Medicaid Registered Nurse

2 weeks ago

Albany, United States Staffing Solutions Organization LLC Full time

Monday, April 8, 2024 Staffing Solutions Organization LLC (SSO), an affiliate of Public Consulting Group LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed to a diverse workforce, which is a reflection of our clients and the people they serve. Medicaid Registered Nurse:

Assist Division of Health Plan Contract Oversight, Bureau of Managed Long Term Care (BMLTC), Surveillance Unit in a broad range of planning, implementation, investigation, and oversight activities. This position will assist in the records review of case notes to determine MLTC plans’ compliance to contracting and regulatory requirements.The incumbent will participate in records review during MLTC plans scheduled operational surveys, focused surveys across plan trends, or specific plan- oriented complaint or concern investigations.The incumbent will also act as a liaison with the BMLTC systems, technical assistance, and plan management units and externally with MLTC plan representatives to assure appropriate access and delivery of health services to Medicaid members receiving long term care service and supports. The incumbent will interact with other bureaus and offices within OHIP, Managed Care Plans, CMS, OMH, OASAS and other State agencies. Additional Qualifications: Working knowledge of Medicaid Strong analytical and communication (both written and verbal) skills. The ability to think creatively and strategically. Basic Qualifications: Bachelor’s Degree Must have an active NYS RN license Compensation for roles at Staffing Solutions Organization LLC (SSO) varies depending on a wide array of factors including, but not limited to, the specific office location, role, skill set, and level of experience.As required by applicable law, SSO provides a reasonable range of compensation for this role. In addition, SSO provides a range of benefits for this role. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity, marital status, age, national origin, protected veteran status, or disability. Staffing Solutions Organization LLC is an e-Verify participant.

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