What are the responsibilities and job description for the NURSE PROGRAM CONSULTANT position at State of Maryland - MDH Med Care Prgms - Ofc Medicaid Prgms/Operations?
GRADE
22
LOCATION OF POSITION
MDH - Division of Legal Services 201 W. Preston Street Baltimore, MD 21201
Main Purpose of Job
The Nursing Program Consultant/Administrator I serves as the departmental clinical expert within a multidisciplinary grievance unit charged with collecting, handling, and tracking grievances for all Medicaid beneficiaries receiving home and community based services. This position is responsible for the management and oversight of a comprehensive grievance system that ensures accurate and timely tracking, assignment, and resolution of grievances. The Nursing Program Consultant/ Administrator I will assist in creating the grievance system, facilitate collaboration across programs, collect and analyze grievance data, and ensure decisions on grievances are not made by anyone previously involved in the review or decision-making related to the grievance. The position involves developing and implementing written policies and procedures that meet the minimum requirements for the federal mandate. The position may require consulting with public and private agencies on grievance processes. A core function of this role is providing oversight of the grievance process to ensure compliance with all federal availability and accessibility requirements which include providing assistance to Medicaid beneficiaries with disabilities and Limited English Proficiency (LEP) in completing required forms and procedural steps to submit a grievance.� This position will facilitate communication, maintain impartiality, and engage qualified individuals for grievance reviews. The Nursing Program Consultant/Administrator I ensures beneficiaries are informed of their rights and that grievances are addressed in compliance with established policies. This position will ensure that punitive or retaliatory action is neither threatened nor taken against an individual filing a grievance or who has had a grievance filed on their behalf. The Nursing Program Consultant/Administrator I will review any grievance resolution with which the beneficiary is dissatisfied. Additionally, the role involves collaborating with internal and external stakeholders, including clinical staff, to provide necessary input to ensure a robust and effective grievance resolution process.� This position operates in a hybrid manner, meaning job duties will be performed both remotely and on-site unless otherwise directed by the appointing authority.
MINIMUM QUALIFICATIONS
Education:�� A Master’s degree in Nursing or a health-related field from an accredited college or university. Experience: Five years of experience as a Registered Nurse including one year of experience in an administrative, supervisory, consultative or teaching capacity. Notes: 1. Candidates may substitute the possession of a Bachelor’s degree in Nursing or health-related field from an accredited college or university and two years of experience as a Registered Nurse in an administrative, supervisory, consultative or teaching capacity�for the required education. 2. Candidates may substitute the possession of a Doctorate degree in Nursing from an accredited college or university�for two years of the required experience. 3.�Candidates may substitute U.S. Armed Forces military service�experience at a rank of Corporal/Petty Officer or higher as a commissioned officer in Nursing classification or Nursing specialty codes in the Nursing field of work on a year-for-year basis for the required experience and education.
DESIRED OR PREFERRED QUALIFICATIONS
The desired candidate should possess the following: Experience reviewing medical documentation, triaging escalated constituent/client concerns (grievances), and working as part of a multidisciplinary team/unit to ensure appropriate resolution. Experience working with or familiarity with the Maryland Medicaid Home and Community-Based Waiver and State Plan programs. Experience developing and implementing standard operating procedures, policies and regulations.� Experience with data management systems for the purposes of tracking, trending, monitoring, and presenting recommendations to leadership. Experience working with various stakeholders and be able to participate in stakeholder engagements appropriately and professionally.
LICENSES, REGISTRATIONS AND CERTIFICATIONS
1. 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. 2. 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.
SELECTION PROCESS
Applicants who meet the minimum (and selective) qualifications will be included in further evaluation. The evaluation may be a rating of your application based on your education, training and experience as they relate to the requirements of the position.�Therefore, it is essential that you provide complete and accurate information on your application.�Please report all related education, experience, dates and hours of work.�Clearly indicate your college degree and major on your application, if applicable. For education obtained outside the U.S., any job offer will be contingent on the candidate providing an evaluation for equivalency by a foreign credential evaluation service prior to starting employment (and may be requested prior to interview).� Complete applications must be submitted by the closing date.�Information submitted after this date will not be added.� Incorrect application forms will not be accepted.�Resumes will not be accepted in lieu of a completed application. Candidates may remain on the�certified eligible list for a period of at least one year. The resulting certified eligible list for this recruitment may be used for similar positions in this or other State agencies.
BENEFITS
STATE OF MARYLAND BENEFITS
FURTHER INSTRUCTIONS
Online applications are highly recommended. However, if you are unable to apply online,�the paper application (and supplemental questionnaire) may be submitted to MDH, Recruitment and Selection Division, 201 W. Preston St., Room 114-B, Baltimore, MD 21201.�Paper application materials must be received by 5 pm, close of business, on the closing date for the recruitment, no postmarks will be accepted. If additional information is required, the preferred method is to upload.� If you are unable to upload, please fax the requested information�to 410-333-5689.�Only additional materials that are required will be accepted for this recruitment. All additional information must be received by the closing date and time. For questions regarding this recruitment, please contact the�MDH Recruitment and Selection Division at 410-767-1251. If you are having difficulty with your user account or have general questions about the online application system, please contact the MD Department of Budget and Management, Recruitment and Examination Division at 410-767-4850 or�Application.Help@maryland.gov.� Appropriate accommodations for individuals with disabilities are available upon request by calling: 410-767-1251 or MD TTY Relay Service 1-800-735-2258. We thank our Veterans for their service to our country. People with disabilities and bilingual candidates are encouraged to apply. As an equal opportunity employer, Maryland is committed to recruitment, retaining and promoting employees who are reflective of the State's diversity. MDHMedCare
Salary : $97,972