Medical Certification Manager 1
Medical Certification Manager 1
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$ 6710 - 12074
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
OAAS within the Louisiana Department of Health leads long-term care programs for older adults and individuals with adult-onset disabilities. OAAS is dedicated to providing quality choice-driven services through Medicaid programs and state-operated facilities. Its staff supports program operations contract management and compliance to ensure effective care across the state.
The Office of Aging and Adult Services (OAAS) is seeking a Regional Office Manager in Baton Rouge to oversee long-term care programs for older adults and individuals with adult-onset disabilities. This role ensures effective program delivery through staff supervision fieldwork and compliance with Medicaid policies. If you have strong leadership problem-solving skills and a passion for improving community-based care apply today!
Minimum Qualifications
- A current Louisiana license in a health services field health regulation field or social services field plus five 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 five 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 four 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:
Oversee case reviews denial/discharge notices and critical incident reports to ensure compliance with policies and timelines.
Supervise and support staff including hiring performance evaluations training and task assignments.
Coordinate field activities such as home visits monitoring level of care reviews and appeal preparations.
Provide technical assistance to providers and support coordination agencies while resolving participant concerns.
Track waiver timelines to ensure timely service delivery and maintain quality of care standards.
Manage daily regional office operations including supplies property issues and emergency preparedness.
Represent OAAS in meetings with internal teams external partners and during emergency response events.
An ideal candidate will possess:
- Experience with level of care processes specifically utilizing the Minimum Data Set (MDS 3.0) and the interRAI Home Care (iHC) assessment tools and the coordination of care and services to those navigating Medicaid waiver service programs.
- Comprehensive knowledge of Medicaid Home and Community Based Service (HCBS) waiver programs and other resources to facilitate access to long-term support and service programs.
- Experience working with older adults and/or people with adult-onset disabilities.
- Knowledge of federal and state Medicaid and HCBS rules and regulations.
- Proficiency in Microsoft Office Suite (Word Excel Power Point etc.) Microsoft SharePoint and familiarity with Medicaids LaMEDS.
Position-Specific Details:Location: Office of Aging and Adult Services /OAAS - Headquarters - AD PROGRAM OPERATIONS-RO2/ 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
