Kitsap County, WA
Port Orchard, Washington, United States
OVERVIEW Make a difference in your community! Become a part of the Kitsap County team! Do what you love while serving the citizens where you live. NO WEEKENDS, HOLIDAYS OR ON-CALL! The Kitsap County Human Services department provides essential services that address individual and community needs, preserve the rights and dignity of those that are served, and promote the health and well-being of all Kitsap residents. The Division of Aging and Long Term Care serves the needs of older or disabled adults, their families, and caregivers residing in Kitsap County. We have an exciting opportunity for a Registered Nurse to join our team in an administrative case management capacity. This Medicaid funded position functions in consulting role and works closely with case managers to provide medical expertise for state and Medicaid programs. Our new team member will receive referrals regarding a variety of client medical issues, including health status assessment, review of service plans, making medically related referrals, providing on-site care provider training, and review of care provider performance. The ideal candidate must be a Registered Nurse, with the ability to complete comprehensive assessments using the CARE assessment tool, knowledge of professional nursing principles, concepts, and procedures, as well as knowledge of available community resources. QUALIFICATIONS FOR PERFORMANCE OF THE ESSENTIAL FUNCTIONS Required Education and Experience Bachelor's degree in nursing from an accredited college or university Three years of experience as a Registered Nurse Must have Washington State Department of Health Registered Nurse license in good standing Preferred Education, Experience or Other Qualifications Two years of Home Health experience and/or long term care experience Experience in other Administrative Nursing positions Driving Requirements The successful incumbent must meet the driving requirements of this position for eligibility to drive for Kitsap County. The successful incumbent must obtain a valid Washington State Driver's License prior to hire and maintain a satisfactory driving record as outlined in the Kitsap County Vehicle Use Policy. This position is categorized as: Category 2 : Driver may operate a personal vehicle as an essential function for official County business. Any employee using a personal vehicle on official County business shall be required to maintain auto liability insurance, in addition to having a valid driver's license. If driving on county business the incumbent must meet and follow the Fleet Risk Control Policies to operate a motor vehicle on County Business. Criminal Conviction Standards: The successful incumbent will or may have unsupervised access to children under 18 years of age, a vulnerable adult, or a vulnerable person, or access to a secured/confidential facility or computer system(s). As a result, Kitsap County will be conducting an extensive criminal background check by law enforcement agencies. Please review the following list of disqualifying crimes and negative actions to determine if you meet our standard for this position: https://www.dshs.wa.gov/sites/default/files/FSA/bccu/documents/Secretary%27sCrimesListforALLPrograms.pdf PHYSICAL REQUIREMENTS (The physical demands described are representative of those that must be met by the employee to successfully perform the essential functions of this job. Kitsap County provides reasonable accommodation to enable individuals with disabilities to perform the essential functions.) The duties in this position are performed in the office or in the field such as individual homes, hospitals, or long term care settings. May need to negotiate rough terrain to reach client homes. May come into contact with environmental hazards such as pets, clutter, dirt, rodents, structural instability, and cigarette smoke. ILLUSTRATIVE EXAMPLE OF DUTIES In this role, you will have opportunity to: Collaborate with Area Agency on Aging (AAA) case managers and Home Community Services (HCS) staff across a variety of programs to develop and maintain effective care of clients, and implement timely adjustments to service plans. Recommend changes in service plans, when indicated, to the case manager, and give feedback on quality of care provided. Utilize assessment and service plan documents; referral requests; document as required in the Service Episode Record System (SERS); report monthly visits; and maintain number of visit hours; client reports, and records. Enter case notes into the computer system in a timely manner. As needed, maintain an active caseload of clinically complex clients until stabilized; complete comprehensive assessments using the CARE assessment tool; perform other case management functions for clients on the caseload; return stabilized clients to general Case Management as appropriate. As needed, co-Case Manage medically complex cases with social worker Case Managers; complete comprehensive assessments using the CARE assessment tool; perform other case management functions; collaborate with social worker Case Manager to provide appropriate care, based on client's need and condition. Refer to appropriate health care providers as necessary to assure appropriate care and medical service delivery based on client's need and condition. Provide training to the care provider on-site, or direct further formal training for the provider as necessary. Participate in monitoring activities with subcontractors. OTHER POSITION RELATED INFORMATION Who May Apply : This position is open to the general public. Applications will be screened for qualifications and completion of all the required materials and forms. The most competitive applicants may be contacted for further steps in the selection process, which may include testing for office and computer skills. This position is classified as exempt from overtime under the Fair Labor Standards Act (FLSA) Non-represented and covered under the Kitsap County Personnel Manual. Kitsap County is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition, national origin, physical or mental disability, political affiliation, protected veteran status, race, religion, sex (including pregnancy), sexual orientation, or any other characteristic protected by applicable laws, regulations and ordinances. We also consider qualified applicants regardless of criminal histories, consistent with legal requirements. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please contact our Human Resources Office. Work hours for this position are typically Monday - Friday, 8 a.m. - 4:30 p.m. Flexible hours may be available, as approved by management . This position is open until filled, but interested candidates are encouraged to apply as soon as possible. First screening of this position will take place the week of July 25, 2022. Interviews of qualified applicants will begin soon after. At Kitsap County, we strive to take care of our team! Our employees are the greatest asset of Kitsap County, and we take pride in offering a highly competitive compensation and benefits package to all eligible employees. County Paid Benefits Include: Medical - Kaiser Permanente (HMO) or Aetna (PPO) Dental -Delta Dental or Willamette Vision - VSP Flexible Spending Accounts (FSA) Life Insurance - Basic, Accidental Death and Dismemberment (AD&D), Voluntary Term Life Insurance (VTL) Disability - Short-term disability & Long-term disability Voya Voluntary Insurance Transportation incentives Employee Assistance Program Travel Assistance Program Wellness program https://spf.kitsapgov.com/hr/Pages/Wellness.aspx Benefits become effective on the first calendar day of the month following the month in which the employee is hired except if the employee's hire date is the first calendar day of the month, benefits begin on the day of hire. More information about employee benefits is available on the county's website at: https://spf.kitsapgov.com/hr/Pages/Benefits.aspx or the Kitsap County Digital Benefits Guide . *Voluntary benefit options also available at the employee's expense Retirement: Employees are covered under the PERS retirement plan provided through the Washington State Department of Retirement Systems and Social Security. Deferred Compensation (IRS Plan 457b): tax-deferred savings program Holidays 11 paid holidays and 2 additional floating holiday per year Vacation Leave New employees are credited with 48 hours of annual leave upon hire and will be begin accruing at the rate of 8 hours per month starting on their 7th month of employment. Employees may carry over 360 hours from one calendar year to the next. Annual leave accrual will increase upon tenure, as follows: Upon completion of 3 years: 15 days per year (10.00 hours per month) Upon completion of 5 years: 20 days per year (13.33 hours per month) Upon completion of 10 years: 25 days per year (16.67 hours per month) Sick Leave All new hires will be credited with 48 hours of sick leave upon hire and will begin accruing at the rate of 8 hours per month starting on their 7th month of employment. Employees may carry over 1200 hours from one calendar year to the next. ***Part-time employees benefit contributions and leave accruals will beprorated*** Current County Employees If you are transferring or promoting into this position you are responsible for reviewing these benefit changes; prior to accepting a position. In addition, it is your responsibility to notify the Auditor's Payroll Division of a change in union status. NOTE: This is a general overview of the benefits offered through employment with Kitsap County, and every effort has been made to ensure its accuracy. If any information on this document conflicts or is incorrect with the provisions of the Personnel Manual, applicable laws, policies, rules or official plan documents they will prevail. The Personnel Manual is available at: https://www.kitsapgov.com/hr/Pages/Personnel-Manual-2019.aspx Closing Date/Time: Continuous
