DHHS Program Specialist RN
About The Position
The Nebraska Department of Health & Human Services (DHHS) contributes to the lives and health of Nebraskans every day. Our mission, “Helping people live better lives," provides the motivation to make a difference and that starts right here. Every individual within DHHS makes an impact; we want to elevate, engage, and empower those that choose to spend their energy making the world a little brighter. We recognize that our employees bring tremendous value to the State of Nebraska and that their vital work helps fulfill our mission. We support our staff by offering fantastic benefits, training and development opportunities for personal and professional growth, and a positive, team-oriented atmosphere. We are looking for a skilled, detail oriented, professional Registered Nurse for the full-time position of DHHS Program Specialist RN . In this role you will be an integral part of our Developmental Disabilities Division by completing Disability determinations for State of NE Medicaid applicants. You have the passion, we have the opportunities – let’s make a difference for Nebraskans
Requirements
- Licensure as a Registered Professional Nurse in the State of Nebraska and experience working as a professional Registered Nurse.
- 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 layman's 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.
Nice To Haves
- Previous Medicaid program experience/knowledge
- Experience with determining eligibility
- Medical chart review experience
Responsibilities
- 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.
Benefits
- We 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.
- Benefit eligibility may vary by position, agency and employment status.
- For more information on benefits, please visit: https://statejobs.nebraska.gov/index.html#benefits
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
Number of Employees
101-250 employees
