StateJobsNY

NY HELPNo

AgencyHealth, Department of

TitleConsultant Nurse (Hospital Nursing Services Administration) - 87905

Occupational CategoryHealth Care, Human/Social Services

Salary Grade24

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

Salary RangeFrom $81912 to $103405 Annually

Employment Type Full-Time

Appointment Type Permanent

Jurisdictional Class Competitive Class

Travel Percentage 10%

Workweek Mon-Fri

Hours Per Week 37.5

Workday

From 9 AM

To 5 PM

Flextime allowed? No

Mandatory overtime? Yes

Compressed workweek allowed? No

Telecommuting allowed? No

County New York

Street Address MARO, Managed Care Program

90 Church Street

City New York

StateNY

Zip Code10007

Minimum Qualifications "Permanent Transfer Candidates: Current DOH employee with permanent status as a Consultant Nurse, G-24 OR current New York State employee with one year of permanent or contingent-permanent service in a qualified title and eligible for transfer to Consultant Nurse HNSA under Section 70.1 of the Civil Service Law OR eligible for transfer under Section 70.4 of the Civil Service Law (NYS employee with one year of permanent service at G-22 or higher and meeting the open competitive minimum qualifications listed below).

Open Competitive Minimum Qualifications: licensed and currently registered as a nurse in New York State; AND four years of public health, community health, or other nursing experience in an appropriate facility setting. Two years of this experience must have been providing direct patient care and two years of this experience must have been in nursing supervision, or working in the capacity of a nurse administrator."

Preferred Qualifications:
Experience in utilization management and evaluating clinical appropriateness of managed care organization determinations.

Duties Description Insurance Plan Manager for several health plans - main daily plan contact for all issues; investigates complaints for those plans, compiles evidence of Fair Hearing Compliance, Provider Directory and Member Service survey result letters, handles the portion of the 800-900 Hotline calls per month for the assigned plans, assumes the role of team leader on operational surveys for the assigned plans, schedules the surveys with the plans, schedules and conducts pre-survey team meetings, coordinates post-survey activities and report writing, reviewing and evaluating plans of correction until acceptable, provides telephone and hotline coverage as needed and handles any special projects that may arise. Provides field supervision to survey team and administrative supervision to subordinate staff.

Additional Comments Full time, permanent appointment. Occasional statewide travel, including overnights and travel to areas that may not be served by public transportation is required. Current and continued registration with the NYS Education Department to practice as a Registered Nurse is required for employment.

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

Name Human Resources Management Group, JB/87905/CN

Telephone

Fax (518) 473-3395

Email Address resume@health.state.ny.us

Address

Street Room 2217, Corning Tower Building

Empire State Plaza

City Albany

State NY

Zip Code 12237

Notes on ApplyingSubmit resume, preferably in PDF format, by email to resume@health.ny.gov, with Reference JB/87905/CN included in the subject line or by mail to Human Resources Management Group, JB/87905/CN, Rm 2217, Corning Tower Building, Empire State Plaza, Albany, NY 12237-0012, or by fax to (518) 473-3395. Failure to include the required information may result in your resume not being considered for this position. Resumes will be accepted until December 8, 2021.