Based Services Familiarity with NCMUST Posting closes at 11:59 p.m. the night before the closing date Position is funded in part through federal funds About the NC Division of Health Benefits: The Division of Health Benefits (DHB) within NCDHHS is committed to advancing innovative solutions that improve health, promote well-being and foster independence for all North Carolinians. DHB manages and oversees North Carolina Medicaid and other programs that provide access to services and supports for parents, children, seniors, people with intellectual / developmental disabilities, and behavioral health, substance use and traumatic brain injury disorders. With a budget over $27 billion in state and federal funds per fiscal year, DHB ensures that more than 108,000 enrolled providers are reimbursed for delivering covered services to 3.1 million beneficiaries. Compensation & Benefits: The State of North Carolina offers excellent comprehensive benefits. Employees can participate in health insurance options, standard and supplemental retirement plans, and the NCFlex program (numerous high-quality, low-cost benefits on a pre-tax basis).  Employees also receive paid vacation, sick, and community service leave.  In addition, paid parental leave is available to eligible employees.   Visit website for  State Benefits Supplemental and Contact Information The North Carolina Department of Health and Human Services (DHHS) is an Equal Opportunity Employer that embraces an Employment First philosophy, which consists of complying with all federal laws, state laws, and Executive Orders.  We are committed to reviewing requests for reasonable accommodation at any time during the hiring process or while on the job.  For more information about DHHS:  https://www.ncdhhs.gov/ . DHHS uses the Merit-Based Recruitment and Selection Plan to fill positions subject to the State Human Resources Act with the most qualified individuals. Hiring salary will be based on relevant qualifications, internal equity, and budgetary considerations pertinent to the advertised position. In accordance with the Governor’s Executive Order 303 , our agency supports second-chance employment for individuals who were previously incarcerated or justice-involved.  We invite all potential applicants to apply for positions for which they may be qualified. Application Process Be sure to complete the application in its entirety.   Resumes will not be accepted in lieu of completing this application.   Information should be provided in the appropriate areas, to include the following: Education, including high school and all degrees obtained, Work Experience, and Certificates & Licenses. It is critical to our screening and salary determination process that applications contain comprehensive candidate information. Answers to Supplemental Questions are not a substitute for providing all relevant information within the body of your application. To receive credit for the supplemental questions, you must provide supporting information within the "Work Experience" section of the application to support your answers. If multiple applications are submitted to an i