Medicaid Review Nurse Central Office

The work we do matters!

Hiring Agency:

Correctional Services - Agency 46

Location:

Lincoln NE

Hiring Rate:

$40.000

Job Posting:

JR2026- Medicaid Review Nurse - Central Office (Open)

Applications No Longer Accepted On (If no date is displayed job is posted as open until closed):

0

Job Description:

We want you to join our team! IMMEDIATE OPENING
Starting wage $40.000/hour. Additional $3.00/hour facility differential for hours worked.
13 paid holidays
Vacation and sick leave (24 days your first year accruing immediately)
Military leave
156% state-matched retirement
Tuition reimbursement
Employee assistance program
79% employer paid health insurance plans
Dental and vision insurance plans
Employer-paid $20000 life insurance policy
Public Service Loan Forgiveness Program (PSLF) eligible through the Federal
government
Meaningful public service -- service with a purpose!
Numerous training and development opportunities

The Nebraska Department of Correctional Services (NDCS) employs nearly 2300 team members operating institutions statewide which house approximately 5800 inmates. The departments focus includes inmate programming and education physical and behavioral health care re-entry services and community programs and is accredited by the American Correctional Association (ACA). Candidates will model the NDCS values of integrity respect compassion growth and excellence as we accomplish our mission Keep people safe.

Information about the Department can be found at: . For Americans with Disabilities Act (ADA) accommodations please contact Megan Jones at

DUTIES:
*The Medicaid Review Nurse manages and processes all Medicaid applications for NDCS incarcerated individuals. This role also coordinates Medicaid eligibility enrollment authorizations covered services and continuity of care.
*Responsibilities include assisting with applications and renewals supporting hospital and discharge planning and addressing coverage issues.
*The Medicaid Review Nurse uses nursing knowledge to identify services eligible for Medicaid reimbursement monitor utilization and expenditures and support cost-saving strategies.
*In addition the position performs quality control duties for internal and external medical services.
*Medicaid Nurse will need to adapt to changing priorities and assist with additional duties as needed.

Requirements / Qualifications:

Minimum Qualifications: A current license to practice as a Licensed Practical Nurse in Nebraska or authority based on the Nurse Licensure Compact to practice as a Licensed Practical Nurse in Nebraska is required.

Preferred:

• Demonstrates proficiency in data entry including accurate and timely entry of information into applicable systems spreadsheets and databases. Must possess strong keyboarding skills and the ability to maintain a high level of accuracy while processing information efficiently.
• Prior experience working with Medicaid applications eligibility determination or Medicaid reimbursement processes.
• Experience with utilization review CQI processes or peer review practices.
• Experience using electronic health record tracing systems or medical claims databases.
• Experience reviewing processing and tracking applications medical records or similar complex paperwork requiring attention to detail and accuracy.
• Experience in correctional healthcare public health or working with justice-involved populations.

Other: Must possess a valid drivers license. Must be able to lift up to 50 lbs. with assistance. Will complete four to eight weeks of on-the-job training. Must submit to security background check. Applicants accepting a job offer must pass the pre-employment medical examination and a drug test. Once at the Staff Training Academy must successfully complete the fully paid NDCS Pre-service Training Program.

If youre currently employed by the State of Nebraska please dont apply through this external career site. Instead log in to Workday and open the Jobs Hub - Internal Apply app from your home landing page. You can access Workday anytime through the Link web page: offer a comprehensive package of pay benefits paid time off retirement and professional development opportunities to help you get the most out of your career and life. Your paycheck is just part of your total compensation.

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.