OVERVIEW Make a difference in your community! Become a part of the Kitsap County team! Do what you love while serving the citizens where you live. NO WEEKENDS, HOLIDAYS OR ON-CALL! The Kitsap County Human Services department provides essential services that address individual and community needs, preserve the rights and dignity of those that are served, and promote the health and well-being of all Kitsap residents. The Division of Aging and Long Term Care serves the needs of older or disabled adults, their families, and caregivers residing in Kitsap County. We have an exciting opportunity for a Registered Nurse to join our team in an administrative case management capacity. This Medicaid funded position functions in consulting role and works closely with case managers to provide medical expertise for state and Medicaid programs. Our new team member will receive referrals regarding a variety of client medical issues, including health status assessment, review of service plans, making medically related referrals, providing on-site care provider training, and review of care provider performance. The ideal candidate must be a Registered Nurse, with the ability to complete comprehensive assessments using the CARE assessment tool, knowledge of professional nursing principles, concepts, and procedures, as well as knowledge of available community resources. QUALIFICATIONS FOR PERFORMANCE OF THE ESSENTIAL FUNCTIONS Required Education and Experience Bachelor's degree in nursing from an accredited college or university Three years of experience as a Registered Nurse Must have Washington State Department of Health Registered Nurse license in good standing Preferred Education, Experience or Other Qualifications Two years of Home Health experience and/or long term care experience Experience in other Administrative Nursing positions Driving Requirements The successful incumbent must meet the driving requirements of this position for eligibility to drive for Kitsap County. The successful incumbent must obtain a valid Washington State Driver's License prior to hire and maintain a satisfactory driving record as outlined in the Kitsap County Vehicle Use Policy. This position is categorized as: Category 2 : Driver may operate a personal vehicle as an essential function for official County business. Any employee using a personal vehicle on official County business shall be required to maintain auto liability insurance, in addition to having a valid driver's license. If driving on county business the incumbent must meet and follow the Fleet Risk Control Policies to operate a motor vehicle on County Business. Criminal Conviction Standards: The successful incumbent will or may have unsupervised access to children under 18 years of age, a vulnerable adult, or a vulnerable person, or access to a secured/confidential facility or computer system(s). As a result, Kitsap County will be conducting an extensive criminal background check by law enforcement agencies. Please review the following list of disqualifying crimes and negative actions to determine if you meet our standard for this position: https://www.dshs.wa.gov/sites/default/files/FSA/bccu/documents/Secretary%27sCrimesListforALLPrograms.pdf PHYSICAL REQUIREMENTS (The physical demands described are representative of those that must be met by the employee to successfully perform the essential functions of this job. Kitsap County provides reasonable accommodation to enable individuals with disabilities to perform the essential functions.) The duties in this position are performed in the office or in the field such as individual homes, hospitals, or long term care settings. May need to negotiate rough terrain to reach client homes. May come into contact with environmental hazards such as pets, clutter, dirt, rodents, structural instability, and cigarette smoke. ILLUSTRATIVE EXAMPLE OF DUTIES In this role, you will have opportunity to: Collaborate with Area Agency on Aging (AAA) case managers and Home Community Services (HCS) staff across a variety of programs to develop and maintain effective care of clients, and implement timely adjustments to service plans. Recommend changes in service plans, when indicated, to the case manager, and give feedback on quality of care provided. Utilize assessment and service plan documents; referral requests; document as required in the Service Episode Record System (SERS); report monthly visits; and maintain number of visit hours; client reports, and records. Enter case notes into the computer system in a timely manner. As needed, maintain an active caseload of clinically complex clients until stabilized; complete comprehensive assessments using the CARE assessment tool; perform other case management functions for clients on the caseload; return stabilized clients to general Case Management as appropriate. As needed, co-Case Manage medically complex cases with social worker Case Managers; complete comprehensive assessments using the CARE assessment tool; perform other case management functions; collaborate with social worker Case Manager to provide appropriate care, based on client's need and condition. Refer to appropriate health care providers as necessary to assure appropriate care and medical service delivery based on client's need and condition. Provide training to the care provider on-site, or direct further formal training for the provider as necessary. Participate in monitoring activities with subcontractors. OTHER POSITION RELATED INFORMATION Who May Apply : This position is open to the general public. Applications will be screened for qualifications and completion of all the required materials and forms. The most competitive applicants may be contacted for further steps in the selection process, which may include testing for office and computer skills. This position is classified as exempt from overtime under the Fair Labor Standards Act (FLSA) Non-represented and covered under the Kitsap County Personnel Manual. Kitsap County is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition, national origin, physical or mental disability, political affiliation, protected veteran status, race, religion, sex (including pregnancy), sexual orientation, or any other characteristic protected by applicable laws, regulations and ordinances. We also consider qualified applicants regardless of criminal histories, consistent with legal requirements. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please contact our Human Resources Office. Work hours for this position are typically Monday - Friday, 8 a.m. - 4:30 p.m. Flexible hours may be available, as approved by management . This position is open until filled, but interested candidates are encouraged to apply as soon as possible. First screening of this position will take place the week of July 25, 2022. Interviews of qualified applicants will begin soon after. At Kitsap County, we strive to take care of our team! Our employees are the greatest asset of Kitsap County, and we take pride in offering a highly competitive compensation and benefits package to all eligible employees. County Paid Benefits Include: Medical - Kaiser Permanente (HMO) or Aetna (PPO) Dental -Delta Dental or Willamette Vision - VSP Flexible Spending Accounts (FSA) Life Insurance - Basic, Accidental Death and Dismemberment (AD&D), Voluntary Term Life Insurance (VTL) Disability - Short-term disability & Long-term disability Voya Voluntary Insurance Transportation incentives Employee Assistance Program Travel Assistance Program Wellness program https://spf.kitsapgov.com/hr/Pages/Wellness.aspx Benefits become effective on the first calendar day of the month following the month in which the employee is hired except if the employee's hire date is the first calendar day of the month, benefits begin on the day of hire. More information about employee benefits is available on the county's website at: https://spf.kitsapgov.com/hr/Pages/Benefits.aspx or the Kitsap County Digital Benefits Guide . *Voluntary benefit options also available at the employee's expense Retirement: Employees are covered under the PERS retirement plan provided through the Washington State Department of Retirement Systems and Social Security. Deferred Compensation (IRS Plan 457b): tax-deferred savings program Holidays 11 paid holidays and 2 additional floating holiday per year Vacation Leave New employees are credited with 48 hours of annual leave upon hire and will be begin accruing at the rate of 8 hours per month starting on their 7th month of employment. Employees may carry over 360 hours from one calendar year to the next. Annual leave accrual will increase upon tenure, as follows: Upon completion of 3 years: 15 days per year (10.00 hours per month) Upon completion of 5 years: 20 days per year (13.33 hours per month) Upon completion of 10 years: 25 days per year (16.67 hours per month) Sick Leave All new hires will be credited with 48 hours of sick leave upon hire and will begin accruing at the rate of 8 hours per month starting on their 7th month of employment. Employees may carry over 1200 hours from one calendar year to the next. ***Part-time employees benefit contributions and leave accruals will beprorated*** Current County Employees If you are transferring or promoting into this position you are responsible for reviewing these benefit changes; prior to accepting a position. In addition, it is your responsibility to notify the Auditor's Payroll Division of a change in union status. NOTE: This is a general overview of the benefits offered through employment with Kitsap County, and every effort has been made to ensure its accuracy. If any information on this document conflicts or is incorrect with the provisions of the Personnel Manual, applicable laws, policies, rules or official plan documents they will prevail. The Personnel Manual is available at: https://www.kitsapgov.com/hr/Pages/Personnel-Manual-2019.aspx Closing Date/Time: Continuous
CalOptima
Orange, CA, USA
Manager Case Management CalOptima CalOptima Health is seeking a highly motivated an experienced Manager Case Management to join our team. The Manager Case Management provides shared responsibility for the daily operations, activities and projects for the Case Management department. The incumbent works under the general direction of the Director of Case Management and in partnership with the other department managers to provide performance management and development of the case management staff and projects associated with the department to ensure compliance with department policies and procedures, along with the implementation of assigned projects. The incumbent may be required to attend joint operational and community meetings. The incumbent is responsible for monitoring of case management reports and reporting to management or committees. Position Information: Department: Case Management Salary Grade: P - $117,000 - $192,390 ($56.25 - $92.4952) Work Arrangement: Partial Telework **This position is eligible for telework in California.** Duties & Responsibilities: 50% - Leadership Cultivates and promotes a mission driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Directs and assists the team in carrying out department responsibilities and collaborates with the leadership team and staff to support short and long-term goals/priorities for the department. Hires, manages, trains, reviews and sets goals for department and staff. Works with the director in the development, implementation and evaluation of the department's case management policies and procedures. Ensures programs, policies and procedures, and desktop procedures are aligned with Centers for Medicare & Medicaid Services (CMS), Department of Health Care Services (DHCS) and National Committee for Quality Assurance (NCQA) standards. 45% - Program Oversight Collects, analyzes and responds to data regarding overall and individual case management effectiveness. Develops and implements complex project plans for current or new programs which will assist with improving efficiencies, outcomes and satisfaction according to federal and/or state regulations. Develops and maintains relationships with providers, networks and groups to serve as a liaison between the health plan and the provider. Forwards cases requiring director or Medical Director review or intervention and routes appropriately. Partners with the other Managers of Case Management to meet all project deadlines. 5% - Completes other projects and duties as assigned. Minimum Qualifications: Bachelor's degree in a healthcare related field and a current unrestricted Registered Nurse (RN) license to practice in the state of California required. For non-RN's, a master's degree in healthcare, social work or related field required. 5 years of experience in managed care, preferably with Medicare and Medicaid/Medi-Cal populations required. 3 years of experience in ambulatory case management required. An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. Preferred Qualifications: 3 years of supervisory/management level experience. Active Certified Case Management (CCM) certification. Required Licensure / Certifications: N/A Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is May 6, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/manager-case-management-505-city-parkway-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-bbb85c967773e6459266ceef782b5e8c
