MEDICAL CERTIFICATION MANAGER 2 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4809661) Apply  MEDICAL CERTIFICATION MANAGER 2 Salary $7,180.00 - $12,920.00 Monthly Location Statewide, LA Job Type Classified Job Number OAAS/DPT/205035 Department LDH-Office of Aging & Adult Services Opening Date 01/29/2025 Closing Date 2/9/2025 11:59 PM Central + Description + Benefits + Questions Supplemental Information The Louisiana Department of Health is dedicated to fulfilling its mission through direct provision of quality services, the development and stimulation of services of others, and the utilization of available resources in the most effective manner. LDH serves as a model employer for individuals with disabilities. This position is located within the Louisiana Department of Health / Office of Aging and and Adult Services / Headquarters / Statewide Announcement Number: OAAS/DPT/205035 Cost Center: 3201020300 Position Number(s): 50389558 This vacancy is being announced as a Classified position and may be filled as a Probationary appointment. Preferred Qualifications: 1. Experience in management of hospital and nursing facility level of care processes and the coordination of care and services to those navigating nursing facility admissions and/or Medicaid waiver service programs. 2. Comprehensive knowledge of Medicaid Home and Community Based Service (HCBS) waiver programs and other resources to facilitate access to long-term support and service programs. 3. Experience working with the elderly and/or people with adult-onset disabilities. 4. Knowledge of federal and state nursing facility and HCBS rules and regulations. 5. Experience with nursing facility/hospital admission, discharge and transitions. No Civil Service test scoreis required in order to be considered for this vacancy. To apply for this vacancy, click on the “Apply” link above and complete an electronic application, which can be used for this vacancy as well as future job opportunities. Applicants are responsible for checking the status of their application to determine where they are in the recruitment process. Further status message information is located under the Information section of the Current Job Opportunities page. *Resumes WILL NOT be accepted in lieu of completed education and experience sections on your application. Applications may be rejected if incomplete.* A resume upload willNOTpopulate your information into your application. Work experience left off your electronic application or only included in an attached resume is not eligible to receive credit For further information about this vacancy contact: Debbie Parris-Thymes Debbie.Parris-Thymes2@la.gov LDH/HUMAN RESOURCES BATON ROUGE, LA 70821 225 342-6477 This organization participates in E-verify, and for more information on E-verify, please contact DHS at 1-888-464-4218. Minimum Qualifications MINIMUM QUALIFICATIONS: A current Louisiana license in a health services field, health regulation field, or social services field plus six years of experience as a licensed practitioner in hospital or nursing home administration, health services, health regulation, or social services; OR A bachelor's degree plus six years of experience in hospital or nursing home administration, health services, health regulation, or social services; OR A master's degree in a health services field, health regulation field, or a social services field plus five years of experience in hospital or nursing home administration, health services, health regulation, or social services. Job Concepts FUNCTION OF WORK: To manage statewide Medical Certification Programs. LEVEL OF WORK: Manager. SUPERVISION RECEIVED: Administrative direction from the Program Manager 4-DHH or other higher- level agency administrator. SUPERVISION EXERCISED: Direct line supervision over Medical Certification Program Manager, Medical Certification Manager 1, and/or other professional staff. LOCATION OF WORK: Department of Health and Hospitals. JOB DISTINCTIONS: Differs from the Medical Certification Program Manager by the responsibility for supervision of Medical Certification Manager 1's or other equivalent professional level staff. Differs from the Program Manager 4-DHH by the absence of overall management responsibility for directing the functions and activities of the entire Medical Certification section. Examples of Work Working Job Description: The Office of Aging and Adult Services (OAAS) was formed within the Louisiana Department of Health (LDH) as a healthcare reform initiative, bringing together long-term support and service programs located within LDH that serve the elderly and people with adult-onset disabilities. OAAS aims to develop, provide, and enhance services that offer meaningful choices for people in need of long-term care. The office is committed to developing a long-term care system that provides choice, ensures quality, and meets the needs of consumers and caregivers in a fiscally responsible manner. OAAS has an annual administrative budget of approximately $70 million and provides services to approximately 30,000 participants (the elderly and people with adult-onset disabilities) through several large and complex Medicaid programs whose budgets total approximately $1.3 billion annually; including the Nursing Facility Admissions Program, Long-Term Personal Care Services Program, and two Medicaid Home and Community Based Services Waiver programs. OAAS also administers one state-operated health care facility, Protective Services, Program of All Inclusive Care for the Elderly (PACE) and other non-Medicaid grants and programs. OAAS state agency and regional office staff oversee programmatic operations, execute and monitor contracts, provide technical assistance to support coordination agencies and providers, and conduct monitoring and oversight activities to ensure compliance with federal regulations and state statutes and policies. The OAAS Program Operations Division includes three main functional areas - Regional Waiver Operations, Support Coordination Agency/Provider Relations/Training, and Nursing Facility Admissions (NFA). The Program Operations Division is responsible for administering the following statewide programs and functions in nine OAAS Regional