Medical Certification Specialist 1-2

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

Join the Program Operations Division at the Office of Aging and Adult Services (OAAS) and play a key role in strengthening Louisianas Home and Community-Based Services. This dynamic position supports critical long-term care programsincluding Community Choices Waiver Adult Day Health Care PACE and Nursing Facility servicesby monitoring operations ensuring Medicaid compliance and promoting high-quality person-centered care. Based in one of OAASs regional offices with opportunities for statewide collaboration this role is ideal for professionals who thrive in the field enjoy problem-solving and are passionate about improving access quality and outcomes for vulnerable populations across Louisiana.

• Ensures waiver eligibility by issuing timely waiver denial and discharge notices with appeal rights preparing Summary of Evidence packets and representing the Department in waiver appeal hearings before the Division of Administrative Law.
• Conducts annual and ongoing monitoring of Support Coordination Agencies and a representative sample of participants through on-site in-home interview record and data reviews using established monitoring tools.
• Analyzes scores and documents monitoring findings determines required remediation and severity and reviews approves and provides feedback on corrective action plans to ensure effective implementation.
• Recommends termination of Support Coordination Agency performance agreements when warranted and collaborates with Research and Quality staff to improve monitoring processes.
• Performs on-site nursing facility level of care determinations to evaluate admissions and continued stays ensuring individuals meet nursing facility criteria and exploring appropriate alternatives.
• Serves as the Local Contact Agency for Section Q referrals and the My Choice Louisiana initiative by connecting nursing facility residents to HCBS and community resources and supporting transitions to community-based settings when appropriate.

Location: Office of Aging and Adult Services / Headquarters - AD PROGRAM OPERATIONS-RO6 / Rapides

Appointment Type:This position may be filled as aProbationary appointment

Career Progression: This position may be filled as a Medical CertificationSpecialist 1 or 2 determined by the qualifications of the candidate selected. This position provides the opportunity to advance within this job series.

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-.

LDH supports Louisianas commitment to being a State as a Model Employer (SAME) by promoting the recruitment hiring and retention of individuals with disabilities.

Information on the Louisiana Works Louisiana Rehabilitation Services is availablehere.