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Office of the Illinois Attorney General
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Nurse Analyst - Medicaid Fraud - Rockford - #23-E-19
$83k-109k (estimate)
Full Time 2 Weeks Ago
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Office of the Illinois Attorney General is Hiring a Nurse Analyst - Medicaid Fraud - Rockford - #23-E-19 Near Rockford, IL

OFFICE OF ATTORNEY GENERAL

CAREER OPPORTUNITY

POSTING # 23-E-19

POSITION CLASSIFICATION: Nurse Analyst

BUREAU SERVED: Medicaid Fraud

LOCATION: Northern IL Regional Office

200 S Wyman St

Suite 307

Rockford, IL 61101

SALARY RANGE: Commensurate with experience

SUMMARY OF DUTIES AND RESPONSIBILITIES:

The Nurse Analyst is responsible for collecting, analyzing, and screening information from a variety of sources and is required to use that information to determine whether patient abuse, neglect, prescription drug diversion, fraud, waste, or abuse has occurred. The Nurse Analyst will assist in the evaluation and creation of investigative strategies and case objectives; evaluate the physical and mental status of victims; and assist with interviews of individuals and/or witnesses involved with alleged fraud or abuse cases.

The Nurse Analyst will be responsible for writing reports; creating summary exhibits of findings; maintaining accurate records and files; and testifying in court and before the grand jury. Additionally, they will review, analyze, interpret, and prepare detailed summaries of: medical records; charts; progress notes; medication administration records; Minimum Data Set resident assessment instruments; ICD-9/10 coding; CPT coding; and, Medicaid claims/utilization data.

MINIMUM QUALIFICATIONS:

This position requires a Bachelor’s degree in nursing; a current license to practice as a Registered Nurse (RN) in good standing in the State of Illinois; and, a minimum of three (3) years of experience as a nurse practicing as a RN. Knowledge of state and federal rules and regulations related to health care and health care facilities particularly in the Medicaid program is desired along with work experience in patient/resident care settings (long-term care, assisted living, home health, hospice, hospital, group homes). The ability to define problems, collect data, or information; establish facts and draw valid conclusions; ability to prepare meaningful, concise, and accurate reports; strong communication, organizational, and interpersonal skills; and proficiency in Microsoft Office is also desired. Travel will be required and candidates must possess a valid driver’s license. Attendance, professionalism, integrity, and the ability to maintain satisfactory working relationships with the general public, other agencies, and OAG employees required.

Hours of Work: 8:45 a.m. 4:45 p.m. (Monday- Friday)

Application Procedure:

Send resume with cover letter to:

Office of the Illinois Attorney General
Attn: Human Resources

500 South Second Street

Springfield, Illinois 62701

or

humanresources@ilag.gov

An Equal Opportunity Employer

Job Type: Full-time

Benefits:

  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

Schedule:

  • 8 hour shift
  • Monday to Friday

Work setting:

  • In-person

Work Location: In person

Job Summary

JOB TYPE

Full Time

SALARY

$83k-109k (estimate)

POST DATE

04/29/2024

EXPIRATION DATE

08/25/2024

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