Medical Records Examiner

THE POSITION

The Office of Long-Term Living is looking for a self-motivated, detail-oriented licensed registered nurse to review medical records for long-term care facilities in the Pittsburgh Nursing Facility Field Operations Unit. If you are looking to advance your career while fostering Pennsylvania's long-term living system, we have an opportunity for you! Consider joining our team and apply today!

DESCRIPTION OF WORK

This Medical Records Examiner position is located within the Division of Fee for Service Operations, Bureau of Fee for Service Programs in the Office of Long-Term Living. In this role, you will be responsible for reviewing and evaluating medical and fiscal records in the Pittsburgh Field Operations Office. You will perform site review visits at nursing facilities and Living Independence for the Elderly (LIFE) centers in the following geographic areas: Allegheny; Armstrong; Beaver; Butler; Cameron; Clarion; Crawford; Elk; Erie; Fayette; Forest; Greene; Jefferson; Lawrence; McKean; Mercer; Potter; Venango; Warren; Washington; and Westmoreland counties.

The reviews consist of evaluating clinical and fiscal records in accordance with established Utilization Management Review standards and procedures to assess compliance with state and federal requirements. You will interact with other agencies and departments to ensure appropriate services are provided for individuals using long-term living services and coordinate nursing facility reviews, including pre-review, entrance and exit conferences, and all appropriate paperwork. In this position it will be essential to possess an understanding of the Omnibus Budget Reconciliation Act (OBRA) to evaluate and analyze the efficiencies to ensure compliance with the review requirements performed.

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

Work Schedule and Additional Information:

• Full-time employment
• Work hours are 8:00 AM to 4:00 PM, Monday - Friday, with 30-minute lunch.
• Telework: You may have the opportunity to work from home (telework) part-time up to 5 days a week. In order to telework, you must have a securely configured high-speed internet connection. If you are unable to telework, you will have the option to report to the headquarters office in Pittsburgh.
• 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 Requirement:

• 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:

• All positions require 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.
• This particular position also requires you to possess a valid driver's license which is not under suspension.

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.
• 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.

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.employment.pa.gov/Additional%20Info/Pages/default.aspx and click the Veterans' Preference tab or contact us at ra-cs-vetpreference@pa.gov.

EXAMINATION INFORMATION

• Completing the application, including all supplemental questions, serves as your exam for this position. No additional exam is required at a test center (also referred to as a written exam).
• Your score is based on the detailed information you provide on your application and in response to the supplemental questions.
• Your score is valid for this specific posting only.
• You must provide complete and accurate information or:
  • your score may be lower than deserved.
  • you may be disqualified.

You may only apply/test once for this posting.

Your results will be provided via email.