Nurse Program Consultant

State Of Maryland

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profile Job Location:

Baltimore, MD - USA

profile Monthly Salary: Not Disclosed
Posted on: 3 hours ago
Vacancies: 1 Vacancy

Job Summary

GRADE

22

LOCATION OF POSITION

MDH - Division of Legal Services
201 W. Preston Street
Baltimore MD 21201

Main Purpose of Job

The Nursing Program Consultant/Administrator I serves as the departmental clinical expert within amultidisciplinary grievance unit charged with collecting handling and tracking grievances for allMedicaid beneficiaries receiving home and community based services. This position is responsiblefor the management and oversight of a comprehensive grievance system that ensures accurate andtimely tracking assignment and resolution of grievances. The Nursing Program Consultant/Administrator I will assist in creating the grievance system facilitate collaboration across programscollect and analyze grievance data and ensure decisions on grievances are not made by anyonepreviously involved in the review or decision-making related to the grievance.

The position involves developing and implementing written policies and procedures that meet theminimum requirements for the federal mandate. The position may require consulting with public andprivate agencies on grievance processes. A core function of this role is providing oversight of thegrievance process to ensure compliance with all federal availability and accessibility requirementswhich include providing assistance to Medicaid beneficiaries with disabilities and Limited EnglishProficiency (LEP) in completing required forms and procedural steps to submit a grievance.

This position will facilitate communication maintain impartiality and engage qualified individuals forgrievance reviews. The Nursing Program Consultant/Administrator I ensures beneficiaries areinformed of their rights and that grievances are addressed in compliance with established position will ensure that punitive or retaliatory action isneither threatened nor taken against an individual filing a grievance or who has had a grievance filedon their behalf. The Nursing Program Consultant/Administrator I will review any grievanceresolution with which the beneficiary is dissatisfied. Additionally the role involves collaboratingwith internal and external stakeholders including clinical staff to provide necessary input to ensurea robust and effective grievance resolution process.

This position operates in a hybrid manner meaning job duties will be performed both remotelyand on-site unless otherwise directed by the appointing authority.

MINIMUM QUALIFICATIONS

Education: A Masters degree in Nursing or a health-related field from an accredited college or university.

Experience: Five years of experience as a Registered Nurse including one year of experience in an administrative supervisory consultative or teaching capacity.

Notes:

1. Candidates may substitute the possession of a Bachelors degree in Nursing or health-related field from an accredited college or university and two years of experience as a Registered Nurse in an administrative supervisory consultative or teaching capacityfor the required education.

2. Candidates may substitute the possession of a Doctorate degree in Nursing from an accredited college or universityfor two years of the required experience.

may substitute U.S. Armed Forces military serviceexperience at a rank of Corporal/Petty Officer or higher as a commissioned officer in Nursing classification or Nursing specialty codes in the Nursing field of work on a year-for-year basis for the required experience and education.

DESIRED OR PREFERRED QUALIFICATIONS

The desired candidate should possess the following:
  • Experience reviewing medical documentation triaging escalated constituent/client concerns (grievances) and working as part of a multidisciplinary team/unit to ensure appropriate resolution.
  • Experience working with or familiarity with the Maryland Medicaid Home and Community-Based Waiver and State Plan programs.
  • Experience developing and implementing standard operating procedures policies and regulations.
  • Experience with data management systems for the purposes of tracking trending monitoring and presenting recommendations to leadership.
  • Experience working with various stakeholders and be able to participate in stakeholder engagements appropriately and professionally.

LICENSES REGISTRATIONS AND CERTIFICATIONS

1. Candidates for positions in this classification must possess a current license as a Registered Nurse from the Maryland State Board of Nursing 4140 Patterson Avenue Baltimore Maryland 21215 or possess a current multi-state license in party states that candidates have declared as primary states of residence.

2. Employees in this classification may be assigned duties which require the operation of a motor vehicle. Employees assigned such duties will be required to possess a motor vehicle operators license valid in the State of Maryland.

SELECTION PROCESS

Applicants who meet the minimum (and selective) qualifications will be included in further evaluation. The evaluation may be a rating of your application based on your education training and experience as they relate to the requirements of the it is essential that you provide complete and accurate information on your report all related education experience dates and hours of indicate your college degree and major on your application if applicable. For education obtained outside the U.S. any job offer will be contingent on the candidate providing an evaluation for equivalency by a foreign credential evaluation service prior to starting employment (and may be requested prior to interview).

Complete applications must be submitted by the closing submitted after this date will not be added.

Incorrect application forms will not be will not be accepted in lieu of a completed application.

Candidates may remain on thecertified eligible list for a period of at least one year. The resulting certified eligible list for this recruitment may be used for similar positions in this or other State agencies.

BENEFITS

FURTHER INSTRUCTIONS

Online applications are highly recommended. However if you are unable to apply onlinethe paper application (and supplemental questionnaire) may be submitted to MDH Recruitment and Selection Division 201 W. Preston St. Room 114-B Baltimore MD application materials must be received by 5 pm close of business on the closing date for the recruitment no postmarks will be accepted.

If additional information is required the preferred method is to upload. If you are unable to upload please fax the requested informationto .Only additional materials that are required will be accepted for this recruitment. All additional information must be received by the closing date and time.

For questions regarding this recruitment please contact theMDH Recruitment and Selection Division at .

If you are having difficulty with your user account or have general questions about the online application system please contact the MD Department of Budget and Management Recruitment and Examination Division at or.

Appropriate accommodations for individuals with disabilities are available upon request by calling: or MD TTY Relay Service 1-.

We thank our Veterans for their service to our country.

People with disabilities and bilingual candidates are encouraged to apply.

As an equal opportunity employer Maryland is committed to recruitment retaining and promoting employees who are reflective of the States diversity.

MDHMedCare


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GRADE 22 LOCATION OF POSITION MDH - Division of Legal Services201 W. Preston StreetBaltimore MD 21201Main Purpose of Job The Nursing Program Consultant/Administrator I serves as the departmental clinical expert within amultidisciplinary grievance unit charged with collecting handling and ...
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