Manager Case Management CalOptima CalOptima Health is seeking a highly motivated an experienced Manager Case Management to join our team. The Manager Case Management provides shared responsibility for the daily operations, activities and projects for the Case Management department. The incumbent works under the general direction of the Director of Case Management and in partnership with the other department managers to provide performance management and development of the case management staff and projects associated with the department to ensure compliance with department policies and procedures, along with the implementation of assigned projects. The incumbent may be required to attend joint operational and community meetings. The incumbent is responsible for monitoring of case management reports and reporting to management or committees. Position Information: Department: Case Management Salary Grade: P - $117,000 - $192,390 ($56.25 - $92.4952) Work Arrangement: Partial Telework **This position is eligible for telework in California.** Duties & Responsibilities: 50% - Leadership Cultivates and promotes a mission driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Directs and assists the team in carrying out department responsibilities and collaborates with the leadership team and staff to support short and long-term goals/priorities for the department. Hires, manages, trains, reviews and sets goals for department and staff. Works with the director in the development, implementation and evaluation of the department's case management policies and procedures. Ensures programs, policies and procedures, and desktop procedures are aligned with Centers for Medicare & Medicaid Services (CMS), Department of Health Care Services (DHCS) and National Committee for Quality Assurance (NCQA) standards. 45% - Program Oversight Collects, analyzes and responds to data regarding overall and individual case management effectiveness. Develops and implements complex project plans for current or new programs which will assist with improving efficiencies, outcomes and satisfaction according to federal and/or state regulations. Develops and maintains relationships with providers, networks and groups to serve as a liaison between the health plan and the provider. Forwards cases requiring director or Medical Director review or intervention and routes appropriately. Partners with the other Managers of Case Management to meet all project deadlines. 5% - Completes other projects and duties as assigned. Minimum Qualifications: Bachelor's degree in a healthcare related field and a current unrestricted Registered Nurse (RN) license to practice in the state of California required. For non-RN's, a master's degree in healthcare, social work or related field required. 5 years of experience in managed care, preferably with Medicare and Medicaid/Medi-Cal populations required. 3 years of experience in ambulatory case management required. An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. Preferred Qualifications: 3 years of supervisory/management level experience. Active Certified Case Management (CCM) certification. Required Licensure / Certifications: N/A Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is May 6, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/manager-case-management-505-city-parkway-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-bbb85c967773e6459266ceef782b5e8c
Alameda County
Alameda, California, United States
Introduction READ THIS ENTIRE BULLETIN FOR INSTRUCTIONS ON HOW TO REAPPLY FOR THIS RECRUITMENT THIS IS A REOPENING OF A CONTINOUS EXAMINATION. If you have previously applied or started an application for the Registered Nurse II (PHN Option), Examination #19-5305-01 , and choose to reapply, please contact the examination analyst,Angelica Cuevas at Angelica.Cuevas@acgov.org to have your previous application released back to you. The scores and dispositions of candidates for this examination will be merged with previous exam participants. If you have previously submitted an application and choose to reapply, your new score/disposition will replace your current disposition. Application and Supplemental Questionnaire: A properly completed Supplemental Questionnaire must be submitted with each application. Applications and Supplemental Questionnaires must be in the possession of the Human Resource Services Department by 5:00 p.m. on the Last Day for Filing. Failure to submit the supplemental questionnaire will result in disqualification. Applications will only be accepted on-line. DESCRIPTION ALAMEDA COUNTY HEALTH Alameda County Health is the local government agency that promotes and protects the health and well-being of all who live, work, learn, and play in Alameda County. We coordinate services and cultivate partnerships with community organizations and providers to help ensure access, organize, and deliver health care and services to people with Medi-Cal and without insurance, support resilient communities, and improve health for all. We focus on health equity by developing programs and systemic solutions that reduce disparities for the people and communities we serve. Alameda County Health’s departments and programs focus on services and support that provide care for the whole person. • The Behavioral Health Department provides mental health and substance use services for people with Medi-Cal and without insurance and supports people along their path to wellness, recovery, and resilience. • The Environmental Health Department works to keep our air, water, and food safe; it regulates, protects, and promotes the health of everyone in Alameda County by enforcing environmental health codes to reduce exposure to toxins and diseases. • The Public Health Department focuses on community and population-level health, preventing and addressing root causes of health inequity across a range of communicable and chronic diseases. • Alameda County Health also provides services through Housing and Homelessness Services, Emergency Medical Services Agency, HealthPAC, and Healthy Schools and Communities. PUBLIC HEALTH DEPARTMENT As part of Alameda County Health, the Public Health Department works in partnership with our local communities to ensure the optimal health and well-being of all people. We monitor health status and service delivery, prevent disease, mobilize communities, conduct outreach, and promote health policy and education. We actively seek partnerships and engage with the community to improve community health through a dynamic and responsive process that respects diversity, addresses health equity, and challenges us to provide for present and future generations. We are nurses, doctors, community psychologists, epidemiologists, dentists, medical social workers, physical and occupational therapists, dietitians, outreach workers, health educators, program managers, and pre-hospital care coordinators. THE POSITION Registered Nurse II positions are located in Alameda County Health, Social Services Agency and Community Development Agency. Registered Nurse IIs provide a variety of nursing care services, case management, treatment plan, teaching, counseling and referral to clients and families in a home and/or community setting, provide nursing assessment, planning, intervention and evaluation; coordinate care with other health care providers, professionals and other agencies and community representatives; assist in the prevention of communicable diseases; and perform related duties as required. THE VACANCIES The current Registered Nurse II (PHN) vacancies are in all County locations . These positions aresituated in the Social Services Agency and in the following programs/units within the Public Health Department: Acute Communicable Disease, California Children's Services, Tuberculosis (TB) Control Section, the Nurse-Family Partnership (NFP), and the Foster Care Assessment Center. However the eligible list resulting from this recruitment may be used to fill future vacancies in other program areas. SPECIAL REQUIREMENT : In addition to meeting the minimum qualifications below, these positions require possession of a current and valid Public Health Nursing (PHN) Certificate issued by the California Board of Registered Nursing. PROGRAM OVERVIEW Acute Communicable Disease Unit Alameda County Public Health Nurses, in the Acute Communicable Disease Unit, are responsible for the surveillance, investigation, and control of cases, contacts, and outbreaks of over 75 reportable communicable diseases; all reportable communicable diseases except for HIV, sexually transmitted infections and tuberculosis. Program activities include interviewing clients with reportable diseases, as well as their family members and health care providers, to collect clinical and risk factor information and to identify potentially exposed contacts. ACD staff educate clients about disease symptoms, transmission, treatment and prevention; identify and locate exposed contacts to provide education about potential symptoms and if appropriate, post-exposure preventive treatment; recommend interventions to prevent disease transmission in households, schools, day care facilities, health care facilities, and other congregate settings; maintain accurate surveillance of reportable conditions and review trends to identify areas for enhanced prevention and control efforts; initiate and lead key functions in the public health response to infectious disease emergencies; and serve as on-call duty officers to conduct mandated public health response to urgent communicable cases and outbreaks in the evening, on weekends, and holidays. California Children's Services (CCS) California Children’s Services (CCS) is a statewide program that provides case management and care coordination for clients' birth to 21 who have chronic, disabling and/or life threatening conditions. There are medical, financial and residential eligibility requirements. Under the direction of the CCS Nurse Manager, the Registered Nurse IV (RN IV), the Registered Nurse II (RN II) performs medical utilization review and comprehensive case management for a case load of children who have CCS medically eligible conditions. The RN II works in multi-disciplinary teams to determine medical eligibility and provides medical care coordination from the point of intake and initiation of the treatment care plan as part of the CCS interdisciplinary case management team. Nurses also ensure that clients are receiving necessary services with the most appropriate provider. The RN II is expected to have knowledge of: principles, methods and procedures for utilization review and relating to acute hospitalizations, home care, medical and nursing services and other levels of institutional care, CCS and Medi-Cal regulations; health care delivery system with respect to medical services available to the child and family; and family adaptation to handicapping conditions involving physical and psycho-social needs. Tuberculosis (TB) Control Section Registered Nurse IIs in the TB Control Section work under the supervision of the TB Nurse Manager (RN IV) and under the guidance of an RN III to provide case management to a caseload of clients with active and suspected active TB disease; to conduct monthly visits to the family, investigate contacts and assure access to care; oversee direct observation therapy (DOT) as needed, and to perform other duties as assigned. The work of the Registered Nurse IIs in the TB Control Section is specific to TB cases and their contacts, and requires knowledge of public health nursing standards, access to health care in the local community, knowledge of tuberculosis disease and transmission, diagnosis and treatment of active TB disease and latent TB infection, knowledge of