Ohio Department of Medicaid
Compliance & Safety Check Nurse/Reviewer (Medicaid Health Systems Specialist - R
Ohio Department of Medicaid, Columbus, Ohio, United States, 43224
Compliance & Safety Check Nurse/Reviewer (Medicaid Health Systems Specialist - RN)
Agency: Ohio Department Of Medicaid (ODM), Health Innovation & Quality
Location: Franklin County, Columbus, OH
Salary: $34.96/hour (full-time, 8:00 am - 5:00 pm)
Job Overview This position requires travel throughout Ohio, including some overnight stays.
Conduct compliance and safety check surveys, many conducted in consumers' homes.
Perform oversight activities including medical and programmatic document review, face-to-face assessments, and reassessments.
Review and evaluate medical and programmatic documents from contractors, county boards, and providers to determine quality assurance and appropriateness of services and payment policies.
Assess clinical appropriateness of services and payment policies related to Medicaid health services delivery.
Qualifications
Current and valid RN license issued by the Ohio Board of Nursing.
24 months experience as a Medicaid Health Systems Analyst (Job #65291) may be substituted for experience requirements, but does not replace the required RN license.
Equivalent experience may substitute for experience, but licensure is mandatory.
Technical Skills
Nursing
Professional Skills
Critical Thinking
Collaboration
Attention to Detail
Organizing and Planning
Verbal Communication
Written Communication
Confidentiality
Analysis
Contact HumanResources@medicaid.ohio.gov
#J-18808-Ljbffr
Location: Franklin County, Columbus, OH
Salary: $34.96/hour (full-time, 8:00 am - 5:00 pm)
Job Overview This position requires travel throughout Ohio, including some overnight stays.
Conduct compliance and safety check surveys, many conducted in consumers' homes.
Perform oversight activities including medical and programmatic document review, face-to-face assessments, and reassessments.
Review and evaluate medical and programmatic documents from contractors, county boards, and providers to determine quality assurance and appropriateness of services and payment policies.
Assess clinical appropriateness of services and payment policies related to Medicaid health services delivery.
Qualifications
Current and valid RN license issued by the Ohio Board of Nursing.
24 months experience as a Medicaid Health Systems Analyst (Job #65291) may be substituted for experience requirements, but does not replace the required RN license.
Equivalent experience may substitute for experience, but licensure is mandatory.
Technical Skills
Nursing
Professional Skills
Critical Thinking
Collaboration
Attention to Detail
Organizing and Planning
Verbal Communication
Written Communication
Confidentiality
Analysis
Contact HumanResources@medicaid.ohio.gov
#J-18808-Ljbffr