Review Vacancy
TitleConsultant Nurse Hospital NSA - 60321
Occupational CategoryHealth Care, Human/Social Services
Bargaining UnitPS&T - Professional, Scientific, and Technical (PEF)
Salary RangeFrom $81912 to $103405 Annually
Minimum Qualifications Permanent Transfer Candidates: Current DOH employee with permanent or contingent-permanent competitive status as a Consultant Nurse-HNSA, G-24 OR current NYS employee with one year of permanent or contingent-permanent competitive service in a qualified title and eligible for transfer to Consultant NurseHNSA 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 or contingent-permanent competitive service at G-22 or higher and meeting the open competitive minimum qualifications listed below). Provisional Open Competitive Minimum Qualifications: Currently licensed and registered as a professional nurse in NYS; AND six (6) years of public health, community health, or other nursing experience in an appropriate facility setting. Three (3) years of this experience must have been providing direct patient care and three (3) years of this experience must have been in nursing supervision or working in the capacity of a nurse administrator
Preferred Qualifications: Excellent communication skills. Working knowledge of Microsoft Office (e.g., Word, Excel, PowerPoint). Proficiency in analytical and writing skills with ability to produce reports and written documents. Knowledge of ICD-10 and CPT coding. Ability to address shifting priorities and deal with a change in focus several times a day.
Duties Description The incumbent will provide statewide fee-for-service Medicaid policy and clinical expertise to develop, interpret and implement Medicaid policies. Policy areas include outpatient clinic services, practitioner services, vision, audiology, podiatry, radiology, and acupuncture and chiropractic services. In addition, Medicaid fee-for-service staff engage in Medicaid Redesign Team (MRT) evidence-based benefit redesign, Current Procedural Terminology (CPT) and HCPCS coding updates. This includes assisting in developing clinical/medical recommendations for establishing eMedNY procedure code reference file parameters, e.g., pricing, maximum number of units, frequency, age, sex, emergency, family planning, abortion, etc. The individual will also assist OHIP’s Medical Directors in reviewing denied Medicaid claims for members eligible for “emergency services only” to determine whether the services provided were emergency and should be reimbursed by the Program. Additional responsibilities include: preparing Medicaid Update articles and responding to written inquiries; supervising staff and facilitating team operations.
Some positions may require additional credentials or a background check to verify your identity.
Name Human Resources Management Group, JGL/CNH NSA/60321
Email Address resume@health.state.ny.us
Address
Street Room 2217, Corning Tower Building
Empire State Plaza
Notes on ApplyingSubmit resume and cover letter, preferably in PDF format, to Human Resources Management Group, JGL/CNH NSA/60321, 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 JGL/CNH NSA/60321 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 January 24, 2022.