NY HELP Yes

Agency Health, Department of

Title Health Care Surveyor 4 (NY HELPS) - 87045

Occupational Category Health Care, Human/Social Services

Salary Grade 25

Bargaining Unit PS&T - Professional, Scientific, and Technical (PEF)

Salary Range From $93530 to $117875 Annually

Employment Type Full-Time

Appointment Type Permanent

Jurisdictional Class Non-competitive Class

Travel Percentage 0%

Workweek Mon-Fri

Hours Per Week 37.5

Workday

From 9 AM

To 5 PM

Flextime allowed? No

Mandatory overtime? No

Compressed workweek allowed? No

Telecommuting allowed? Yes

County Albany

Street Address Division of Medical and Dental Directors/Bureau of Medical Review

One Commerce Plaza

City Albany

State NY

Zip Code 12260

Minimum Qualifications Permanent Transfer Candidate: Current NYS Department of Health employee with one year of permanent or contingent-permanent, competitive, service as a Health Care Surveyor 4 (Nursing) G25 and eligible to transfer under Section 70.1 of the NYS Civil Service Law.Non-Competitive Candidates via NY HELPS: Possession of a license and current registration as a registered professional nurse in New York State; a bachelor's degree in nursing; and four years of post-licensure, specialized professional administrative or professional clinical experience. One year of the experience must have been at a supervisory level.Preferred Qualifications: Medicaid experience including an understanding of the eMedNY system; experience working with medical claims and prior approvals; policy development and implementation; supervisory skills; excellent communication, written, and organizational skills; ability to function independently and manage multiple tasks and priorities.

Duties Description The Health Care Surveyor 4 (HCS4), grade 25, will be assigned to the Bureau of Medical Review Medicaid Prior Approval Unit, which is responsible for the review of prior authorization and prior approval of private duty nursing services, durable medical equipment, prosthetics, orthotics, medical supplies, and medical pended claims. This position will provide leadership, training and staff development, performance evaluation, and direct and indirect supervision of nursing staff who are responsible to perform clinical reviews, process prior approval requests, and adjudicate complex medical claims. The HCS4 will support the Bureau through development of medical review policies and procedures, written reports, data analysis, and technical assistance to providers and other staff. The HCS4 will serve as a liaison and medical expert representing the Bureau, act as a medical resource to the Bureau, and assist with other projects and duties as assigned.

Additional Comments This position is part of the NYS HELPS program. No examination is required. We offer a work-life balance and a generous benefits package, worth 65% of salary, including:• Holiday & Paid Time Off• Public Service Loan Forgiveness (PSLF)• Pension from New York State Employees’ Retirement System • Shift & Geographic pay differentials • Affordable Health Care options• Family dental and vision benefits at no additional cost • NYS Deferred Compensation plan• Access to NY 529 and NY ABLE College Savings Programs, and U.S. Savings Bonds• And many more...For new State employees appointed to graded positions, the annual salary is the hiring rate (beginning of the Salary Range) of the position. Promotion salaries are calculated by the NYS Office of the State Comptroller in accordance with NYS Civil Service Law, OSC Payroll rules and regulations and negotiated union contracts. The NYS Department of Health is committed to making New York a safer, healthier, and more equitable place to live. Understanding health equity, social determinants of health and health disparities is critical to accomplish our goal of eliminating health disparities. For more information on the NYS Department of Health’s Mission, Vision, Values and Strategic Plan, please visit: https://health.ny.gov/commissioner/index.htm

Some positions may require additional credentials or a background check to verify your identity.

Name Human Resources Management Group, SPD/HSC4/87045

Telephone 518-486-1812

Fax 518-473-3395

Email Address resume@health.ny.gov

Address

Street Rm 2217 Corning Tower Empire State Plaza

City Albany

State NY

Zip Code 12237

Notes on Applying Please submit your resume and cover letter as one (1) document, preferably in PDF format, by email to resume@health.ny.gov, with Reference SPD/HSC4/87045 included in the subject line or by mail to Human Resources Management Group,SPD/HSC4/87045, Rm 2217, Corning Tower Building, Empire State Plaza, Albany, NY 12237-0012, or by fax to (518) 473-3395. Failure to include the required information may result in your resume not being considered for this position.