co-morbidities and complex socio-economic problems that adversely affect TB treatment outcomes, and responsibility for assuring completion of TB treatment; contact tracing, early identification of secondary cases and contacts at risk for rapid progression to TB disease if infected; surveillance (including case reporting); understanding of epidemiology of tuberculosis in Alameda County and how it guides public health nursing practice, and performing outreach (when resources permit) to persons at high risk for TB infection and disease. Nurse-Family Partnership (NFP) Nurse-Family Partnership is a home visiting program that partners nurses with low income first-time moms in Alameda County, in order to give babies the best start in life. Case management services begin in pregnancy and continue until the child reaches two years old. During that time, parents are provided with health education, support, and child development information so that families can create better lives for their child and themselves. This position will be situated within Public Health and includes nursing care management with prenatal and postpartum clients and their children up to the age of two. Nurses in this program receive intensive training to administer this evidence based home visiting program whose goal is to improve birth outcomes, increase child development and increase families' self-sufficiency. Nurse-Family Partnership nurses establish relationships with young, at-risk mothers during home visits and provide guidance for the emotional, social, and physical challenges first-time moms face as they prepare to become parents. NFP nurses work with culturally diverse families in communities with broad-based socio-inequity. We serve a high population of Oakland clients. Foster Care Assessment Center The Assessment Center (the AC) is a non-residential, short-term shelter child-friendly environment that operates 24 hours per day. The AC is staffed and managed by West Coast Children's Clinic, Inc., a community-based organization under contract to the Alameda County Social Services Agency. The AC has the capacity to receive and care for all ages of children and youth newborn to 21 years of age (Non-Minor Dependents NMDs).The purpose of the AC is to provide a supportive, child-friendly place where children can be looked after safely while more thoughtful placements are researched, including assessment of relative placement options, allow qualified staff to provide timely crisis intervention services to lessen the trauma of removal and initiate basic physical and mental health screenings, appropriate linkages and referrals. Under the supervision of the RN IV, the PHN II at the AC serves as an interdisciplinary team member of the Department of Children and Family Services (DCFS) and is responsible for implementing the daily nursing operations at the AC, which includes conducting nursing assessments on children received at the AC; communicating the need for timely follow-up of abnormal health assessment findings and/or acute health findings to placement providers, medical providers, child welfare staff, childcare staff, and PHNs in the Health Care Program for Children in Foster Care; facilitating the coordination of care between the AC, DCFS, Public Health Department, emergency foster homes, health care providers, schools, and any other relevant agencies invested in the total care of vulnerable children; providing onsite skilled, professional nursing consultation to the child welfare staff, including the Child Welfare Workers and other relevant personnel, child care staff, and biological and/or foster family; collaborating with child welfare staff to develop and maintain a systematic process for obtaining the basic medical history of the child at the time of removal from the caregiver’s home; gathering and interpreting information obtained from birth records, medical/dental records, immunization records, lab and radiological reports; documenting relevant information in the CWS/CMS database; researching medical insurance coverage for children to assist with urgent medical needs; training childcare providers on method of administering a brief health checklist for children brought to the AC; taking the lead to address the identified health care needs of each child/youth/non-minor dependent (NMD) admitted to the AC, including coordination of needed medical appointments, follow-up, and medication refills; administering, supervising and monitoring all medications prescribed; performing prescribed treatments. The PHN at the AC is expected to have knowledge of the health care delivery system available to children in foster care, family dynamics of the child removed from an abusive and/or neglectful home and the emotional adaptation to out of home placement and the effects of family separation. IHSS Program The IHSS Program is a home visiting program across all 58 counties in California. The Alameda County Public Health Nurse primary role is to conduct an assessment/reassessment of clients that are at risk for out of home placement and to prevent premature institutionalization and/or nursing home placement. The program serves eligible individual across the lifespan who are aged, blind, and disabled to remain safely in their own homes. The public health nurse carries a caseload focused exclusively on IHSS recipients identified as having paramedical service needs for example GT feedings/Tracheostomy/diabetes management/home dialysis. The PHN conducts comprehensive in-home assessment and reassessment to address the medical, nursing, and psychosocial aspects of the client’s health. In addition, the PHN provides health education and management of chronic medical conditions. The PHN is expected to have knowledge of the health delivery system, applying the nursing process, comfortable conducting a thorough assessment, and communicate effectively with clients. Under the supervision of the Supervising Public Health Nurse (RN IV); the RN II/PHN serves as part of a multidisciplinary team who are responsible for assessing clients’ ability to live safely in their home by evaluating the risk for institutionalization, monitoring client’s progress through any prescribed rehabilitative, and providing case management in coordination with other departments, agencies, and health providers. MINIMUM QUALIFICATIONS License/Certificate: - Possession of a current and valid license to practice as a Registered Nurse in the State of California. - Possession of a current and valid Public Health Nurse (PHN) Certificate issued by the State of California - Some positions may require a valid California Motor Vehicle Operator's license. Special Requirements: 1. In compliance with the Administrative Simplification provision of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), employees in this classification are required to possess a National Provider Identifier (NPI) number prior to their first day on the job. 2. In Compliance with Medicare regulations, employees in this classification are required to complete the "Medicare Enrollment Process for Physicians and non-Physician Practitioners" through the Centers for Medicare and Medicaid Services (CMS) of the U.S. Department of Health and Human Services, prior to their first day on the job. Active enrollment in Medicare is a condition of employment. Failure to attain or maintain active enrollment will result in termination. Either I Experience: The equivalent of six months of full-time experience as a Registered Nurse I in the Alameda County classified service. (Non-classified includes District Attorney's Office, Hospital Authority, and the Consolidated Courts.) Or II The equivalent of one year of full-time recent experience with the last five years at a comparable level as a Registered Nurse in a clinical and/or public health setting. Some positions may require one (1) year of experience in a specialty area. SPECIAL REQUIREMENT : In addition to meeting the minimum qualifications below, these positions require possession of a current and valid Public Health Nursing (PHN) Certificate issued by the California Board of Registered Nursing. NOTE: The Civil Service Commission may modify the above Minimum Qualifications in the announcement of an examination. KNOWLEDGE AND SKILLS The most suitably qualified candidates will possess the following competencies: Knowledge of: • Theories, principles, procedures, techniques, standards and practices of public health nursing. • Anatomy, physiology, chemistry, pharmacology, growth and development, medical surgical nursing, nutrition, community health, and population based communities. • Principles and practices of the nursing process. • Wellness to illness continuum. • Nursing procedures, techniques, equipment and supplies. • Contact investigation and infection control principles. • Health systems, agencies, and patterns of referral. • Major disease conditions, current prevention techniques, therapies, and treatments. • Community resources and health systems. • Collaborative health planning with multi-disciplinary teams. • Principles and practices of effective organization. • Computer applications related to the work. Ability to: • Maintain confidentiality. • Communicate effectively orally and in writing. • Teach and counsel patients, families, and staff. • Exercise independent judgment. • Interpret data. • Analyze, evaluate and draw logical conclusions. • Respond effectively to emergency situations. • Exercise interpersonal sensitivity to establish and maintain effective working relationships with staff, clients, other agencies and the public. • Practice effective nursing in diverse/multicultural environments. • Plan, organize and prioritize. • Make effective use of available materials and human resources. • Provide safe, effective and efficient nursing care. EXAMINATION COMPONENTS The examination will consist of the following steps: A review of applicants' application to verify possession of minimum requirements. Those applicants who possess the minimum requirements for the class will move on to the next step in the examination process. Those candidates who possess the minimum qualifications for the class will be placed on the eligible list based on an evaluation of education, training, and experience. CANDIDATES MUST ATTAIN A QUALIFYING RATING ON EACH PORTION OF THIS EXAMINATION. We reserve the right to make changes to the announced examination components. Alameda County utilizes a Civil Service Selection System founded on merit. Such a system is competitive and based on broad recruitment efforts and equal opportunity for qualified applicants to test in an examination process designed to determine the qualifications, fitness and ability of competitors to perform duties of the vacant position. Many of our recruitments are targeted and specific to the needs of a current vacant position, in which case, the eligible list may be exclusively used for that current vacant position. Other recruitments may be more broadly used for both current and future vacancies, or for other alternate jobs with comparable scopes of work. To learn more about our recruitment and selection process, please visit the “What You Need to Know” section of our website, www.acgov.org/hrs . Selection Plan Applicants will be informed via email with reasonable notice in advance of any examination process which will require their attendance. The following dates are tentative and subject to change based on the needs of the Agency: TENTATIVE SELECTION PLAN Deadline for Filing:Continuous Review of Minimum Qualification & SQ:Ongoing Department Hiring Interview:Ongoing Alameda County and the Human Resource Services Department will make reasonable efforts in the