Operations Offices located throughout the state: • Home and Community Based Services (HCBS) waiver programs; • Nursing Facility Admissions and Continued Stay Requests; • Support Coordination; • Provider Relations; and • Training The OAAS/Program Operations Medical Certification Manager 2 directly supervises the Nursing Facility Admissions (NFA) Medical Certification Managers and other NFA staff as and assigned and is responsible for administrative oversight of the nursing facility admissions and continued stay processes statewide in all 9 LDH regions. Incumbent must possess a thorough knowledge of state and federal Medicaid guidelines and agency policies and procedures in addition to knowledge of the Medicaid service system for Long Term Care. Incumbent adheres to applicable laws, rules, regulations, policies, and procedures of LDH, OAAS, Civil Service and appropriate state/federal licensing and governing bodies. Participates in special projects as needed as well as performs other duties assigned by superiors for smooth and effective operation of the agency and of the OAAS programs. Essential duties include, but are not limited to – • Administering and directing all NFA activities statewide including the nursing facility admissions and continued stay processes, assuring staff screen as per the Preadmission Screening and Resident Review (PASRR) process. Incumbent works with internal and external stakeholders to develop program policies and procedures consistent with best practice and federal/state laws and regulations. • Developing and maintaining working relationships with nursing facility administrators, social workers, discharge planners, etc., at licensed facilities statewide, working collaboratively to ensure successful transitions/transfers/admissions for complex patient cases. • Responding/working requests for assistance with locating appropriate nursing facility services for individuals with complex medical needs and/or situations; referring individuals to other resources when nursing facility care is not appropriate. • Maintaining an inventory of specialized services offered by particular nursing facilities throughout the state. • Participating as a core member in the OAAS Service Review Panel meeting, OAAS Mortality Review committee and other meetings as deemed necessary/requested. • Applying medical education and expertise to serve as a subject matter expert to OAAS colleagues requesting input on medically involved issues/cases. • Managing and monitoring all budgetary and programmatic aspects of Program Operations to ensure adherence to budget. • Recommending and implementing programmatic updates to state legislation, guidelines, and/or policies/procedures that align to changes to federal/state laws and/or regulations. • Assisting during statewide disaster/weather events (potential or otherwise) with nursing home admissions. • Oversight of State Civil Service and contract staff responsible for coordinating the day-to-day duties of the NFA Division. Louisiana State Government represents a wide variety of career options and offers an outstanding opportunity tomake a differencethrough public service. With an array of career opportunities in every major metropolitan center and in many rural areas, state employment provides an outstanding option to begin or continue your career. As a state employee, you will earn competitive pay, choose from a variety of benefits, and have access to a great professional development program: Insurance Coverage More information can be found at https://info.groupbenefits.org/ Parental Leave– Up to six weeks paid parental leave More information can be found athttps://www.civilservice.louisiana.gov/Parental-Leave/Default.aspx Holidays and Leave – State employees receive the following paid holidays each year: + New Year's Day + Martin Luther King, Jr. Day, + Mardi Gras, + Good Friday, + Memorial Day, + Independence Day, + Labor Day, + Veteran's Day, + Thanksgiving Day and Christmas Day. ***** Additional holidays may be proclaimed by the Governor State employees earn sick and annual leave which can be accumulated and saved for future use. Your accrual rate increases as your years of service increase. Retirement – State of Louisiana employees are eligible to participate in various retirement systems (based on the type of appointment and agency for which an employee works). These retirement systems provide retirement allowances and other benefits for state officers and employees and their beneficiaries. State retirement systems may include (but are not limited to): + Louisiana State Employees Retirement System (www.lasersonline.org). LASERS has provided this video (https://lasersonline.org/wp-content/uploads/2016/07/Your\_Retirement\_System.mp4) to give you more detailed information about their system + Teacher's Retirement System of Louisiana (www.trsl.org), + Louisiana School Employees Retirement System (www.lsers.net), among others 01 1. Do you have experience working with Louisiana licensed Nursing Facilities (NFs)? + Yes + No 02 2. If you answered YES to the previous question, please describe your experience and reference the experience included in your application (not resume). If you answered NO, enter n/a. 03 3. Are you currently licensed as a Registered Nurse (RN) in Louisiana OR current licensure as an LPN in Louisiana? + Yes + No 04 4. If you answered YES to the previous question, please describe your experience and reference the experience included in your application (not resume). If you answered NO, enter n/a. 05 5. Do you have experience with Nursing Facility Level of Care (NFLOC) determinations, specifically the Minimum Data Set (MDS 3.0) or the interRAI Home Care (iHC) assessment tools? + Yes + No 06 6. If you answered YES to the previous question, please describe your experience and reference the experience included in your application (not resume). If you answered NO, enter n/a. Required Question Employer State of Louisiana Address For agency contact information, please refer to the supplemental information above. Louisiana State Civil Service, Louisiana, 70802 Phone (866) 783-5462 Website http://agency.governmentjobs.com/louisiana/default.cfm Apply Please verify your email addressVerify Email