Bachelor's or Master's Degree in Nursing or health-related field
Two years of experience as a registered professional nurse in home health care or service review
Experience with medical necessity assessments
Registered Nurse's license issued by the State of New York
Valid driver's license for New York State
Responsibilities
Conduct medical case management following policies and procedures
Assess medical reports to evaluate care appropriateness and continuity
Recommend complex medical care items in line with departmental policies
Gather information on individuals lacking adequate care access
Collaborate with hospital discharge planners
Maintain communication with physicians regarding policy updates
Revise medical policies related to home care based on treatment plan evolution
Perform on-site compliance visits to service providers
Benefits
Comprehensive health insurance including medical, dental, and vision
Pension plan
Accrued paid time off including vacation, sick leave, personal days, and holidays
Regular working hours promoting work-life balance
Job security within county government employment
Full Job Description
An employee in this class completes medical and social assessments to determine the needs of potential home care and/or long-term home health care clients. The employee may authorize specific hours of personal care services and monitor quality of home care services rendered to eligible Medical Assistance clients or assist vulnerable populations in locating the appropriate care. The incumbent is expected to exercise independent initiative and judgment. Work is performed under general supervision and is reviewed by a professional or administrative superior through conferences and reports for conformance to departmental regulations. *Does related work as required.
PLEASE DO NOT APPLY HERE
To be considered for the Medical Services Specialist role, candidates must proceed to the following link: https://apps2.suffolkcountyny.gov/civilservice/efile/default.aspx
Once you have followed the above link, you will be presented with a list of all exams.
NOTE: The exam is "Medical Services Specialist"
Please Proceed As Follows:
Locate at the top right side of the site in the blue area, "Log In To Apply For Exams or Change Your Profile"
In the same blue area you must select "Click here to create a Civil Service User ID"
Complete all questions and proceed as requested
Medical Services Specialist Position Details
KEY RESPONSIBILITIES::
Performs medical case management functions in accordance with established policies and procedures;
Reviews medical reports to determine the nature of medical care requested, its appropriateness, comprehensiveness and continuity;
Recommends special and complex items of medical care and services in conformity with established departmental policies and procedures;
Identifies and compiles information on individuals unable to obtain an appropriate level of care;
May work closely with hospital discharge planners;
Establishes and maintains close contact with physicians and allied professional personnel; informs them of new and revised policies and procedures of the department;
Reviews and makes recommendations for revisions of medical policies and procedures as they relate to home care in accordance with the changing needs of overall medical treatment plans;
Makes on-site visits to providers to insure compliance with departmental policy, state regulations and the law;
May represent the agency at Fair Hearings or Legislative Meetings.
Benefits For You Now And Your Future
Health Insurance: Suffolk offers a comprehensive health insurance plan, including medical, dental, and vision coverage
Pension
Paid Time Off: Vacation (2 weeks to start) is accrued based on length of service; sick leave allows employees to take time off for illness without sacrificing pay; personal days can be used for a variety of reasons; and thirteen (13) paid holidays.
Work-Life Balance: County jobs offer regular working hours, reducing the need for overtime or irregular shifts. This helps employees maintain a good work-life balance.
Overall, county government jobs offer a combination of competitive benefits and job security, making them an attractive option for many job seekers.
Salary: $100,772
*This position does not offer relocation assistance at this time
**Sponsorship is not available for this role
OPEN COMPETITIVE MINIMUM QUALIFICATIONS
Graduation from a college with federally-authorized accreditation or registration by New York State with a Bachelor's or Master's Degree in Nursing or other health or human services field,
Plus two (2) years of experience as a registered professional nurse in home health care and/or the review of home health care services for medical necessity or in the delivery of preventive health care services.
***Experience must have been gained within the last ten (10) years.
NECESSARY SPECIAL REQUIREMENT
At the time of appointment and during employment in this title, employees must possess a Registered Nurse's license issued by the State of New York.
Employees must also possess and maintain a valid license to operate a motor vehicle in New York State.
