Medical Records Examiner

THE POSITION

Are you a meticulous and dedicated professional who is inspired to strengthen essential services for communities across Pennsylvania? As a Medical Records Examiner for the Department of Human Services, you help ensure that individuals receive the resources they need to live safely and independently. This position allows you to apply your expertise to safeguard program quality and support participant well-being. Become part of a team committed to delivering reliable, person-centered care throughout the Commonwealth.

DESCRIPTION OF WORK

This position focuses on reviewing critical incidents and service plans to ensure participants in home and community-based programs receive appropriate, consistent, and effective support. It plays a central role in upholding standards of care and strengthening service delivery across the Commonwealth. As a Medical Records Examiner, you will perform the following duties:

• Incident Review: Examine critical incidents and service plans to confirm accuracy and appropriate service delivery
• Collaboration: Work with service coordinators, providers, and agencies to address concerns and maintain participant well-being
• Medical Evaluation: Evaluate medical documentation to determine service suitability and guide individuals to needed resources
• Trend Analysis: Assess incident patterns to identify issues that may affect participant service plans
• Program Support: Assist with monitoring waivers, reviewing policies, and supporting development of new initiatives
• Stakeholder Guidance: Provide information and technical assistance to legislators, agencies, physicians, and families

Interested in learning more? Additional details regarding this position can be found in the position description.

Work Schedule and Additional Information:

• Full-time employment, 37.5 hours per week
• Work hours are 8:00 AM to 4:00 PM, Monday - Friday, with a 30-minute lunch.

• This position requires travel.

• This position is home headquartered. In order to be home headquartered, you must have a securely configured high-speed internet connection and work from an approved location inside Pennsylvania.

• Salary: In some cases, the starting salary may be non-negotiable.
• You will receive further communication regarding this position via email. Check your email, including spam/junk folders, for these notices.

REQUIRED EXPERIENCE, TRAINING & ELIGIBILITY

QUALIFICATIONS

Minimum Experience and Training Requirements:

• Three years of professional experience in the field of medical assistance, health care services, or human services; or
• An equivalent combination of experience and training.

Special Requirements:

• This position requires active authorization to practice as a Registered Nurse in Pennsylvania.
• All employees possessing an active temporary practice permit must obtain licensure as a Registered Nurse within the one (1) year period defined by the Pennsylvania State Board of Nursing.
• You must be in possession of an active motor vehicle license.

Other Requirements:

• You must meet the PA residency requirement. For more information on ways to meet PA residency requirements, follow the link and click on Residency Guidelines.
• You must be able to perform essential job functions.

How to Apply:

• Resumes, cover letters, and similar documents will not be reviewed, and the information contained therein will not be considered for the purposes of determining your eligibility for the position. Information to support your eligibility for the position must be provided on the application (i.e., relevant, detailed experience/education).
• If you are claiming education in your answers to the supplemental application questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are acceptable.
• Your application must be submitted by the posting closing date. Late applications and other required materials will not be accepted.
• Failure to comply with the above application requirements may eliminate you from consideration for this position.
• All application materials and interview responses must reflect the applicant's own experience, qualifications, and work. Applicants may use generative AI tools for preparation purposes only. Use of AI to misrepresent or falsify information, or to assist during interviews, is not permitted. Review the Guidance for Generative AI Tools & Job Seekers for additional information.

Veterans:

• Pennsylvania law (51 Pa. C.S. *7103) provides employment preference for qualified veterans for appointment to many state and local government jobs. To learn more about employment preferences for veterans, go to www.pa.gov/agencies/employment/how-to-apply.html and click on Veterans.

Telecommunications Relay Service (TRS):

• 711 (hearing and speech disabilities or other individuals).

If you are contacted for an interview and need accommodations due to a disability, please discuss your request for accommodations with the interviewer in advance of your interview date.

The Commonwealth is an equal employment opportunity employer and i