drjobs Medical Services Reviewing Nurse II

Medical Services Reviewing Nurse II

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1 Vacancy
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Job Location drjobs

Baltimore County, MD - USA

Monthly Salary drjobs

Not Disclosed

drjobs

Salary Not Disclosed

Vacancy

1 Vacancy

Job Description

Introduction

GRADE

20

LOCATION OF POSITION

MDH Behavioral Health AdministrationLicensing Compliance Unit
55 Wade Avenue
Catonsville MD 21228

Main Purpose of Job

The purpose of this position is to ensure that behavioral health services are provided in accordance with the Behavioral Health Administrations regulations (COMAR 10.21 and 10.63 through announced/unannounced audits/surveys. Most of the audits may be conducted virtually or through requests for documentation.This position participates in the development and evaluation of statewide behavioral health services both public and private as well as interprets and applies state and federal regulation. This position requires familiarity with state licensing procedures and the ability to communicate program information to providers and the general public. This position is an integral part of the mission of the Behavioral Health Administration through regulatory enforcement and educational activities.The incumbent in this position not only collaborates regularly with staff within BHA as requested by the supervisor but also with representatives from a multiagency Committee including the CSA LAA LBHA ASO and OAG. This position will also collaborate with licensed providers.This position is eligible for hybrid telework which is subject to change as necessitated by operations and customerfocused demands.

MINIMUM QUALIFICATIONS

Education: A Bachelors degree in Nursing or a related field from an accredited college or university.

Experience: One year of experience reviewing medical services claims to ensure that the nature and quality of services are in accordance with State and federal regulations.

Notes:

1. Candidates may substitute two years of experience as a Registered Nursefor the required education.

2.Candidates may substitute U.S. Armed Forces military serviceexperience as a commissioned officer in Nursing classifications orNursing specialty codes in the Nursing field of work on a yearforyear basis for the required education.

DESIRED OR PREFERRED QUALIFICATIONS

The desired candidate should possess the following:
  • Experience with communication both orally and in writing.
  • Experience articulating clinical findings in easily understood terms.
  • Experience utilizing computers at the moderate level.

LICENSES REGISTRATIONS AND CERTIFICATIONS

1. Candidates for positions in this classification must possess a current license as a Registered Nurse from the Maryland State Board of Nursing 4140 Patterson Avenue Baltimore Maryland 21215 or possess a current multistate licensein party states that candidates have declared as primary states of residence.

2. Employees in this classification may be assigned duties which require the operation of a motor vehicle. Employees assigned such duties will be required to possess a motor vehicle operators license valid in the State of Maryland.

SELECTION PROCESS

Applicants who meet the minimum (and selective) qualifications will be included in further evaluation. The evaluation may be a rating of your application based on your education training and experience as they relate to the requirements of the position.Therefore it is essential that you provide complete and accurate information on your application.Please report all related education experience dates and hours of work.Clearly indicate your college degree and major on your application if applicable. For education obtained outside the U.S. any job offer will be contingent on the candidate providing an evaluation for equivalency by a foreign credential evaluation service prior to starting employment (and may be requested prior to interview).

Complete applications must be submitted by the closing date.Information submitted after this date will not be added.

Incorrect application forms will not be accepted.Resumes will not be accepted in lieu of a completed application.

Candidates may remain on thecertified eligible list for a period of at least one year. The resulting certified eligible list for this recruitment may be used for similar positions in this or other State agencies.

BENEFITS

FURTHER INSTRUCTIONS

Online applications are highly recommended. However if you are unable to apply onlinethe paper application (and supplemental questionnaire) may be submitted to MDH Recruitment and Selection Division 201 W. Preston St. Room 114B Baltimore MD 21201.Paper application materials must be received by 5 pm close of business on the closing date for the recruitment no postmarks will be accepted.

If additional information is required the preferred method is to upload. If you are unable to upload please fax the requested informationto.Only additional materials that are required will be accepted for this recruitment. All additional information must be received by the closing date and time.

For questions regarding this recruitment please contact theMDH Recruitment and Selection Division at.

If you are having difficulty with your user account or have general questions about the online application system please contact the MD Department of Budget and Management Recruitment and Examination Division ator.

Appropriate accommodations for individuals with disabilities are available upon request by calling: or MD TTY Relay Service.

We thank our Veterans for their service to our country.

People with disabilities and bilingual candidates are encouraged to apply.

As an equal opportunity employer Maryland is committed to recruitment retaining and promoting employees who are reflective of the States diversity.

Employment Type

Full-Time

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