Medical Records Examiner

Commonwealth of Pennsylvania • *Home Headquartered, PA

3d • Remote

About The Position

The Medical Records Examiner supports the review and evaluation of critical incidents and service plans for individuals receiving home and community-based services. The role helps ensure services are accurate, safe, and appropriate across multiple programs, and supports the health and well-being of participants. The position is home headquartered; employees must have a securely configured high-speed internet connection and work from an approved location within Pennsylvania.

The position is full-time, with work hours of 8:00 AM to 4:00 PM, Monday through Friday, and a 30-minute lunch.

Requirements

• Three years of professional experience in medical assistance, health care services, or human services, or an equivalent combination of experience and training.
• Active authorization to practice as a Registered Nurse in Pennsylvania. Employees with an active temporary practice permit must obtain Registered Nurse licensure within the one-year period defined by the Pennsylvania State Board of Nursing.
• Active motor vehicle license.
• Must meet the Pennsylvania residency requirement.
• Must be able to perform essential job functions.

Responsibilities

• Assess critical incidents and identify concerns to support participant health and safety.
• Examine service plans to determine their accuracy and alignment with participant needs.
• Evaluate medical documents to determine eligibility and appropriate service options.
• Collaborate with providers and agencies to address service issues and improve outcomes.
• Ensure adherence to OLTL policies, regulations, and waiver requirements.
• Assist with monitoring and developing home and community-based service initiatives.

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed