Medical Certification Manager 2
Medical Certification Manager 2
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$ 7180 - 12920
1 Vacancy
Job Description
About this Job
The mission of the Louisiana Department of Health is to protect and promote health and to ensure access to medical preventive and rehabilitative services for all residents of the State of Louisiana.
Learn more about Louisiana Department of Health
The Office of Aging and Adult Services (OAAS) within the Louisiana Department of Health supports older adults and individuals with adult-onset disabilities through a range of Medicaid and non-Medicaid long-term care programs.
This critical role directs Medicaid long-term care admissions supervises staff and collaborates with healthcare partners to ensure smooth transitions for individuals with complex needs. Ideal for candidates with strong Medicaid knowledge leadership experience and a passion for improving long-term care services in Louisiana.
Minimum Qualifications
- A current Louisiana license in a health services field health regulation field or social services field plus six years of experience as a licensed practitioner in hospital or nursing home administration health services health regulation or social services; OR
A bachelors degree plus six years of experience in hospital or nursing home administration health services health regulation or social services; OR
A masters degree in a health services field health regulation field or a social services field plus five years of experience in hospital or nursing home administration health services health regulation or social services. Job Specification
The official job specifications for this role as defined by the State Civil Service can be found here.
Job Duties and Other Information
- Job Duties:
- Directs and oversees all statewide Nursing Facility Admissions (NFA) and continued stay processes ensuring compliance with PASRR and Medicaid regulations.
- Supervises NFA staff and collaborates with internal and external stakeholders to develop policies aligned with best practices and federal/state requirements.
- Builds and maintains relationships with facility administrators and healthcare professionals to support complex admissions and patient transitions.
- Provides expert guidance on medically complex cases and directs referrals when nursing facility care is not appropriate.
- Conducts reviews of interRAI assessments and contributes to technical assistance and training for Support Coordination Agencies.
- Serves on internal OAAS committees and panels offering clinical insight and programmatic recommendations.
- Leads disaster response coordination for nursing home admissions and oversees staff performance development and daily operations of the NFA Division.
An ideal candidate possesses the following:
Proven experience in managing hospital and nursing facility level-of-care processes including coordination of care and services for individuals navigating nursing facility admissions and/or Medicaid waiver programs.
In-depth knowledge of Medicaid Home and Community-Based Services (HCBS) waiver programs and related resources to support access to long-term services and supports.
Hands-on experience working with elderly individuals and/or those with adult-onset disabilities.
Solid understanding of federal and state regulations governing nursing facilities and HCBS programs.
Expertise in conducting Nursing Facility Level of Care (NFLOC) determinations with proficiency in using assessment tools such as the Minimum Data Set (MDS 3.0) and/or interRAI Home Care (iHC).
Position-Specific Details:Location: Office of Aging and Adult Services / Headquarters - AD PROGRAM OPERATIONS-SO / East Baton Rouge Parish
Appointment Type: Probationary Appointment
Cost Center:
Position Number(s):
LDH supports Louisianas commitment to being a State as a Model Employer (SAME) by promoting the recruitment hiring and retention of individuals with disabilities.
How To Apply: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.
* Information to support your eligibility for the position must be included in the application (i.e. relevant detailed experience/education). Resumes will not be accepted in lieu of completed education and experience sections. Applications may be rejected if incomplete.
Contact Information:
Debbie Parris-Thymes
LA Department of Health (LDH)
Division of Human Resources
PO Box 4818
Baton Rouge LA 70821
This organization participates in E-Verify and for more information on E-Verify please contact DHS at 1-.
Required Experience:
Manager
Employment Type
Unclear
