Medical Facilities Inspector
Medical Facilities Inspector
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Job Description
Title: Medical Facilities Inspector
State Role Title:Health Care Compliance Spec II
Hiring Range: $60788 - $89478
Pay Band: 5
Agency: Dept of Med Assistance Svcs
Location:Dept of Medical Asst Services
Agency Website:
Recruitment Type: General Public - G
Job Duties
The Department of Medical Assistance Services (DMAS) is excited to offer a competitive opportunity to serve as the Medical Facilities Inspector in the Program Operations Division.
Job responsibilities will include but are not limited to:
Independently reviews process and provide analysis of Involuntary Temporary Detention Order (TDO) and Emergency Custody Order (ECO) admissions/duration to ensure they do not exceed the the period authorized in Virginia Code 37.1-67.1 16.1-340 Subdivision A2 of 19.2-169.6 Subdivision A2 of 19.2 - 176 19.2 - 177.1 pr 19.2 - 182.9 of the State Plan of Virginia.
Make determinations for reimbursement by the interpretation of services provided to ensure coverage is related to the TDO/ECO for psychiatric evaluation and treatment or cause of injury resulting from mental illness.
Review and make Medical Assistance Program (MAP) Adjustment determinations for nursing facility residents
Located in beautiful Central Virginia the Richmond area puts you just 2 hours from the Blue Ridge Mountains Virginia Beach and Washington DC. To learn more about the Richmond VA area visit:
The Department of Medical Assistance Services (DMAS) is working to improve the health and well-being of Virginians through access to high quality health care coverage.
DMAS wants talented individuals who can align their experience with the mission of the agency and its core values service collaboration trust problem solving and adaptability.
At the Department of Medical Assistance Services (DMAS) we encourage and promote that you Come as you are Become who you want to be That is our promise.
Minimum Qualifications
Competitive candidates will meet these minimum qualifications:
Knowledge of medical terminology durable medical equipment and medical claims.
Knowledge of a medical claim system and the adjudication process for payment.
Experience establishing guidelines policies and procedures for the review and/or interpretation of medical records.
Knowledge/Experience providing support or the development of agency/company programs or initiatives.
Knowledge of personal computers including word processing creating letters and spreadsheets to track data.
Knowledge/Experience with interpretation and application of federal and state regulations.
Experience meeting deadlines.
Experience with internal/external stakeholders.
Additional Considerations
Competitive candidates will meet these additional considerations:
Experience with DMAS Medicaid Enterprise System - Medical Management Information System (MES-MMIS).
Experience with Medicaid Eligibility determination process.
Special Instructions
You will be provided a confirmation of receipt when your application and/or rsum is submitted successfully. Please refer to Your Application in your account to check the status of your application for this position.
The Virginia Department of Medical Assistance Services (DMAS) does not offer employment-based Sponsorship. Selected candidates will have their work authorization completed using the EVerify Program.
The Department of Medical Assistance Services (DMAS) is an Executive Branch agency that will adhere to all policies and procedures to include the Commonwealths Department of Human Resource Management Policy 1.61 Teleworking.
This position requires a fingerprint based Criminal History Background Check Education Checks if applicable Work History Verification with references.
If you wish to apply for a job with the Department of Medical Assistance Services an application and/or resume for employment must be submitted electronically through this website. Mailed faxed emailed or hand-delivered applications/resumes will not be accepted. Consideration for an interview is based solely on the relevant information presented in the state application and/or resume submitted before the closing date.
Applications and/or resumes should include relevant work history which indicates your qualifications for this position.
The Department of Medical Assistance Services practices fair and equal employment opportunity to all employees and applicants in accordance with applicable laws and regulations. It is our policy to prohibit discrimination on the basis of race sex color national origin religion sexual orientation gender identity age veteran status political affiliation genetics or disability in the recruitment selection and hiring of its workforce.
In support of the Commonwealths commitment to inclusion we are encouraging individuals with disabilities to apply through the Commonwealths Alternative Hiring Process. To be considered for this opportunity applicants will need to provide their AHP Letter (formerly called a Certificate of Disability) provided by the Department for Aging & Rehabilitative Services (DARS) or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans may also apply via the AHP if they also provide an AHP Letter. To request an AHP Letter use this link: or call DARS at or DBVI at
The Department of Medical Assistance Services is a V3 certified state agency that provides hiring preference to veterans and members of the reserves and/or National Guard in support of executive order 29 (2010). If you are a Veteran or Spouse of a Veteran or Active Military Member DMAS encourages you to apply and respond accordingly on your state application.
Contact Information
Name: DMAS Talent Acquisition
Phone:
Email:
In support of the Commonwealths commitment to inclusion we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS) or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans are encouraged to answer Veteran status questions and submit their disability documentation if applicable to DARS/DBVI to get their AHP Letter. Requesting an AHP Letter can be found at AHP Letter or by calling DARS at .
Note: Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1 2022- February 29 2024 can still use that COD as applicable documentation for the Alternative Hiring Process.
Employment Type
Full-Time
