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1 Registered Nurse 2 (Medical Care), WCB Item #1702 Job in Menands, NY

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Workers Compensation Board
Menands, NY | Full Time
$80k-99k (estimate)
10 Months Ago
Registered Nurse 2 (Medical Care), WCB Item #1702
$80k-99k (estimate)
Full Time 10 Months Ago
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Workers Compensation Board is Hiring a Registered Nurse 2 (Medical Care), WCB Item #1702 Near Menands, NY

Candidates must have one year of permanent service in a title designated as appropriate for transfer in accordance with 70.1 of the Civil Service Law.
OR
Individuals certified eligible for the 55b/c program under the Governor’s Program to Hire Persons/Veterans with Disabilities pursuant to Section 55b/c of the Civil Service Law will also be considered. To be considered, you must meet the minimum qualifications and provide a copy of your letter of eligibility with your response.
Candidates must possess a current license and registration as a registered professional nurse in New York State and two years of registered nursing experience in the following areas: rehabilitation, medical/surgical, public health, community health, visiting nursing, occupational health, utilization review, or review of medical records from hospitals for appropriate ICD 9 or 10/DRG/PAS/CPT coding.
This title is part of the New York Hiring for Emergency Limited Placement Statewide Program (NY HELPS).
For the duration of the NY HELPS Program, this title maybe filled via a non-competitive appointment, which means no examination is required but all candidates must meet the minimum qualifications of the title for which they apply. At this time, agencies may recruit and hire employees by making temporary appointments. In May 2024, if a temporary NY HELPS employee is satisfactorily performing in the position, the appointment will be changed from temporary pending Civil Service Commission Action to permanent non-competitive and the official probationary period will begin.
At a future date (within one year of permanent appointment), it is expected employees hired under NY HELPS will have their non-competitive employment status converted to competitive status, without having to compete in an examination. Employees will then be afforded with all of the same rights and privileges of competitive class employees of New York State. While serving permanently in a NY HELPS title, employees may take part in any promotion examination for which they are qualified.

Duties Description
Duties include, but are not limited to:
  • Conduct medical necessity reviews of Prior Authorization Requests for treatment/procedures and/or testing to determine if the treatment requested for injured workers is in accordance with evidence based Medical Treatment Guidelines and meets the criteria for approval, or if treatment outside the recommendations of the guidelines is medically supported.
  • Conduct medical necessity reviews of Drug Formulary Prior Authorization requests in accordance with Section 441 of Title 12 NYCRR.
  • Conduct medical necessity reviews of Durable Medical Equipment Prior Authorization requests in accordance with Section 442.2 of Title 12 NYCRR.
  • Conduct medical necessity reviews of Prior Authorization Requests of medical care of services requests (Special Services), in accordance with Section 324.2(d)(2) of Title 12 NYCRR of the Workers’ Compensation Law and the Board’s Medical Treatment Guidelines.
  • Draft and issue Notices of Resolution for each assigned Prior Authorization Request.
  • Handle phone calls from external stakeholders, including health care providers, injured workers, and carriers.
  • Answer emails from external stakeholders, including health care providers, injured workers, and carriers.
Posted salary range ($99,342 - $108,721) includes the statutory hiring rate at Step 4 and job rate for PS&T Grade 20 ($69,934 - $88,721) and an additional Geographic Pay Differential of $20,000.
Additional Comments

Please Note: A hybrid telecommuting schedule can be discussed with the hiring manager during the interview.
The Workers’ Compensation Board (Board) is an equal opportunity employer. The Board does not discriminate based upon age, race, creed, color, national origin, sexual orientation, gender identity or expression, religion, military or veteran status, sex, disability (including pregnancy-related conditions), predisposing genetic characteristics, familial status, marital status, status as a victim of domestic violence, or other applicable legally protected characteristics. The Board is dedicated to eliminating injustices and ensuring diversity in our workforce so we can better serve our staff and create a space where all feel safe to be themselves. To help meet those goals, we encourage applicants from marginalized communities to apply. We are looking for candidates who are committed to working in and contributing to an environment that fosters a sense of belonging, as well as inclusion, and celebrates people of all backgrounds, identities, experiences, and perspectives.

Job Summary

JOB TYPE

Full Time

SALARY

$80k-99k (estimate)

POST DATE

07/30/2023

EXPIRATION DATE

05/23/2024

WEBSITE

twincastle.ca

HEADQUARTERS

Edmonton

SIZE

100 - 200

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