Nurse IV vacancy at Health & Human Services Comm in Austin

Health & Human Services Comm is hiring Nurse IV on Tue, 30 Jan 2018 01:40:30 GMT. Current license to practice as a Registered Nurse in Texas or a state that recognizes reciprocity through the Nurse Licensure Compact....

Nurse IV

Location: Austin, Texas

Description: Health & Human Services Comm is hiring Nurse IV right now, this vacancy will be depute in Texas. For complete informations about this vacancy opportunity please read the description below. The Nurse IV position reports to the clinical policy manager. This position performs complex analysis of medical benefits for the Medicaid and CHIP Services Department, Office of Policy and Program. The position requires excellent writing skills and strong research skills, including experience conducting comprehensive literature reviews using electronic databases, reviewing current practice and other state’s policies and the ability to synthesize findings for a clinical and non-clinical audience. The findings must be interpreted correctly in accordance with the Texas Medicaid program's requirements and applied to medical benefits in the Medicaid program. The nurse analyst in this position must be proactive in seeking input from other staff in the Division and demonstrate the ability to work as an effective team member with other HHS staff. The nurse analyst in this position will be asked to participate in internal workgroups and work well with peers.

Essential Job Functions:
(30%) Clinical Research - Researches, analyzes, and synthesizes peer reviewed literature and evidence-based practices and applies it to program medical, dental, and mental health benefit policy. Provides complex technical medical information verbally or in writing to nonclinical audiences. Consults with stakeholders to address Medicaid program benefit policy issues. (30%) Develops policies- Reviews current benefits and develops new benefits for Medicaid medical policy. Identifies eligibility standards and authorization requirements for policies. Collaborates, as needed, with HHSC staff in other programs and other State agencies in program benefit policy development, planning, and implementation. Serves as clinical subject matter expert in the development and review of program benefit policy. Develops, reviews, and provides comments on Medicaid materials intended for use by vendors, providers, managed care organizations, and other partners. (15%) Special Projects and Workgroups - Leads or participates in workgroups and public meetings engaged in research, analysis, and evaluation of policy issues or initiatives. Leads or participates in special projects as requested by management. Positively represents department, agency, and State in conferences and meetings, including public presentation delivery, and, as an ongoing representative on various committees and teams, as directed. Prepares project updates, summaries, reports, or other documents and keeps management informed on pertinent issues. Functions as a resource to other State staff providing guidance, advice, or direction. Responds to internal and external communications and requests for information in a timely manner. Identifies the need to, and communicates and consults with external stakeholders, as necessary. (20%) Quality Assurance - Participates in quality assurance activities through: Development and review of program medical, dental, and mental health benefits, including reviewing documentation, document tracking research, policy development, and reviewing discussions and draft program benefit policy changes. -Researching provider or manufacturer questions or concerns. Maintains organized electronic files of activities and shares with partners, as appropriate. Assists in the review and referral of complaints concerning medical and other providers and services. (5%) Regulation review - Reviews, analyzes, and comments on regulations affecting program benefit policy. Other duties, as assigned, include but are not limited to actively participating in or serving in a supporting role to meet the agency's obligations.

Knowledge Skills Abilities:
Strong research skills, including experience conducting comprehensive literature reviews using PubMed/Medline, Hayes, and other electronic databases such as UpToDate, and synthesizing findings for a clinical and non-clinical audience. Experience with clinical practice guideline evaluation or development; clinical quality assessment, assurance, or improvement; clinical research; epidemiology; health care delivery Knowledge of health and human services agencies and programs, including Medicaid/CHIP. Excellent computer skills, including Microsoft Office suite. Demonstrated ability to work independently and function effectively as a member of a team, and under tight deadlines with high volume workloads. Highly organized and the ability to manage several projects concurrently in a fast-paced environment and juggle competing priorities. Detail and task oriented. Highly proficient in the English language with excellent written, verbal, and interpersonal communication and presentation skills. Ability to effectively facilitate meetings, establish and advance agenda goals. Skill in project planning, evaluation, and implementation. Skilled in establishing and maintaining effective working relationships with managers, co-workers, and other staff or program stakeholders. Knowledge of quality assurance principals. Familiarity with medical vocabularies such as Current Procedural Terminology (CPT), International Classification of Diseases, version 9, version 10.

Registration or Licensure Requirements:
Current license to practice as a Registered Nurse in Texas or a state that recognizes reciprocity through the Nurse Licensure Compact. Clinical coding certificate preferred.

Initial Selection Criteria:
Bachelor's of Nursing degree preferred, but other bachelor’s degrees will be considered. Master’s degree preferred in public health, health policy, biology or other social/behavioral health field or 4 years' experience in area that provided equivalent experience. Experience completing policy analysis a plus. Preference will be given to those with a coding certificate such as AAPC.

Additional Information:
Applicants selected for an interview will be required to submit a writing sample and complete an in-basket exercise. In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview. Note: Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to: 68C, 66N/P/W, 290X, 46FX, 46NX, 46SX. All active duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information see the Texas State Auditor’s Military Crosswalk at http://www.hr.sao.state.tx.us/Compensation/JobDescriptions.aspx.
HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work.

I-9 Form - Click here to download the I-9 form.

In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.
- .
If you were eligible to this vacancy, please email us your resume, with salary requirements and a resume to Health & Human Services Comm.

Interested on this vacancy, just click on the Apply button, you will be redirected to the official website

Apply Nurse IV Here

This vacancy starts available on: Tue, 30 Jan 2018 01:40:30 GMT