examination and/or selection process to accommodate qualified individuals with disabilities and/or medical conditions in accordance/compliance with the State Fair Employment and Housing Act (FEHA), Federal Americans with Disabilities Act (ADA) Alameda County’s Reasonable Accommodation Policy and applicable statutes. To request an accommodation due to a disability/medical condition during this or other phases of the examination/selection process, please contact the assigned Human Resources Representative listed on the job announcement before the last date of filing . Alameda County requires applicants to provide supporting documentation to substantiate a request for reasonable accommodation. In order to qualify for a reasonable accommodation, applicants must have a disability/medical condition pursuant to the ADA, FEHA and applicable statutes. For more information regarding our Reasonable Accommodation procedures, please visit our website, www.acgov.org/hrs . BENEFITS Alameda County offers a comprehensive and competitive benefits package that affords wide-ranging health care options to meet the different needs of a diverse workforce and their families. We also sponsor many different employee discount, fitness and health screening programs focused on overall well being. These benefits include but are not limited to*: For your Health & Well-Being Medical - HMO & PPO Plans Dental - HMO & PPO Plans Vision or Vision Reimbursement Share the Savings Basic Life Insurance Supplemental Life Insurance (with optional dependent coverage for eligible employees) County Allowance Credit Flexible Spending Accounts - Health FSA, Dependent Care and Adoption Assistance Short-Term Disability Insurance Long-Term Disability Insurance Voluntary Benefits - Accident Insurance, Critical Illness, Hospital Indemnity and Legal Services Employee Assistance Program For your Financial Future Retirement Plan - (Defined Benefit Pension Plan) Deferred Compensation Plan (457 Plan or Roth Plan) For your Work/Life Balance 12 paid holidays Floating Holidays Vacation and sick leave accrual Vacation purchase program Catastrophic Sick Leave Group Auto/Home Insurance Pet Insurance Commuter Benefits Program Guaranteed Ride Home Employee Wellness Program (e.g. At Work Fitness, Incentive Based Programs, Gym Membership Discounts) Employee Discount Program (e.g. theme parks, cell phone, etc.) Child Care Resources 1 st United Services Credit Union *Eligibility is determined by Alameda County and offerings may vary by collective bargaining agreement. This provides a brief summary of the benefits offered and can be subject to change. Conclusion All notices related to County recruitments for which you have applied will be sent/delivered via email. Please add @jobaps.com, @acgov.org, Noreplyalamedacountyhr@acgov.org and Noreply@jobaps.com as accepted addresses to any email blocking or spam filtering program you may use. If you do not do this, your email blocking or spam filtering program may block receipt of the notices regarding your application for recruitments. You are also strongly advised to regularly log into your County of Alameda online application account to check for notices that may have been sent to you. All email notices that will be sent to you will also be kept in your personal online application account. You will be able to view all of your notices in your online application account by clicking on the "My applications" button on the Current Job Openings page. Please take the steps recommended above to ensure you do not miss any notices about a recruitment for which you have applied. The County of Alameda is not responsible for notices that are not read, received or accessed by any applicant for a County recruitment. NOTE: All notices are generated through an automated email notification system. Replies to the email boxes Noreply@jobaps.com and noreplyalamedacountyhr@acgov.org are routed to unmonitored mailboxes. If you have questions, please go to our website at www.acgov.org/hrs . You may also contact the Human Resources Analyst listed on the job announcement for the recruitment for which you have applied. Angelica Cuevas, HR Analyst Human Resource Services, County of Alameda (510) 271-5154 or email Angelica.Cuevas@acgov.org www.acgov.org/hrs DISASTER SERVICE WORKER All Alameda County employees are designated Disaster Service Workers through state and local law. Employment with the County requires the affirmation of a loyalty oath to this effect. Employees are required to report to work as ordered in the event of an emergency. EQUAL EMPLOYMENT OPPORTUNITY Alameda County has a diverse workforce, that is representative of the communities we serve, and is proud to be an equal opportunity employer. All aspects of employment are based on merit, competence, performance and business need. Alameda County does not discriminate in employment on the basis of, race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other non-merit factors protected under federal, state and local law. Alameda County celebrates diversity and is committed to creating an inclusive, and welcoming workplace environment. Closing Date/Time: Continuous
Introduction READ THIS ENTIRE BULLETIN FOR INSTRUCTIONS ON HOW TO REAPPLY FOR THIS RECRUITMENT THIS IS A REOPENING OF A CONTINOUS EXAMINATION. If you have previously applied or started an application for the Registered Nurse II (PHN Option), Examination #19-5305-01 , and choose to reapply, please contact the examination analyst,Angelica Cuevas at Angelica.Cuevas@acgov.org to have your previous application released back to you. The scores and dispositions of candidates for this examination will be merged with previous exam participants. If you have previously submitted an application and choose to reapply, your new score/disposition will replace your current disposition. Application and Supplemental Questionnaire: A properly completed Supplemental Questionnaire must be submitted with each application. Applications and Supplemental Questionnaires must be in the possession of the Human Resource Services Department by 5:00 p.m. on the Last Day for Filing. Failure to submit the supplemental questionnaire will result in disqualification. Applications will only be accepted on-line. DESCRIPTION ALAMEDA COUNTY HEALTH Alameda County Health is the local government agency that promotes and protects the health and well-being of all who live, work, learn, and play in Alameda County. We coordinate services and cultivate partnerships with community organizations and providers to help ensure access, organize, and deliver health care and services to people with Medi-Cal and without insurance, support resilient communities, and improve health for all. We focus on health equity by developing programs and systemic solutions that reduce disparities for the people and communities we serve. Alameda County Health’s departments and programs focus on services and support that provide care for the whole person. • The Behavioral Health Department provides mental health and substance use services for people with Medi-Cal and without insurance and supports people along their path to wellness, recovery, and resilience. • The Environmental Health Department works to keep our air, water, and food safe; it regulates, protects, and promotes the health of everyone in Alameda County by enforcing environmental health codes to reduce exposure to toxins and diseases. • The Public Health Department focuses on community and population-level health, preventing and addressing root causes of health inequity across a range of communicable and chronic diseases. • Alameda County Health also provides services through Housing and Homelessness Services, Emergency Medical Services Agency, HealthPAC, and Healthy Schools and Communities. PUBLIC HEALTH DEPARTMENT As part of Alameda County Health, the Public Health Department works in partnership with our local communities to ensure the optimal health and well-being of all people. We monitor health status and service delivery, prevent disease, mobilize communities, conduct outreach, and promote health policy and education. We actively seek partnerships and engage with the community to improve community health through a dynamic and responsive process that respects diversity, addresses health equity, and challenges us to provide for present and future generations. We are nurses, doctors, community psychologists, epidemiologists, dentists, medical social workers, physical and occupational therapists, dietitians, outreach workers, health educators, program managers, and pre-hospital care coordinators. THE POSITION Registered Nurse II positions are located in Alameda County Health, Social Services Agency and Community Development Agency. Registered Nurse IIs provide a variety of nursing care services, case management, treatment plan, teaching, counseling and referral to clients and families in a home and/or community setting, provide nursing assessment, planning, intervention and evaluation; coordinate care with other health care providers, professionals and other agencies and community representatives; assist in the prevention of communicable diseases; and perform related duties as required. THE VACANCIES The current Registered Nurse II (PHN) vacancies are in all County locations . These positions aresituated in the Social Services Agency and in the following programs/units within the Public Health Department: Acute Communicable Disease, California Children's Services, Tuberculosis (TB) Control Section, the Nurse-Family Partnership (NFP), and the Foster Care Assessment Center. However the eligible list resulting from this recruitment may be used to fill future vacancies in other program areas. SPECIAL REQUIREMENT : In addition to meeting the minimum qualifications below, these positions require possession of a current and valid Public Health Nursing (PHN) Certificate issued by the California Board of Registered Nursing. PROGRAM OVERVIEW Acute Communicable Disease Unit Alameda County Public Health Nurses, in the Acute Communicable Disease Unit, are responsible for the surveillance, investigation, and control of cases, contacts, and outbreaks of over 75 reportable communicable diseases; all reportable communicable diseases except for HIV, sexually transmitted infections and tuberculosis. Program activities include interviewing clients with reportable diseases, as well as their family members and health care providers, to collect clinical and risk factor information and to identify potentially exposed contacts. ACD staff educate clients about disease symptoms, transmission, treatment and prevention; identify and locate exposed contacts to provide education about potential symptoms and if appropriate, post-exposure preventive treatment; recommend interventions to prevent disease transmission in households, schools, day care facilities, health care facilities, and other congregate settings; maintain accurate surveillance of reportable conditions and review trends to identify areas for enhanced prevention and control efforts; initiate and lead key functions in the public health response to infectious disease emergencies; and serve as on-call duty officers to conduct mandated public health response to urgent communicable cases and outbreaks in the evening, on weekends, and holidays. California Children's Services (CCS) California Children’s Services (CCS) is a statewide program that provides case management and care coordination for clients' birth to 21 who have chronic, disabling and/or life threatening conditions. There are medical, financial and residential eligibility requirements. Under the direction of the CCS Nurse Manager, the Registered Nurse IV (RN IV), the Registered Nurse