Medical Certification Specialist 2

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Medical Certification Specialist 2

Salary

$5,477.00 - $9,856.00 Monthly

Location

Baton Rouge, LA

Job Type

Classified

Job Number

OS/DRT/200210

Department

LDH-Office of Secretary

Opening Date

09/19/2024

Closing Date

9/24/2024 11:59 PM Central

• Description

• Benefits

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 the Secretary / Health Standards / East Baton Rouge

Announcement Number: OS/DRT/200210

Cost Center: 3071040205

Position Number(s): 50554557

This vacancy is being announced as a classified position and will be filled as a part-time WAE appointment.

Please note Part-time WAE appointments are temporary and may last up to 12 months. Employees can only work a total of 1,245 hours within a 12 month period.

Preference given to applicants with an LA Registered Nurse Licensure.

No Civil Service test scoreis 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. 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

Deanda.Thymes@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 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 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.

NECESSARY SPECIAL REQUIREMENT:

FOR HEALTH STANDARDS SECTION JOBS ONLY

Federal regulations may mandate additional requirements prior to appointment.

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:

None.

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.

Incumbent is located in the LDH/OS/Health Standards Section. This section is responsible for the licensing and certification of all healthcare programs located in the state. HSS currently licenses/certifies over 35 different healthcare provider types including over 8500 entities. These investigators require intense training and specialized certifications to achieve and maintain proficiency in determining compliance with the thousands of regulations that are inclusive of these programs. This compliance is required to ensure the health, safety and welfare of all citizens of this State who receive services in these licensed/certified healthcare facilities. The incumbent must have the knowledge, skills, abilities and training in the appropriate healthcare areas to ensure applicable standards of appropriate care are being followed. This requires a high level of critical thinking skills, autonomy and decision making skills in addition to intense investigation skills to determine regulatory compliance. The ever changing world of regulatory compliance requires that this incumbent be extremely dynamic with changing processes and a quick study to learn and apply these changing processes and interpretations. Failure to perform the duties in this position could adversely affect health related service delivery in the State and could result in millions of dollars in federal disallowance to the state and the interruption of health delivery to hundreds of thousands of consumers.

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.

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

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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