MEDICAL CERTIFICATION SPECIALIST 2

MEDICAL CERTIFICATION SPECIALIST 2 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4678882) Apply  MEDICAL CERTIFICATION SPECIALIST 2 Salary $5,477.00 - $9,856.00 Monthly Location Alexandria, LA Job Type Classified Job Number 200725 Department LDH- Central Louisiana Human Services District Opening Date 10/02/2024 Closing Date 10/7/2024 11:59 PM Central Description Benefits Questions Supplemental Information CENTRAL LOUISIANA HUMAN SERVICES DISTRICT CLHSD oversees delivery of mental health, substance use and intellectual and developmental disability services in our 8 parish area: Avoyelles, Catahoula, Concordia, Grant, LaSalle, Rapides, Vernon and Winn. This position is located at our main I & DD Waivers Department in Rapides Parish. This position may be filled byProbation, Promotion, Demotion, or Lateral Transfer. J ob # 200725 / Position #50666131 Selected Preferred Competencies: Accepting Direction:The ability to accept and follow directions from those higher in the chain of command. Acting Decisively:The ability to make decisions quickly and effectively. Communicating Effectively:The ability to relay information correctly and appropriately to connect people and ideas. Demonstrating Initiative:The ability to assess information and take action independently to help the organization achieve its goals. Focusing on Customers:The ability to serve the needs of those who support and/or rely on the services provided. Learning Actively:The ability to acquire necessary knowledge and skills to improve performance and achieve organizational goals. Managing Stakeholders:The ability to identify and to respond to the sometimes competing perspectives, agendas, and expectations of different parties. Managing Time:The ability to control your time to increase effectiveness, efficiency, or productivity. Thinking Critically:The ability to objectively question, analyze, interpret, and evaluate information to form a conclusion. Using Data:The ability to use relevant and valid data to inform a recommendation for action. Youmust include all relevant education and experience on your official State application. You must describe your actual duties as you will not be qualified based on job title alone. Resume upload will NOT automatically fill out your application** Work experience left off your electronic application or only included in an attached resume is not eligible to receive credit. All prospective new hires are required to pass a drug screening and a criminal background check. All prospective new hires will be subjected to employment eligibility verification via the federal government's E-Verify system. 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. 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. For further information about this vacancy contact: Shawanda Gordon CLHSD / Human Resources Specialist P. O. Box 7118, Alexandria, LA 71306-0118 [email protected] 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. 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 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 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 recipient 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. 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 ADi: Rate your ability to accept direction based on our definition: The ability to accept and follow directions from those higher in the chain of command. 1= I have no experience and/or am uncomfortable accepting direction 2= I have limited experience or require assistance to accept direction 3= I can accept direction 4= I can accept directions and help others improve their ability to accept direction 02 ADi: Explain your rating by providing specific and relevant examples in the box below. 03 CE: Rate your ability to communicate effectively based on our definition: The ability to relay information correctly and appropriately to connect people and ideas. 1= I have no experience and/or am uncomfortable communicating effectively 2= I have limited experience or require assistance to communicate effectively 3= I can communicate effectively 4= I can communicate effectively and help others improve their communication 04 CE: Explain your rating by providing specific and relevant examples in the box below. 05 LA: Rate your ability to learn actively based on our definition: The ability to acquire necessary knowledge and skills to improve performance and achieve organizational goals. 1= I have no experience and/or am uncomfortable learning actively 2= I have limited experience or require assistance to learn actively 3= I can learn actively 4= I can learn actively and help others improve their ability to learn actively 06 LA: Explain your rating by providing specific and relevant examples in the box below. 07 MT: Rate your ability to manage time based on our definition: The ability to control your time to increase effectiveness, efficiency, or productivity. 1= I have no experience and/or am uncomfortable managing time. 2= I have limited experience or require assistance to manage time 3= I can manage time 4= I can manage time and help others improve their ability to manage time 08 MT: Explain your rating by providing specific and relevant examples in the box below. 09 UD: Rate your ability to use data based on our definition: The ability to use relevant and valid data to inform a recommendation for action. 1= I have no experience and/or am uncomfortable using data 2= I have limited experience or require assistance to use data 3= I can use data 4= I can use data and help others improve their ability to use data 10 UD: Explain your rating by providing specific and relevant examples in the box below. 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 Apply Please verify your email addressVerify Email