PASRR Nurse Consultant
About The Position
The PASRR Nurse Consultant maintains an active role on the LTSS Team and recommends policy changes as practice patterns change and new programs and services are developed. The position plans, implements, and updates PASRR policy, and creates and performs audits to prevent program abuse while assessing and documenting the PASRR program. The Nurse Consultant helps maintain quality control by reviewing diagnoses, related treatment, and costs incurred; evaluating invoices; conducting monthly audits of vendor performance; and ensuring compliance with Federal and State standards. The role directly affects the safety and well-being of Medicaid beneficiaries seeking admission to Medicaid-certified nursing homes and the effective expenditure of public funds relating to the program. The position is eligible for a hybrid teleworking schedule that includes weekly onsite work hours.
Requirements
- Licensed to practice as a Registered Nurse in the State of North Carolina.
- Two years of clinical experience in the area of specialization.
Nice To Haves
- Proven ability to establish and maintain effective working relationships with internal and external stakeholders.
- Excellent oral and written communication skills.
- Ability to understand and translate complex medical and regulatory requirements into practical, clear, and unambiguous policies and procedures.
- Proficiency in Microsoft Office, including Outlook, Word, and Excel.
- Familiarity with relevant and current NC Medicaid operations.
- Knowledge of Long-Term Care, Managed Care, and Home and Community Based Services.
- Familiarity with NCMUST.
Responsibilities
- Maintain an active role on the LTSS Team.
- Recommend policy changes in response to changing practice patterns and the development of programs and services.
- Plan, implement, and update PASRR policy.
- Create and perform audits to prevent program abuse.
- Assess and document the PASRR program.
- Review diagnoses, related treatment, and costs incurred to maintain quality control.
- Evaluate invoices.
- Conduct monthly audits of vendor performance.
- Assure compliance with Federal and State standards.
Benefits
- Health insurance options
- Standard and supplemental retirement plans
- NCFlex program benefits
- Paid vacation leave
- Paid sick leave
- Community service leave
- Paid parental leave for eligible employees
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
