MaineCare Quality Review Nurse
MaineCare Quality Review Nurse
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Job Description
Department ofHealth and Human Services (DHHS)
Health Services Consultant
Opening Date: May 2 2025
Closing Date: May 15 2025
Job Class Code: 4381
Grade:22
Salary:$55702.40 $75920.00 per year
Position Number:0
Location: Augusta
This position requires extensive travel from Bangor North to Fort Kent and East to Machias & Calais
Do you excel in training others
Do you want to use your RN licensure and training in a setting that does not require direct patient care supervisory duties or shift work
Are you looking for a job with flexibility around scheduling work hours
If you answered yes and you are licensed as a Registered Professional Nurse in the State of Maine as issued by the State board of Nursing and you have three (3) years of progressively responsible experience in the field of nursing and/or in the delivery of health care services Apply today!
Core Responsibilities:
As a Health Services Consultant you will conduct onsite reviews in nursing residential care and adult family care home facilities and perform retrospective audits of the Minimum Data Set (MDS) assessments to ensure a facility receives the correct rate of reimbursement. You will also provide training on the completion of the MDS case mix purpose and documentation requirements for each type of facility.
This position is assigned a Stateowned and maintained vehicle so there is no additional wear and tear to your personal vehicle for work purposes.
Minimum Qualifications:
Registered Nurse and three (3) years of progressively responsible experience in the field of nursing and/or in the delivery of health care services.
LICENSING/REGISTRATION/CERTIFICATION REQUIREMENTS: (This must be met by all employees prior to attaining permanent status in this class)
Licensed as a Registered Professional Nurse in the State of Maine as issued by the State Board of Nursing.
Thinking about applying
Research shows that people from historically excluded communities tend to apply to jobs only when they check every box in the posting. If youre currently reading this and hesitating to apply for that reason we encourage you to go for it! Let us know how your lived experience and passion set you apart.
Agency information:
The Department of Health and Human Services (DHHS) is dedicated to promoting health safety resilience and opportunity for Maine people. The Department provides health and social services to approximately a third of the States population including children families older Mainers and individuals with disabilities mental illness and substance use disorders. The Department also promotes public health operates two state psychiatric hospitals and provides oversight to health care providers.
The Office of MaineCare Services (OMS) within DHHS administers and coordinates several major health care financing programs for Maines citizens including MaineCare and Maine Rx Plus. This position is in the Case Mix and Classification Unit in the Office of Maine Care Services in Augusta and will travel extensively throughout Northern Maine.
Application Information:
For additional information concerning this position please contact Sue Pinette Asst. Director Division Medicaid/Medicare Services at (207)or by email at
To apply please upload a resume or CV on or before the closing date.
Please submit all documents or files in PDF format.
To request a paper application please contact
Benefits of working for the State of Maine:
No matter where you work across Maine state government you find employees who embody our state mottoDirigo or I leadas they provide essential services to Mainers every day. We believe in supporting our workforces health and wellbeing with a valuable total compensation package including:
- WorkLife Fit Rest is essential. Take time for yourself using 13 paid holidays 12 days of sick leave and 3 weeks of vacation leave annually. Vacation leave accrual increases with years of service and overtimeexempt employees receive personal leave.
- Health Insurance Coverage The State of Maine pays 85%95% of employeeonly premiums ($11196.96 $12514.32 annual value) depending on salary. Use this chart to find the premium costs for you and your family including the percentage of dependent coverage paid by the State.
- Dental Insurance The State of Maine pays 100% of employeeonly dental premiums ($387.92 annual value).
- Retirement Plan The State contributes the equivalent of 13.29% of the employees pay towards the Maine Public Employees Retirement System (MainePERS).
Parental leave is one of the most important benefits for any working parent. All employees who are welcoming a childincluding fathers and adoptive parentsreceive six weeks of fully paid parental leave. Additional unpaid leave may also be available under the Family and Medical Leave Act.
State employees are eligible for anextensive and highly competitive benefits package covering many aspects of wellness. Learn about additional wellness benefits for State employees from the Office of Employee Health and Wellness.
Note: Benefits may vary somewhat according to specific collective bargaining agreements and are prorated foranything less than fulltime.
Theres a job and then theres purposeful transformative work. Our aim is to create a workplace where you can learn grow and continuously refine your skills. Applicants demonstrate job requirements in differing ways and we appreciate that many skills and backgrounds can make people successful in this role.
As an Equal Opportunity employer Maine State Government embraces a culture of respect and awareness. We are committed to creating a strong sense of belonging for all team members and our process ensures an inclusive environment to applicants of all backgrounds including diverse race color sex sexual orientation or gender identity physical or mental disability religion age ancestry national origin familial status or genetics.
If youre looking for a great next step and want to feel good about what you do wed love to hear from you. Please note reasonable accommodations are provided to qualified individuals with disabilities upon request.
Employment Type
Full-Time
