Nursing Program Consultant/Administrator III Supervisor

State of Maryland•Baltimore City, MD

2d•Onsite

About The Position

This position functions as Division Chief for the Healthy Kids Unit, within the Acute Care Administration (ACA). The Maryland Healthy Kids/Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Program promotes access to and ensures availability of quality health care for Medical Assistance children, teens and young adults less than 21 years of age. This position provides administrative and clinical oversight of the activities of the Unit and provides personnel management of its employees to ensure that appropriate practice-based standards are met and provides performance improvement assessments and targeted interventions to enhance the quality of health services delivered by Medicaid providers to eligible recipients less than 21 years of age. This includes planning, organizing and supervising the work of the Unit; developing, revising and implementing protocols, guidelines and controls for the administration of new or existing recommendations for Medical Assistance Program response to changes in federal and State laws and regulations; and preparing the Unit’s annual budget requests. This position is responsible for the direction, coordination and implementation of Program policy, coverage of benefits and reimbursement for the Healthy Kids Program. This position represents the State, the Department of Health and the Medical Assistance Program in dealing with officials from other states, the federal government, healthcare industry, and in legal proceedings. The primary function of the Healthy Kids / EPSDT Unit is to ensure the professional quality, appropriateness and medical necessity of health services purchased on behalf of Medical Assistance recipients. Standards for the Healthy Kids Program are developed through collaboration with key stakeholders such as the MDH Family Health Administration, the Maryland Chapter of the American Academy of Pediatrics, the University of Maryland Dental School, and the Maryland Department of the Environment. The Maryland Healthy Kids Preventive Health Schedule closely correlates to the American Academy of Pediatrics' periodicity schedule. This position is responsible for overseeing the development and maintenance of procedures to meet this mission.

Requirements

A Master’s degree in Nursing or a health-related field from an accredited college or university.
Five years of experience as a Registered Nurse including three years of experience in an administrative, supervisory, consultative or teaching capacity.
Candidates for positions in this classification must possess a current license as a Registered Nurse from the Maryland State Board of Nursing, 4140 Patterson Avenue, Baltimore, Maryland 21215 or possess a current multi-state license in party states that candidates have declared as primary states of residence.
Employees in this classification may be assigned duties which require the operation of a motor vehicle. Employees assigned such duties will be required to possess a motor vehicle operator's license valid in the State of Maryland.

Nice To Haves

Experience with hospital and community health administration as it affects nursing and nursing education.
Experience with Maryland Medicaid Information System Subsystems (MMIS).
Experience with Salesforce and/or LTSS.
Knowledge of applicable state and federal laws, regulations requirements, rules and regulations governing medical programs and nursing services COMAR 10.09.11.

Responsibilities

Planning, organizing and supervising the work of the Unit
Developing, revising and implementing protocols, guidelines and controls for the administration of new or existing recommendations for Medical Assistance Program response to changes in federal and State laws and regulations
Preparing the Unit’s annual budget requests
Direction, coordination and implementation of Program policy, coverage of benefits and reimbursement for the Healthy Kids Program
Representing the State, the Department of Health and the Medical Assistance Program in dealing with officials from other states, the federal government, healthcare industry, and in legal proceedings
Overseeing the development and maintenance of procedures