What are the responsibilities and job description for the Program Specialist position at Telligen and Careers?
As a Nurse Reviewer, you will be responsible for partnering with team members and external stakeholders to conduct MDS Validation Reviews. Duties include accountability for project requirements, performing day-to-day project management, providing technical assistance, medical record review, and provider education as indicated.
Candidate must be located in the state of MD and have active MD Registered Nurse license.
Essential Functions
- You will perform medical documentation reviews to validate appropriate MDS submissions and RUGS for all Skilled Nursing Facilities in the State of Maryland, utilizing Federal and State guidelines.
- You will collaborate and/or manage projects with team members and other health care professionals to complete MDS validations and special project initiatives.
- You will serves as liaison with internal and external customers to ensure projects, plans and/or products are completed satisfactorily.
- You will serve as a representative of the Company at external client meetings.
- You will maintain positive relationships with internal and external clients.
- You will ensure data is maintained accurately and in a confidential environment, and that information is presented in a professional, accurate, and understandable way.
- You will manage customer expectations regarding the program and related activities.
- You will partner with internal and external stakeholders through listening sessions and workgroups to explore methods for improvement.
- You will work to retain and grow Telligen’s business through providing excellent customer service and business development efforts.
- You will perform miscellaneous duties as assigned.
Requirements
- Valid, current Maryland Registered Nurse License
- Minimum of 3 years of experience as a MDS Coordinator within the past 5 years
- Prefer current RAC-CT and CMAC certifications. Certifications are required within three months of hire and must be maintained throughout employment
- 8 years of experience in healthcare with Long-Term Care emphasis
- Demonstrated successful experience in PDPM MDS Validation reviews and/or OCHQ survey history
- 15% local and overnight travel may be required for on-site validations
- We are unable to consider candidates outside of the United States, candidates in the state of California, or those in US Minor outlying islands and territories
Who We Are:
Telligen is one of the most respected population health management organizations in the country. We work with state and federal government programs, as well as employers and health plans offering clinical, analytical, and technical expertise.
Over our 50-year history, health care has evolved - and so have we. What hasn't changed is our deep commitment to those we serve. Our success is built on our ability to adapt, respond to client needs and deliver innovative, mission-driven solutions.
Our business is our people and we’re seeking talented individuals who share our passion and are ready to take ownership, make an impact and help shape the future of health.
Are you Ready?
We’re on a mission to transform lives and economies by improving health.
Ownership: As a 100% employee-owned company, our employee-owners drive our business and share in our success.
Community: We show up - for our clients, our communities and each other. Being a responsible corporate partner is part of who we are.
Ingenuity: We value bold ideas and calculated risks. Innovation thrives when we challenge the status quo and listen to diverse perspectives.
Integrity: We foster a respectful, inclusive, and collaborative environment built on trust and excellence.
Thank you for your interest in Telligen!
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While we use artificial intelligence tools to enhance our initial screening process, all applications are thoroughly reviewed by our human recruitment team to ensure a fair and comprehensive evaluation of each candidate.
Telligen and our affiliates are Equal Opportunity Employers and E-Verify Participants.
Telligen will not provide sponsorship for this position. If you will require sponsorship for work authorization now or in the future, we cannot consider your application at this time. We will not accept 3rd party solicitations from outside staffing firms.
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.