Nurse Consultant/Inspector

Description

The Department for Medicaid Services (DMS) provides health care access for eligible low-income residents of Kentucky including children, families, pregnant women, the aged and the disabled as well as a number of programs and services directed at specific eligibility and medical needs. DMS strives each day to meet the mission of the Cabinet for Health and Family Services to be a diverse and inclusive organization providing programs, services and supports that protect and promote the health and well-being of all Kentuckians and their communities.

This Nurse/Consultant/Inspector position serves in the Department for Medicaid Services (DMS), Division of Long-Term Services and Supports, Acquired Brain Injury (ABI) and Acquired Brain Injury Long Term Care (ABI LTC) Medicaid Waiver programs. The ABI Medicaid waiver programs provide a community- based alternative to institutional care for persons with brain injuries. The two ABI waivers provide intensive services and supports to adults working to re-enter community life. The Acquired Brain Injury Branch (ABIB) staff exemplify a true team approach bringing their unique skill sets together to improve quality of life outcomes for waiver participants. Each team member is valued and encouraged to share experiences, ideas, and skills for continued internal quality improvement.

Learn more about us at: https://chfs.ky.gov/agencies/dms/Pages/default.aspx

Responsibilities Include But Are Not Limited To The Following

• Review applications and medical support documentation for waiver participation.
• Review provider agency policies and procedures related to Medication Administration.
• Conduct pre-service and recertification inspections of service delivery sites for regulatory compliance.
• Perform data entry into ABI specific databases to document and trend service delivery.
• Review and research critical incident reports.
• Conduct investigations as warranted.
• Perform research and tasks in the Medicaid Waiver Management Application (MWMA) system.
• Perform research and tasks in the Medicaid Management Information System (MMIS).
• Perform quality assurance reviews of vendor agencies as part of program compliance reviews.
• Perform data entry into ABI specific databses to document and trend service delivery.
• Provide technical assistance in response to call center and helpdesk inquiries.
• Research issues related to the Center for Medicaid Services (CMS), Cabinet for Health and Family Service (CHFS) and the Department for Medicaid Service (DMS).
  
  

Skills and Expectations include, but are not limited to:

• Licensed in the Commonwealth of KY as a registered nurse.
• Must maintain any required licensure(s), certification(s), or other credential for the length of employment in this position.
• Proficient in Microsoft Office products.
• Perform duties and tasks within the Medicaid Waiver Management Application (MWMA).
• Perform research and tasks in the Medicaid Management Information System (MMIS).
  
  

The Cabinet for Health and Family Services (CHFS) participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in U.S. CHFS will only use E-Verify once you have accepted a job offer and completed the Form I-9. For more information on E-Verify, or if you believe that CHFS has violated its E-Verify responsibilities, please contact Department of Homeland Security (DHS) at 888-897-7781 or https://www.e-verify.gov/.

Minimum Requirements

EDUCATION: See Special Requirements.

EXPERIENCE, TRAINING, OR SKILLS: Must have four years of experience as a Registered Nurse.

Substitute EDUCATION for EXPERIENCE: A bachelor's degree in nursing will substitute for the required experience.

Substitute EXPERIENCE for EDUCATION: NONE

SPECIAL REQUIREMENTS (AGE, LICENSURE, REGULATION, ETC.): Must be licensed in Kentucky as a registered nurse or possess a valid work permit issued by the Kentucky Board of Nursing. https://apps.legislature.ky.gov/law/statutes/statute.aspx?id=52116 https://apps.legislature.ky.gov/law/statutes/statute.aspx?id=53751 http://www.kbn.ky.gov/ Must maintain any required licensure(s), certification(s), or other credentials for the length of employment in this job classification. Employing agency is responsible for ensuring employee possess and maintains required licensure(s), certification(s) or other credentials.

Working Conditions

Work typically is spent in contact with providers and clients outside the organizational unit. May work in homes and neighborhoods in "at risk communities" for violence and drug abuse.