MaineCare Case Mix Nurse

State of Maine • Augusta, ME

41d

About The Position

As a Health Services Consultant working in the Case Mix and Classification Unit you will conduct on-site reviews in nursing, residential care, and adult family care home facilities and perform retrospective audits of the Minimum Data Set (MDS) assessments to ensure each facility receives the correct rate of reimbursement. You will also provide training on the completion of the MDS, case mix purpose and documentation requirements for each type of facility.

Requirements

• Registered Nurse
• Three (3) years of progressively responsible experience in the field of nursing and/or in the delivery of health care services.
• Licensed as a Registered Professional Nurse in the State of Maine, as issued by the State Board of Nursing.
• Explain your knowledge and experience with long-term care services and facilities.
• Describe experience with healthcare compliance, including interpreting rules and regulations.
• Discuss oral and written communication skills, including the ability to lead and facilitate training sessions and meetings with provider staff, administrators and corporate staff.

Responsibilities

• Conduct on-site reviews in nursing, residential care, and adult family care home facilities
• Perform retrospective audits of the Minimum Data Set (MDS) assessments
• Ensure each facility receives the correct rate of reimbursement
• Provide training on the completion of the MDS, case mix purpose and documentation requirements for each type of facility

Benefits

• Work-Life Fit - Rest is essential. Take time for yourself using 13 paid holidays, 12 days of sick leave, and 3+ weeks of vacation leave annually. Vacation leave accrual increases with years of service, and overtime-exempt employees receive personal leave.
• Health Insurance Coverage - The State of Maine pays 85%-100% of employee-only premiums ($12,845.82 - $15,112.76 annual value), depending on salary. Use this chart to find the premium costs for you and your family, including the percentage of dependent coverage paid by the State.
• Health Insurance Premium Credit - Participation decreases employee-only premiums by 5%. Visit the Office of Employee Health and Wellness for more information about program requirements.
• Dental Insurance - The State of Maine pays 100% of employee-only dental premiums ($395.72 annual value).
• Retirement Plan - The State contributes the equivalent of 14.11% of the employee's pay towards the Maine Public Employees Retirement System (MainePERS).
• Parental leave is one of the most important benefits for any working parent. All employees who are welcoming a child-including fathers and adoptive parents-receive six weeks of fully paid parental leave. Additional, unpaid leave may also be available, under the Family and Medical Leave Act.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Executive, Legislative, and Other General Government Support
• Education Level: No Education Listed
• Number of Employees: 1-10 employees