Job Information
State of Maine, Bureau of Human Resources MaineCare Quality Review Nurse in Maine, Maine
MaineCare Quality Review Nurse
Maine , United States | Nursing | Full-time
Apply by: July 10, 2024
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Department of Health and Human Services (DHHS)Health Services ConsultantOpening Date: June 24, 2024Closing Date: July 10, 2024Job Class Code: 4381
Grade: 07-22 (Nurses)
Salary: $54,080.00 - $70,886.41Position Number: 02000-2306Location: This position requires extensive travel from Waterville east to the coast of Maine, including Camden, Rockland, Ellsworth and Bar Harbor areas.
Do you enjoy compliance driven work?
Do you excel in training others?
Do you want to use your RN licensure and training in a setting that does not require direct patient care, supervisory duties, or shift work?
If you answered yes and you are licensed as a Registered Professional Nurse in the State of Maine as issued by the State Board of Nursing, apply today!
Core Responsibilities:
As a Health Services Consultant, you will conduct on-site reviews in nursing, residential care, and adult family care home facilities and perform retrospective audits of the Minimum Data Set (MDS) assessments to ensure a facility receives the correct rate of reimbursement. You will also provide training on the completion of the MDS, case mix purpose and documentation requirements for each type of facility.
Minimum Qualifications:
Registered Nurse and three (3) years of progressively responsible experience in the field of nursing and/or in the delivery of health care services.
Thinking about applying?
Research shows that people from historically excluded communities tend to apply to jobs only when they check every box in the posting. If you’re currently reading this and hesitating to apply for that reason, we encourage you to go for it! Let us know how your lived experience and passion set you apart.
Agency information:
TheDepartment of Health and Human Services (https://www.maine.gov/dhhs/) (DHHS) is dedicated to promoting health, safety, resilience, and opportunity for Maine people. The Department provides health and social services to approximately a third of the State's population, including children, families, older Mainers, and individuals with disabilities, mental illness, and substance use disorders. The Department also promotes public health, operates two state psychiatric hospitals, and provides oversight to health care providers.
The Office of MaineCare Services (OMS) within DHHS administers and coordinates several major health care financing programs for Maine’s citizens including MaineCare and Maine Rx Plus. This position is in the Case Mix and Classification Unit in the Office of Maine Care Services in Augusta and will travel extensively throughout Northern Maine.
Application Information:
Please submit all documents or files in PDF format.
For additional information concerning this position, please contact Sue Pinette, Asst. Director, Division Medicaid/Medicare Services at (207) 287-3933 or by e-mail at Suzanne.Pinette@maine.gov. To apply, please upload a resume or CV on or before the closing date.
To request a paper application, please contactAshley.Smith@Maine.gov (Ashley.Vigue@Maine.gov) .
Benefits of working for the State of Maine:
No matter where you work across Maine state government, you find employees who embody our state motto—"Dirigo" or "I lead"—as they provide essential services to Mainers every day. We believe in supporting our workforce's health and wellbeing with a valuable total compensation package, including:
Work-Life Fit – Rest is essential. Take time for yourself using 13 paid holidays , 12 days of sick leave , and 3+ weeks of vacation leave annually. Vacation leave accrual increases with years of service, and overtime-exempt employees receive personal leave.
Health Insurance Coverage – The State of Maine pays 85%-100% of employee-only premiums ($10,523.28-$12,380.40 annual value), depending on salary. Use this chart to find the premium costs for you and your family, including the percentage of dependent coverage paid by the State.
Dental Insurance – The State of Maine pays 100% of employee-only dental premiums ($350.40 annual value).
Retirement Plan – The State contributes the equivalent of 13.41% of the employee's pay towards the Maine Public Employees Retirement System (MainePERS).
Parental leave is one of the most important benefits for any working parent. All employees who are welcoming a child—including fathers and adoptive parents—receivesix weeks of fully paid parental leave. Additional, unpaid leave may also be available, under the Family and Medical Leave Act .
State employees are eligible for an extensive and highly competitive benefits package (https://www.maine.gov/bhr/state-jobs/compensation-benefits) , covering many aspects of wellness. Learn about additional wellness benefits for State employees from the Office of Employee Health and Wellness (https://www.maine.gov/bhr/oeh/) .
Note: Benefits may vary somewhat according to specific collective bargaining agreements and are prorated for part-time employment.
There's a job and then there's purposeful, transformative work. Our aim is to create a workplace where you can learn, grow, and continuously refine your skills. Applicants demonstrate job requirements in differing ways, and we appreciate that many skills and backgrounds can make people successful in this role.
As an Equal Opportunity employer, Maine State Government embraces a culture of respect and awareness. We are committed to creating a strong sense of belonging for all team members, and our process ensures an inclusive environment to applicants of all backgrounds including diverse race, color, sex, sexual orientation or gender identity, physical or mental disability, religion, age, ancestry, national origin, familial status or genetics.
If you’re looking for a great next step, and want to feel good about what you do, we’d love to hear from you. Please note reasonable accommodations are provided to qualified individuals with disabilities upon request.