II (RN II) performs medical utilization review and comprehensive case management for a case load of children who have CCS medically eligible conditions. The RN II works in multi-disciplinary teams to determine medical eligibility and provides medical care coordination from the point of intake and initiation of the treatment care plan as part of the CCS interdisciplinary case management team. Nurses also ensure that clients are receiving necessary services with the most appropriate provider. The RN II is expected to have knowledge of: principles, methods and procedures for utilization review and relating to acute hospitalizations, home care, medical and nursing services and other levels of institutional care, CCS and Medi-Cal regulations; health care delivery system with respect to medical services available to the child and family; and family adaptation to handicapping conditions involving physical and psycho-social needs. Tuberculosis (TB) Control Section Registered Nurse IIs in the TB Control Section work under the supervision of the TB Nurse Manager (RN IV) and under the guidance of an RN III to provide case management to a caseload of clients with active and suspected active TB disease; to conduct monthly visits to the family, investigate contacts and assure access to care; oversee direct observation therapy (DOT) as needed, and to perform other duties as assigned. The work of the Registered Nurse IIs in the TB Control Section is specific to TB cases and their contacts, and requires knowledge of public health nursing standards, access to health care in the local community, knowledge of tuberculosis disease and transmission, diagnosis and treatment of active TB disease and latent TB infection, knowledge of co-morbidities and complex socio-economic problems that adversely affect TB treatment outcomes, and responsibility for assuring completion of TB treatment; contact tracing, early identification of secondary cases and contacts at risk for rapid progression to TB disease if infected; surveillance (including case reporting); understanding of epidemiology of tuberculosis in Alameda County and how it guides public health nursing practice, and performing outreach (when resources permit) to persons at high risk for TB infection and disease. Nurse-Family Partnership (NFP) Nurse-Family Partnership is a home visiting program that partners nurses with low income first-time moms in Alameda County, in order to give babies the best start in life. Case management services begin in pregnancy and continue until the child reaches two years old. During that time, parents are provided with health education, support, and child development information so that families can create better lives for their child and themselves. This position will be situated within Public Health and includes nursing care management with prenatal and postpartum clients and their children up to the age of two. Nurses in this program receive intensive training to administer this evidence based home visiting program whose goal is to improve birth outcomes, increase child development and increase families' self-sufficiency. Nurse-Family Partnership nurses establish relationships with young, at-risk mothers during home visits and provide guidance for the emotional, social, and physical challenges first-time moms face as they prepare to become parents. NFP nurses work with culturally diverse families in communities with broad-based socio-inequity. We serve a high population of Oakland clients. Foster Care Assessment Center The Assessment Center (the AC) is a non-residential, short-term shelter child-friendly environment that operates 24 hours per day. The AC is staffed and managed by West Coast Children's Clinic, Inc., a community-based organization under contract to the Alameda County Social Services Agency. The AC has the capacity to receive and care for all ages of children and youth newborn to 21 years of age (Non-Minor Dependents NMDs).The purpose of the AC is to provide a supportive, child-friendly place where children can be looked after safely while more thoughtful placements are researched, including assessment of relative placement options, allow qualified staff to provide timely crisis intervention services to lessen the trauma of removal and initiate basic physical and mental health screenings, appropriate linkages and referrals. Under the supervision of the RN IV, the PHN II at the AC serves as an interdisciplinary team member of the Department of Children and Family Services (DCFS) and is responsible for implementing the daily nursing operations at the AC, which includes conducting nursing assessments on children received at the AC; communicating the need for timely follow-up of abnormal health assessment findings and/or acute health findings to placement providers, medical providers, child welfare staff, childcare staff, and PHNs in the Health Care Program for Children in Foster Care; facilitating the coordination of care between the AC, DCFS, Public Health Department, emergency foster homes, health care providers, schools, and any other relevant agencies invested in the total care of vulnerable children; providing onsite skilled, professional nursing consultation to the child welfare staff, including the Child Welfare Workers and other relevant personnel, child care staff, and biological and/or foster family; collaborating with child welfare staff to develop and maintain a systematic process for obtaining the basic medical history of the child at the time of removal from the caregiver’s home; gathering and interpreting information obtained from birth records, medical/dental records, immunization records, lab and radiological reports; documenting relevant information in the CWS/CMS database; researching medical insurance coverage for children to assist with urgent medical needs; training childcare providers on method of administering a brief health checklist for children brought to the AC; taking the lead to address the identified health care needs of each child/youth/non-minor dependent (NMD) admitted to the AC, including coordination of needed medical appointments, follow-up, and medication refills; administering, supervising and monitoring all medications prescribed; performing prescribed treatments. The PHN at the AC is expected to have knowledge of the health care delivery system available to children in foster care, family dynamics of the child removed from an abusive and/or neglectful home and the emotional adaptation to out of home placement and the effects of family separation. IHSS Program The IHSS Program is a home visiting program across all 58 counties in California. The Alameda County Public Health Nurse primary role is to conduct an assessment/reassessment of clients that are at risk for out of home placement and to prevent premature institutionalization and/or nursing home placement. The program serves eligible individual across the lifespan who are aged, blind, and disabled to remain safely in their own homes. The public health nurse carries a caseload focused exclusively on IHSS recipients identified as having paramedical service needs for example GT feedings/Tracheostomy/diabetes management/home dialysis. The PHN conducts comprehensive in-home assessment and reassessment to address the medical, nursing, and psychosocial aspects of the client’s health. In addition, the PHN provides health education and management of chronic medical conditions. The PHN is expected to have knowledge of the health delivery system, applying the nursing process, comfortable conducting a thorough assessment, and communicate effectively with clients. Under the supervision of the Supervising Public Health Nurse (RN IV); the RN II/PHN serves as part of a multidisciplinary team who are responsible for assessing clients’ ability to live safely in their home by evaluating the risk for institutionalization, monitoring client’s progress through any prescribed rehabilitative, and providing case management in coordination with other departments, agencies, and health providers. MINIMUM QUALIFICATIONS License/Certificate: - Possession of a current and valid license to practice as a Registered Nurse in the State of California. - Possession of a current and valid Public Health Nurse (PHN) Certificate issued by the State of California - Some positions may require a valid California Motor Vehicle Operator's license. Special Requirements: 1. In compliance with the Administrative Simplification provision of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), employees in this classification are required to possess a National Provider Identifier (NPI) number prior to their first day on the job. 2. In Compliance with Medicare regulations, employees in this classification are required to complete the "Medicare Enrollment Process for Physicians and non-Physician Practitioners" through the Centers for Medicare and Medicaid Services (CMS) of the U.S. Department of Health and Human Services, prior to their first day on the job. Active enrollment in Medicare is a condition of employment. Failure to attain or maintain active enrollment will result in termination. Either I Experience: The equivalent of six months of full-time experience as a Registered Nurse I in the Alameda County classified service. (Non-classified includes District Attorney's Office, Hospital Authority, and the Consolidated Courts.) Or II The equivalent of one year of full-time recent experience with the last five years at a comparable level as a Registered Nurse in a clinical and/or public health setting. Some positions may require one (1) year of experience in a specialty area. SPECIAL REQUIREMENT : In addition to meeting the minimum qualifications below, these positions require possession of a current and valid Public Health Nursing (PHN) Certificate issued by the California Board of Registered Nursing. NOTE: The Civil Service Commission may modify the above Minimum Qualifications in the announcement of an examination. KNOWLEDGE AND SKILLS The most suitably qualified candidates will possess the following competencies: Knowledge of: • Theories, principles, procedures, techniques, standards and practices of public health nursing. • Anatomy, physiology, chemistry, pharmacology, growth and development, medical surgical nursing, nutrition, community health, and population based communities. • Principles and practices of the nursing process. • Wellness to illness continuum. • Nursing procedures, techniques, equipment and supplies. • Contact investigation and infection control principles. • Health systems, agencies, and patterns of referral. • Major disease conditions, current prevention techniques, therapies, and treatments. • Community resources and health systems. • Collaborative health planning with multi-disciplinary teams. • Principles and practices of effective organization. • Computer applications related to the work. Ability to: • Maintain confidentiality. • Communicate effectively orally and in writing. • Teach and counsel patients, families, and staff. • Exercise independent judgment. • Interpret data. • Analyze, evaluate and draw logical conclusions. • Respond effectively to emergency situations. • Exercise interpersonal sensitivity to establish and maintain effective working relationships with staff, clients, other agencies and the public. • Practice effective nursing in diverse/multicultural environments. • Plan, organize and prioritize. • Make effective use of available materials and human resources. • Provide safe, effective and efficient nursing care. EXAMINATION COMPONENTS The examination will consist of the following steps: A review of applicants' application to verify possession of minimum requirements. Those