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Medical Certification Specialist 1-2


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 the Secretary / Health Standards / Statewide 


Multiple vacancies will be filled from this announcement statewide

 

Announcement Number: OS/DRT/205315

Cost Center: Multiple  

Position Number(s): TBA

 

This posting is being announced as a Classified position and may be filled as a Job appointment, Probationary or Promotional appointment.

(Job appointments are temporary appointments that may last up to 48 months)


**Applicants with a current valid Louisiana license, Registered Nurse (RN), are highly preferred**

Frequent travel within a field office area may be required. Please see field office parishes below.


Field Office 1Ascension, Assumption, Iberville, Jefferson, Lafourche, Orleans, Plaquemines, St. Bernard, St. Charles, St. James, St. John, St. Mary, and TerrebonneField Office 2East Baton Rouge, East Feliciana, Livingston, Pointe Coupee, St. Helena, St. Tammany, Tangipahoa, Washington, West Baton Rouge, and West Feliciana  Field Office 3Acadia, Calcasieu, Cameron, Iberia, Jefferson Davis, Lafayette, St. Landry, St. Martin, and Vermilion  Field Office 4Caldwell, East Carroll, Franklin, Jackson, Lincoln, Madison Morehouse, Ouachita, Richland, Tensas, Union, and West Carroll  Field Office 5Bienville, Bossier, Caddo, Claiborne, Desoto, Red River, and Webster  Field Office 6Allen, Avoyelles, Beauregard, Catahoula, Concordia, Evangeline, Grant, LaSalle, Natchitoches, Rapides, Sabine, Vernon, and Winn  


LDH/OS/Health Standards Section has a Special Entrance Rate (SER) for employees that are in possession of a valid Louisiana registered nurse license to practice professional nursing, a multi-state license issued by a Nursing Licensure Compact (NLC/eNLC) state, or a licensed physician (Doctor of Medicine). 

Medical Certification Specialist 1 - $36.56 hourly / $2,924.80 bi-weekly

Medical Certification Specialist 2 – $39.12 hourly / $3,129.60 bi-weekly


No Civil Service test score is required in order to be considered for this vacancy.


This position participates in a Career Progression Group (CPG) and may be filled as a Medical Certification Specialist 1 or 2 level at which the vacancy is filled will be determined by the qualifications of the candidate selected. This position provides the opportunity to advance within this job series. 

The actual starting salary depends on the education and experience of the selected applicant.

Please click on the below links to learn more about each job level:

State Civil Service Job Information Finder


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 will NOT populate 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: Deanda Thymes Deanda.Thymes@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.     

Requirements

MINIMUM QUALIFICATIONS:
A current Louisiana license in a health services field, health regulation field, or social services field plus two years of experience in hospital or nursing home administration, health services, health regulation, or social services; OR

A bachelor's degree plus two 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 one year of experience in hospital or nursing home administration, health services, health regulation, or social services.

Qualifications

FUNCTION OF WORK:
To conduct surveys and/or assessments to verify that the services provided to individuals by providers, facilities, waivers, and/or long term care programs are in compliance with federal certification, state regulations, and established state standards.
LEVEL OF WORK:
Experienced.
SUPERVISION RECEIVED:
Broad review from Medical Certification Supervisor or other higher level agency administrator.
SUPERVISION EXERCISED:
None.
LOCATION OF WORK:
Department of Health and Hospitals.
JOB DISTINCTIONS:
Differs from Medical Certification Specialist 2 by the absence of Centers for Medicare and Medicaid Services certification and by the level of independence exercised in carrying out work responsibilities.

Incumbent is located in the LDH/OS/Health Standards Section. This section is responsible for the licensing and certification of all healthcare programs located in the state. HSS currently licenses/certifies over 35 different healthcare provider types including over 8500 entities. These investigators require intense training and specialized certifications to achieve and maintain proficiency in determining compliance with the thousands of regulations that are inclusive of these programs. This compliance is required to ensure the health, safety and welfare of all citizens of this State who receive services in these licensed/certified healthcare facilities. The incumbent must have the knowledge, skills, abilities and training in the appropriate healthcare areas to ensure applicable standards of appropriate care are being followed. This requires a high level of critical thinking skills, autonomy and decision making skills in addition to intense investigation skills to determine regulatory compliance. The ever changing world of regulatory compliance requires that this incumbent be extremely dynamic with changing processes and a quick study to learn and apply these changing processes and interpretations. Failure to perform the duties in this position could adversely affect health related service delivery in the State and could result in millions of dollars in federal disallowance to the state and the interruption of health delivery to hundreds of thousands of consumers.

60% Conducts surveys with certified surveyor/surveyors on approximately 35 different health care providers/suppliers that operate in the State, This is done to determine conformity with state and federal regulations relative to licensure and certification which requires a broad knowledge of all state and federal program requirements. Conducts a facility review relative to organization, policies, and procedures, administration and quality of services to determine the extent of compliance with the state licensure standards and Medicare and Medicaid regulations, Obtains information from review of records, personnel interviews, resident interviews, and personal observations relative to the delivery of healthcare services and relative to the aspects of the operation of the facility and compliance standards. Compiles information derived from surveys, prepares reports on results of the surveys; describes findings as related to established program procedures and processes; determines conclusions based upon facts obtained, and formulates reports of these findings to enable the program desks to determine whether licensure or certification should be granted, denied, or altered depending upon established laws and regulations. When necessary, testifies in legal hearings relative to survey findings. Performs all surveys in a professional manner at all times, adheres to all assigned mandates, follows directions as given by supervisor, and assures accurate completion of duties in accordance with established state and federal guidelines and timelines, Participates in an ongoing quality assurance program to ensure program integrity.

40% Conducts special investigations with certified surveyor/surveyors in response to complaints and prepares reports of findings. Interprets state and federal regulations to providers/suppliers as needed. Cooperates with administrators of facilities and professional groups in the preparation and presentation of education programs for healthcare providers and staff Participates in an ongoing quality assurance program to ensure program integrity.

Preform additional duties as assigned.

Date Posted
02/04/2025
Job Reference
OS/DRT/205315
Organization
LDH-Office of Secretary
Location
Statewide, LA
Category
Administrative
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