Nurse Consultant

Date Posted: May 9, 2024

Requisition ID: 441769

Location:

Indianapolis, IN, US, 46204

Begin a fulfilling career with the State of Indiana by joining one of the largest employers in the state, offering a diverse range of opportunities across 60+ agencies. At the state, you'll find competitive compensation, a robust benefits package and a commitment to work-life balance. Most importantly, you'll have the chance to make a real and measurable impact on the lives of Hoosiers across Indiana.

At the State of Indiana, we don’t just talk about diversity and inclusion—we make it our goal to create a welcoming, accessible, and equitable workplace with a workforce that is representative of Indiana's population. As a proud equal opportunity employer, reasonable accommodations may be available to enable individuals with disabilities to complete the application and interview process as well as perform the essential functions of a role.

About the Indiana Department of Health (IDOH):

The Indiana Department of Health’s mission is to promote, protect, and improve the health and safety of all Hoosiers so that they can reach their optimal health regardless of where they live, learn, work, or play.

Role Overview:

As a Nurse Consultant you will determine medical eligibility of applicants and provide prior authorization of services to families of participants with serious, chronic medical conditions to obtain medical treatment related to the participant's medical condition. You will provide consultation to local agencies and interpret Children's Special Health Care Services (CSHCS) program policies to participants, families, providers, and the public.

Salary Statement:

The salary for this position traditionally starts at $47,320.00 but may be commensurate with education or work experience.

A Day in the Life:

The essential functions of this role are as follows:

• Review audit reports of the Medical Review Teams and the Independent Professional Review Teams.

• Make judgments regarding hospital or nursing home patients’ level of care.

• Assess appeal documentation in cases of changes of level of care recommended by the review teams.

• Assess provider compliance in following state and federal regulations.

• Make decisions for medical necessity of admission to nursing homes and hospital under supervision of doctor.

• Audit necessity of ancillary services to recipients, considering physician orders for services and realistic goals and lengths of time to achieve these goals.

• Cooperate with county caseworkers in controlling drug abuse.

• Work with Medical Director and Fiscal Agent in limiting drug cases for persons who are known to over-utilize drug services.

  The job profile is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Other duties, responsibilities and activities may change or be assigned at any time with or without notice.

What You'll Need for Success:

You must meet the following requirements to be considered for employment:

• Registered Nurse license (active within state of Indiana).

• Strongly prefer at least one (1) year of pediatric RN experience.

• Specialized knowledge of the Indiana Medicaid Program including federal and state laws.

• Specialized knowledge of nursing principles.

• Specialized knowledge of medical services provided through Medicaid.

• Must be committed to the public health mission of protecting the health, safety, rights, and privacy of program participants and their families.

• Working knowledge of medical diagnoses with their symptoms.

• Working knowledge of drugs, side effects and compatibility.

• Working knowledge of therapeutic and rehabilitative services.

• Ability to recognize realistic limitations of services provided.

• Ability to be flexible and to prioritize in complex situations.

• Effectively utilize professional communication skills.

• Ability to master computer-based data systems.

• Ability to maintain cooperative work relationships.

  Benefits of Employment with the State of Indiana:

  The State of Indiana offers a comprehensive benefit package for full-time employees which includes:

• Three (3) medical plan options (including RX coverage) as well as vision and dental plans

• Wellness Rewards Program: Complete wellness activities to earn gift card rewards

• Health savings account, which includes bi-weekly state contribution

• Flexible work scheduling options, including the potential for hybrid remote work for employees whose work may be performed outside state facilities

• Deferred compensation 457B account (similar to 401k plan) with employer match

• Two (2) fully-funded pension plan options

• A robust, comprehensive program of leave policies covering a variety of employee needs, including but not limited to:

• 150 hours of paid new parent leave

• Up to 15 hours of paid community service leave

• Combined 180 hours of paid vacation, personal, and sick leave time off

• 12 paid holidays, 14 on election years

• Education Reimbursement Program

• Group life insurance

• Referral Bonus program

• Employee assistance program that allows for covered behavioral health visits

• Qualified employer for the Public Service Loan Forgiveness Program

• Free Parking for most positions

• Free LinkedIn Learning access

  Equal Employment Opportunity:

  The State of Indiana is an Equal Opportunity Employer and is committed to recruiting, selecting, developing, and promoting employees based on individual ability and job performance. Our policy is to provide equal employment opportunity to all people in all aspects of employer-employee relations without discrimination because of race, color, creed, religion, sex, national origin, ancestry, age, sexual orientation, gender identity, physical or mental disability, or veteran status. We will comply with the spirit as well as the letter of all applicable state and federal laws.

  If you are a qualified individual with a disability and require reasonable accommodations to complete this application, you can request assistance by contacting the Indiana State Personnel Department at [email protected] .

  The State of Indiana has established a culture that welcomes equity, inclusion, and opportunity for all employees and applicants. We encourage you to apply if you feel you have the transferrable skills to be successful in this position and we look forward to reviewing your application.

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