applicants who possess the minimum requirements for the class will move on to the next step in the examination process. Those candidates who possess the minimum qualifications for the class will be placed on the eligible list based on an evaluation of education, training, and experience. CANDIDATES MUST ATTAIN A QUALIFYING RATING ON EACH PORTION OF THIS EXAMINATION. We reserve the right to make changes to the announced examination components. Alameda County utilizes a Civil Service Selection System founded on merit. Such a system is competitive and based on broad recruitment efforts and equal opportunity for qualified applicants to test in an examination process designed to determine the qualifications, fitness and ability of competitors to perform duties of the vacant position. Many of our recruitments are targeted and specific to the needs of a current vacant position, in which case, the eligible list may be exclusively used for that current vacant position. Other recruitments may be more broadly used for both current and future vacancies, or for other alternate jobs with comparable scopes of work. To learn more about our recruitment and selection process, please visit the “What You Need to Know” section of our website, www.acgov.org/hrs . Selection Plan Applicants will be informed via email with reasonable notice in advance of any examination process which will require their attendance. The following dates are tentative and subject to change based on the needs of the Agency: TENTATIVE SELECTION PLAN Deadline for Filing:Continuous Review of Minimum Qualification & SQ:Ongoing Department Hiring Interview:Ongoing Alameda County and the Human Resource Services Department will make reasonable efforts in the examination and/or selection process to accommodate qualified individuals with disabilities and/or medical conditions in accordance/compliance with the State Fair Employment and Housing Act (FEHA), Federal Americans with Disabilities Act (ADA) Alameda County’s Reasonable Accommodation Policy and applicable statutes. To request an accommodation due to a disability/medical condition during this or other phases of the examination/selection process, please contact the assigned Human Resources Representative listed on the job announcement before the last date of filing . Alameda County requires applicants to provide supporting documentation to substantiate a request for reasonable accommodation. In order to qualify for a reasonable accommodation, applicants must have a disability/medical condition pursuant to the ADA, FEHA and applicable statutes. For more information regarding our Reasonable Accommodation procedures, please visit our website, www.acgov.org/hrs . BENEFITS Alameda County offers a comprehensive and competitive benefits package that affords wide-ranging health care options to meet the different needs of a diverse workforce and their families. We also sponsor many different employee discount, fitness and health screening programs focused on overall well being. These benefits include but are not limited to*: For your Health & Well-Being Medical - HMO & PPO Plans Dental - HMO & PPO Plans Vision or Vision Reimbursement Share the Savings Basic Life Insurance Supplemental Life Insurance (with optional dependent coverage for eligible employees) County Allowance Credit Flexible Spending Accounts - Health FSA, Dependent Care and Adoption Assistance Short-Term Disability Insurance Long-Term Disability Insurance Voluntary Benefits - Accident Insurance, Critical Illness, Hospital Indemnity and Legal Services Employee Assistance Program For your Financial Future Retirement Plan - (Defined Benefit Pension Plan) Deferred Compensation Plan (457 Plan or Roth Plan) For your Work/Life Balance 12 paid holidays Floating Holidays Vacation and sick leave accrual Vacation purchase program Catastrophic Sick Leave Group Auto/Home Insurance Pet Insurance Commuter Benefits Program Guaranteed Ride Home Employee Wellness Program (e.g. At Work Fitness, Incentive Based Programs, Gym Membership Discounts) Employee Discount Program (e.g. theme parks, cell phone, etc.) Child Care Resources 1 st United Services Credit Union *Eligibility is determined by Alameda County and offerings may vary by collective bargaining agreement. This provides a brief summary of the benefits offered and can be subject to change. Conclusion All notices related to County recruitments for which you have applied will be sent/delivered via email. Please add @jobaps.com, @acgov.org, Noreplyalamedacountyhr@acgov.org and Noreply@jobaps.com as accepted addresses to any email blocking or spam filtering program you may use. If you do not do this, your email blocking or spam filtering program may block receipt of the notices regarding your application for recruitments. You are also strongly advised to regularly log into your County of Alameda online application account to check for notices that may have been sent to you. All email notices that will be sent to you will also be kept in your personal online application account. You will be able to view all of your notices in your online application account by clicking on the "My applications" button on the Current Job Openings page. Please take the steps recommended above to ensure you do not miss any notices about a recruitment for which you have applied. The County of Alameda is not responsible for notices that are not read, received or accessed by any applicant for a County recruitment. NOTE: All notices are generated through an automated email notification system. Replies to the email boxes Noreply@jobaps.com and noreplyalamedacountyhr@acgov.org are routed to unmonitored mailboxes. If you have questions, please go to our website at www.acgov.org/hrs . You may also contact the Human Resources Analyst listed on the job announcement for the recruitment for which you have applied. Angelica Cuevas, HR Analyst Human Resource Services, County of Alameda (510) 271-5154 or email Angelica.Cuevas@acgov.org www.acgov.org/hrs DISASTER SERVICE WORKER All Alameda County employees are designated Disaster Service Workers through state and local law. Employment with the County requires the affirmation of a loyalty oath to this effect. Employees are required to report to work as ordered in the event of an emergency. EQUAL EMPLOYMENT OPPORTUNITY Alameda County has a diverse workforce, that is representative of the communities we serve, and is proud to be an equal opportunity employer. All aspects of employment are based on merit, competence, performance and business need. Alameda County does not discriminate in employment on the basis of, race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other non-merit factors protected under federal, state and local law. Alameda County celebrates diversity and is committed to creating an inclusive, and welcoming workplace environment. Closing Date/Time: Continuous
Jefferson County
Golden, Colorado, United States
Apply By: 05/05/24 Division: Community Assistance Division Management Level: Individual Contributor Scheduled Weekly Hours: 40 Benefit Eligibility: This position is eligible for Standard Benefits which includes dental, medical, and vision insurance, paid time off and holidays, retirement matching, wellness programs, and tuition reimbursement. Description: The RN Utilization Reviewer is responsible for providing utilization reviews of Medicaid long term home health requests. Provide consulting and education for Options for Long Term Care staff and community home health agencies regarding Medicaid long term home health. Conduct client assessments, provide case management and complete documentation for Options for Long Term Care (OLTC). Reports to the Long-Term Care Case Management Supervisor. The ideal candidate thrives in an independent and autonomous work environment supporting new applicants for Long Term care by exhibiting a positive outlook and excellent customer service by effectively responding to client needs and coordinating with other community agencies and health providers. This individual works with a dedicated team to ensure the best care options are provided to those seeking it. If you are looking for the opportunity to make a difference in the lives of the community that you serve, we encourage you to apply! Schedule : At the county we offer a variety of flexible schedules this position can either work a 4-day 10-hour work week or 5-day 8-hour work week. This position requires regular on-site/in-office/ in the community work in support of our clients. This position does have the ability to work in a hybrid capacity , if the programs needs are met. In state of Colorado applicants only. **No nights, evenings or weekends!** Compensation : Hiring Range: $49,000 - $60,000 USD Annually Compensation will be determined based on education, experience, and skills. Benefits : Jefferson County offers a generous benefits package that supports your personal and professional life. Benefits include medical, dental and vision insurance, paid time off and holidays, retirement matching, wellness programs, tuition reimbursement, flexible schedules, remote work options and more . For more information, c lick Here for our Total Rewards summary. The RN Utilization Reviewer is responsible for providing utilization reviews of Medicaid long term home health requests. Provide consulting and education for Options for Long Term Care staff and community home health agencies regarding Medicaid long term home health. Conduct client assessments, provide case management and complete documentation for Options for Long Term Care (OLTC). Reports to the Long-Term Care Case Management Supervisor. The ideal candidate thrives in an independent and autonomous work environment supporting new applicants for Long Term care by exhibiting a positive outlook and excellent customer service by effectively responding to client needs and coordinating with other community agencies and health providers. This individual works with a dedicated team to ensure the best care options are provided to those seeking it. If you are looking for the opportunity to make a difference in the lives of the community that you serve, we encourage you to apply! Schedule : At the county we offer a variety of flexible schedules this position can either work a 4-day 10-hour work week or 5-day 8-hour work week. This position requires regular on-site/in-office/ in the community work in support of our clients. This position does have the ability to work in a hybrid capacity , if the programs needs are met. In state of Colorado applicants only. **No nights, evenings or weekends!