Public Health Nurse Specialist

3 months ago

Indianapolis, United States state of indiana Full time

Work for Indiana

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 Specialist 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. This position offers 2 days of remote work each work week (15 total hours). 

Salary Statement : 

The salary for this position traditionally starts at $53,;but may be commensurate with education or work experience.

A Day in the Life:

The essential functions of this role are as follows:

Review medical records and application documents to determine program eligibility and ensure compliance. Coordinate with participants, families, healthcare and insurance providers to obtain additional information and make changes to documentation as needed. Interpret applicable medical terminology, clinical procedures, regulations, and policies to update possible medical diagnoses needs for program participants, recommend medical solutions, and/or make referrals as needed. Provide program explanation and technical assistance to participants and families.  Prepare documentation and attend appeals hearings as needed in the event that a participant is denied authorization of services or medical eligibility. 

The job description 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. 

What You'll Need for Success:

The ideal candidate in this role should minimally have either

a Bachelor’s Degree with a Registered Nurse (RN) license, or  an Associate’s Degree with a Registered Nurse (RN) license plus 1+ years of experience applying the below, outlined knowledge, skills, and abilities in a similar role.

Related certifications and coursework may be considered for education or experience.

Specialized knowledge of nursing principles, techniques and medical needs as applied to the population served.  Considerable knowledge of and the ability to review and analyze medical records and documents.  Considerable knowledge of program rules and policies.  Specialized knowledge of rehabilitation including therapy and durable medical equipment.  Working knowledge of insurance and Medicaid / Hoosier Healthwise.  Ability to communicate verbally and in writing with individuals and in group situations.  Ability to be flexible and maintain composure under stressful situations. 

Supervisory Responsibilities/Direct Reports:

This role may serve as a team lead for an assigned work group.

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 leaveUp 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

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