DHHS Program Specialist RN

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Job Description:

As a DHHS Program Specialist RN you will:

• Review and analyze federal regulations state laws and their administrative requirements to formulate appropriate policies procedures and interpretations for the coverage and delivery of medical programs.
• Write reports position papers impact statements and related documents in order to formulate policy material to cover specific areas of medical service programs by conducting research and meeting with other agency staff representatives of other agencies and medical service providers.
• Research medical information to determine if disability criteria is met.
• Implement policy and program regulations to ensure that staff and service providers are working with uniform guidelines by evaluating and coordinating program policies and regulations.
• Present information at appeal hearings explaining the position of the department of health and human services.

Requirements / Qualifications:

Minimum Qualifications: Licensure as a Registered Professional Nurse in the State of Nebraska and experience working as a professional Registered Nurse.

Preferred Qualifications:

Previous Medicaid program experience/knowledge

Experience with determining eligibility

Medical chart review experience

Pay Rate: $38.539 - $51.431/hour. Pay rate may be commensurate with education and/or experience within fiscal constraints if approved.

Knowledge/Skills/Abilities

Knowledge of the principles and practices of professional nursing theory; methods and techniques of program planning and budgeting; general procedures followed in various types of physical examinations and treatment; professional medical terms diseases and physical conditions federal and state laws rules regulations policies programs and services pertinent to the medical programs dealt with; treatments available in specific nursing fields; the functions of social service agencies; various health care settings; computer systems and their application to the program; available community medical services.

Able to establish and maintain positive relationships with agency staff service providers and clients; communicate effectively via memos reports or group discussions with agency staff service providers and others to promote explain discuss advise and interact with them on various program issues and problems; interpret and explain in laymans language medical terms diseases conditions and treatment; apply instructions laws rules policies and procedures pertinent to the program analyze develop and organize material pertaining to divisional policy and operation; initiate and assimilate new and creative concepts in the field of program responsibility; determine appropriate medical needs of clients for administration of the program.

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Check out all that the State of Nebraska has to offer! Benefit eligibility may vary by position agency and employment status. For more information on benefits please visit: Opportunity Statement

The State of Nebraska values our teammates as well as a supportive environment that strives to promote diversity inclusion and belonging. We recruit hire train and promote in all job classifications and at all levels without regard to race color religion sex. age national origin disability marital status or genetics.