* * Compensation : Hiring Range: $49,000 - $60,000 USD Annually Compensation will be determined based on education, experience, and skills. Benefits : Jefferson County offers a generous benefits package that supports your personal and professional life. Benefits include medical, dental and vision insurance, paid time off and holidays, retirement matching, wellness programs, tuition reimbursement, flexible schedules, remote work options and more . For more information, c lick Here for our Total Rewards summary. Essential Duties: Process request, adhering to all appropriate Volume 8 Rules; DALs and Medicaid bulletins. Cooperate with assigned OLTC or case management agency. Aid and consultation as needed. Some cases are processed by RN alone. Approve, partially approve, hold or deny request for skilled services provided in the client's home. Maintain client records, using databases and data entry on various computer systems in OLTC, Jefferson County and the Colorado Department of Health Care Policy and Financing. Ensure appropriateness and timeliness. Act as consultant, educator or trainer to OLTC and case management agency. Act as liaison to community home health agencies regarding Long Term Home Health (LTHH) skilled services, regulations and paperwork. Determine assistance or training needs and how best to provide the information. Receive long term home health prior authorization requests. Screen to determine if paperwork is correct and complete. Return to sender for corrections, request additional information, handle personally or assign to case manager. Participate in additional utilization review of OLTC programs and audits at supervisor's request. Ensure all LTHH timelines continue to be met while assisting with special projects. Complete ULTC 100.2 assessments when needed, via phone or in client's home. Approve or deny client for program eligibility. RN signature required for denied or partially denied services. Must be able to represent the OLTC agency and defend the decision at State appeal hearings. Determine denial regulation. Other duties and responsibilities as assigned. Qualifications: Research shows that women and other underrepresented and historically marginalized groups tend to apply only when they check every box in the posting. If you are reading this and hesitating to click “apply” for that reason, we encourage you to go for it! A true passion and excitement for making an impact is just as important as work experience. Minimal Qualifications: Bachelor's degree in nursing and minimum one-year of public health work related experience or equivalent. Licensed as a Registered Nurse (RN) in Colorado, or in a state that has enacted the RN Nurse Licensure Compact at time of employment and renewed annually. Preferred Knowledge, Skills and Abilities: Strongly prefer practicing RN experience or at least 2-3 years in clinical nursing, including utilization management experience in a managed care or hospital environment, and immunization experience Strong customer service skills Strong written and oral communication Must thrive at working independently Independent critical thinking and analysis Demonstrating initiative, innovation, and resiliency Strong time management and prioritization skills Additional Job Information: Offer of employment contingent upon successful completion of criminal history, motor vehicle report, education verification, and/or references. Please note that supplemental questions requiring a written response will serve as a writing sample. Note: Must be a Colorado resident at time of hire. How to Apply: Applications will be accepted electronically at Jefferson County Colorado Career Opportunities . Applicants complete an online form and have the option to provide a resume and detailed cover letter that describes why you are the best candidate for the position. Applications are reviewed for minimum qualifications listed in the qualifications section of the job bulletin, and applicants are contacted directly by the hiring team regarding next steps. To view the status of your application or direct communication from the hiring team, please log into your candidate portal . For more details on the recruitment process, please visit https://www.jeffco.us/1860/FAQs Questions: County Recruitment Team: 303-271-8400 or CareerTalent@Jeffco.us Library Recruitment Team: 303.275.6168 or talent@jeffcolibrary.org Sheriff Recruitment Team: 303.271.5332 or sheriff.recruiting@co.jefferson.co.us Education: Experience: Work Experience: Minimum one year Certifications: - Languages: Category: Health & Human Services
Apply By: 05/05/24 Division: Community Assistance Division Management Level: Individual Contributor Scheduled Weekly Hours: 40 Benefit Eligibility: This position is eligible for Standard Benefits which includes dental, medical, and vision insurance, paid time off and holidays, retirement matching, wellness programs, and tuition reimbursement. Description: The RN Utilization Reviewer is responsible for providing utilization reviews of Medicaid long term home health requests. Provide consulting and education for Options for Long Term Care staff and community home health agencies regarding Medicaid long term home health. Conduct client assessments, provide case management and complete documentation for Options for Long Term Care (OLTC). Reports to the Long-Term Care Case Management Supervisor. The ideal candidate thrives in an independent and autonomous work environment supporting new applicants for Long Term care by exhibiting a positive outlook and excellent customer service by effectively responding to client needs and coordinating with other community agencies and health providers. This individual works with a dedicated team to ensure the best care options are provided to those seeking it. If you are looking for the opportunity to make a difference in the lives of the community that you serve, we encourage you to apply! Schedule : At the county we offer a variety of flexible schedules this position can either work a 4-day 10-hour work week or 5-day 8-hour work week. This position requires regular on-site/in-office/ in the community work in support of our clients. This position does have the ability to work in a hybrid capacity , if the programs needs are met. In state of Colorado applicants only. **No nights, evenings or weekends!** Compensation : Hiring Range: $49,000 - $60,000 USD Annually Compensation will be determined based on education, experience, and skills. Benefits : Jefferson County offers a generous benefits package that supports your personal and professional life. Benefits include medical, dental and vision insurance, paid time off and holidays, retirement matching, wellness programs, tuition reimbursement, flexible schedules, remote work options and more . For more information, c lick Here for our Total Rewards summary. The RN Utilization Reviewer is responsible for providing utilization reviews of Medicaid long term home health requests. Provide consulting and education for Options for Long Term Care staff and community home health agencies regarding Medicaid long term home health. Conduct client assessments, provide case management and complete documentation for Options for Long Term Care (OLTC). Reports to the Long-Term Care Case Management Supervisor. The ideal candidate thrives in an independent and autonomous work environment supporting new applicants for Long Term care by exhibiting a positive outlook and excellent customer service by effectively responding to client needs and coordinating with other community agencies and health providers. This individual works with a dedicated team to ensure the best care options are provided to those seeking it. If you are looking for the opportunity to make a difference in the lives of the community that you serve, we encourage you to apply! Schedule : At the county we offer a variety of flexible schedules this position can either work a 4-day 10-hour work week or 5-day 8-hour work week. This position requires regular on-site/in-office/ in the community work in support of our clients. This position does have the ability to work in a hybrid capacity , if the programs needs are met. In state of Colorado applicants only. **No nights, evenings or weekends!* * Compensation : Hiring Range: $49,000 - $60,000 USD Annually Compensation will be determined based on education, experience, and skills. Benefits : Jefferson County offers a generous benefits package that supports your personal and professional life. Benefits include medical, dental and vision insurance, paid time off and holidays, retirement matching, wellness programs, tuition reimbursement, flexible schedules, remote work options and more . For more information, c lick Here for our Total Rewards summary. Essential Duties: Process request, adhering to all appropriate Volume 8 Rules; DALs and Medicaid bulletins. Cooperate with assigned OLTC or case management agency. Aid and consultation as needed. Some cases are processed by RN alone. Approve, partially approve, hold or deny request for skilled services provided in the client's home. Maintain client records, using databases and data entry on various computer systems in OLTC, Jefferson County and the Colorado Department of Health Care Policy and Financing. Ensure appropriateness and timeliness. Act as consultant, educator or trainer to OLTC and case management agency. Act as liaison to community home health agencies regarding Long Term Home Health (LTHH) skilled services, regulations and paperwork. Determine assistance or training needs and how best to provide the information. Receive long term home health prior authorization requests. Screen to determine if paperwork is correct and complete. Return to sender for corrections, request additional information, handle personally or assign to case manager. Participate in additional utilization review of OLTC programs and audits at supervisor's request. Ensure all LTHH timelines continue to be met while assisting with special projects. Complete ULTC 100.2 assessments when needed, via phone or in client's home. Approve or deny client for program eligibility. RN signature required for denied or partially denied services. Must be able to represent the OLTC agency and defend the decision at State appeal hearings. Determine denial regulation. Other duties and responsibilities as assigned. Qualifications: Research shows that women and other underrepresented and historically marginalized groups tend to apply only when they check every box in the posting. If you are reading this and hesitating to click “apply” for that reason, we encourage you to go for it! A true passion and excitement for making an impact is just as important as work experience. Minimal Qualifications: Bachelor's degree in nursing and minimum one-year of public health work related experience or equivalent. Licensed as a Registered Nurse (RN) in Colorado, or in a state that has enacted the RN Nurse Licensure Compact at time of employment and renewed annually. Preferred Knowledge, Skills and Abilities: Strongly prefer practicing RN experience or at least 2-3 years in clinical nursing, including utilization management experience in a managed care or hospital environment, and immunization experience Strong customer service skills Strong written and oral communication Must thrive at working independently Independent critical thinking and analysis Demonstrating initiative, innovation, and resiliency Strong time management and prioritization skills Additional Job Information: Offer of employment contingent upon successful completion of criminal history, motor vehicle report, education verification, and/or references. Please note that supplemental questions requiring a written response will serve as a writing sample. Note: Must be a Colorado resident at time of hire. How to Apply: Applications will be accepted electronically at Jefferson County Colorado Career Opportunities . Applicants complete an online form and have the option to provide a resume and detailed cover letter that describes why you are the best candidate for the position. Applications are reviewed for minimum qualifications listed in the qualifications section of the job bulletin, and applicants are contacted directly by the hiring team regarding next steps. To view the status of your application or direct communication from the hiring team, please log into your candidate portal . For more details on the recruitment process, please visit https://www.jeffco.us/1860/FAQs Questions: County Recruitment Team: 303-271-8400 or CareerTalent@Jeffco.us Library Recruitment Team: 303.275.6168 or talent@jeffcolibrary.org Sheriff Recruitment Team: 303.271.5332 or sheriff.recruiting@co.jefferson.co.us Education: Experience: Work Experience: Minimum one year Certifications: - Languages: Category: Health & Human Services