Nurse Consultant

the South Dakota State Government•Statewide, SD

5d•Remote

About The Position

The Nurse Consultant is responsible for conducting routine Minimum Data Set (MDS) validation reviews to ensure the accuracy of Medicaid reimbursement for long term care facilities. The position provides oversight across a broad region of central South Dakota, including Walworth, Potter, Faulk, Spink, Sully, Hyde, Hand, Beadle, Kingsbury, Hughes, Buffalo, Jerauld, Sanborn, Miner, Brule, Aurora, Davison, Hanson, and McCook counties. In this role, the nurse consultant evaluates comprehensive clinical documentation to determine the appropriate level of care for Medicaid long term care residents and Home and Community Based Services (HCBS) participants. Responsibilities also include supporting the administration of the Pre Admission Screening and Resident Review (PASRR) process, specifically by completing level of care determinations for individuals with serious mental illness triggers who are seeking nursing facility placement. Additionally, the position provides ongoing education, guidance, and technical assistance to nursing facility staff. The nurse consultant works collaboratively with providers to promote regulatory compliance, strengthen documentation accuracy, and ensure individuals receive services in the most appropriate and least restrictive setting. Very limited travel may be required within the designated coverage area. Influenza vaccination required.

Requirements

Licensed to practice as a Registered Nurse in South Dakota.
Possess a valid driver's license.
Knowledge of cultural, economic, social, physical, and psychological factors that influence older adults and adults with disabilities' health care decisions.
Skills to prepare clear and concise documentation, reports, and correspondence that reflects pertinent findings.
Ability to gather and analyze data to accurately determine appropriate level of care.
Ability to review and make timely decisions based on medical documentation.
Ability to utilize a computerized database system for accurate record keeping.
Ability to comprehend, interpret, and apply pertinent laws, regulations, and procedures to specific determinations.
Ability to communicate clear and concise information through verbal and written correspondence.
Ability to establish and maintain effective working relationships with long term care providers.
Ability to make accurate and timely decisions and assume accountability for outcomes.
Ability to plan and organize work to meet schedules and deadlines while responding and adjusting to multiple demands and shifting priorities.
Ability to conduct infrequent travel within coverage area if necessary as well as for training opportunities.
Resume must be attached.
Must apply online.

Nice To Haves

Minimum Data Set (MDS) assessment experience in the long-term care setting.
Current Registered Assessment Coordinator certification or willingness to become certified within the first 6 months of employment.

Responsibilities

Conducting routine Minimum Data Set (MDS) validation reviews to ensure the accuracy of Medicaid reimbursement for long term care facilities.
Providing oversight across a broad region of central South Dakota.
Evaluating comprehensive clinical documentation to determine the appropriate level of care for Medicaid long term care residents and Home and Community Based Services (HCBS) participants.
Supporting the administration of the Pre Admission Screening and Resident Review (PASRR) process, specifically by completing level of care determinations for individuals with serious mental illness triggers who are seeking nursing facility placement.
Providing ongoing education, guidance, and technical assistance to nursing facility staff.
Working collaboratively with providers to promote regulatory compliance, strengthen documentation accuracy, and ensure individuals receive services in the most appropriate and least restrictive setting.

Benefits

15 days/120 Hours of Vacation Leave
14 days/112 Hours of Sick Leave
11 Paid Holidays
Employee health insurance includes plan with a $0 premium for employee-only coverage
Flexible Benefits - Dental, Vision, Life Insurance, Critical Illness and more
Paid Parental & Family Medical Leave
6% Fully Matched Retirement Plan
Reduced Tuition for In-State Colleges/Universities
Employee Wellness Program
Continued Education/Training Opportunities