Position Information

NY HELPNo

AgencyHealth, Department of

TitleHealth Care Surveyor 2 (Nursing) - 87707 & 90652

Occupational CategoryHealth Care, Human/Social Services

Salary Grade19

Bargaining UnitPS&T - Professional, Scientific, and Technical (PEF)

Salary RangeFrom $59671 to $75785 Annually

Employment Type Full-Time

Appointment Type Permanent

Jurisdictional Class Competitive Class

Travel Percentage 0%

Schedule

Workweek Mon-Fri

Hours Per Week 37.5

Workday

From 8:30 AM

To 4:30 PM

Flextime allowed? No

Mandatory overtime? No

Compressed workweek allowed? No

Telecommuting allowed? No

Location

County Albany

Street Address OHIP, Divison of Health Plan Contracting & Oversight

One Commerce Plaza

City Albany

StateNY

Zip Code12210

Job Specifics

Minimum Qualifications Current Department of Health employee with permanent or contingent permanent service as a Health Care Surveyor 2 (Nursing), SG-19; OR current New York State employee with one year of permanent or contingent permanent service as a Health Care Surveyor 2 (Nursing) or Senior Utilization Review Nurse, SG-19 and eligible for transfer under Section 70.1 of the Civil Service Law.

Preferred Qualifications: Knowledge of health insurance, NYS Medicaid program and managed care preferred. Experience in utilization review, quality assurance, patient advocacy, public health, practice management, healthcare management, regulatory compliance, managing compliant caseloads, analysis of complex materials, and/or providing assistance to outside healthcare organizations. Excellent written, verbal and interpersonal communication skills.

Duties Description The Office of Health Insurance Programs Division of Health Plan Contracting and Oversight, Bureau of Consumer Services is recruiting two Health Care Surveyor 2 (Nursing) positions. General duties for these two positions include: conduct investigations of complaints from healthcare consumers and providers who participate in the NYS Medicaid managed care program as well as New York commercial HMOs; research and document complainant issues and confer with the associated managed care plan; analyze complaints in context of compliance with NYS managed care plan contract and regulations; maintain detailed documentation of complaint issues and resolutions; actively manage complaint case load; and prepare letters, memoranda and other written materials. The incumbents may also participate in various workgroups related to Medicaid managed care and assist in the completion of other Bureau-related duties, as assigned.

Additional Comments Permanent, full time appointment. The selected candidate must maintain licensure and registration to practice as a professional nurse in New York State.

Some positions may require additional credentials or a background check to verify your identity.

Contact Information

Name Human Resources Management Group - ST/HCS2/87707&90652

Telephone 5184861812

Fax 518-473-3395

Email Address resume@health.ny.gov

Address

Street ESP - Corning Tower

Room 2217

City Albany

State NY

Zip Code 12237

 

Notes on ApplyingSubmit resume, preferably in PDF format, to Human Resources Management Group, ST/HCS2/87707&90652, Room 2217, Corning Tower Building, Empire State Plaza, Albany, New York 12237- 0012, or fax to (518)473-3395, or by email to resume@health.ny.gov, with Reference Code ST/HCS2/87707&90652 included in the subject line. Failure to include the required information in the subject line of your email or fax may result in your resume not being considered for this position. Resumes will be accepted until September 27, 2019.