| Status: | CLOSED |
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| Job ID: | 26854 |
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| Title: | Registered Nurse |
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| Applications Invited from Countries: | United States |
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Job Description Requisition Details for: 60705Requisition ID : 60705 Requisition Name : PRN Registered Nurse (Specialty) Customer : TN TennCare Quantity Requested : 2 Estimated Duration : 06/26/2023 - 06/30/2024.
Bill Rate : USD 40.00 Per Hour Expenses Allowed : No
Position Location : On Site Address 310 Great Circle Rd. Nashville, Tennessee 37243-0000
Description LTSS Ops PHNC for M.S. Our client is looking to hire a Public Health Registered Nurse Consultant Key Responsibilities · Review submitted PAEs, Medicaid medical eligibility applications for level of care determinations for approval or denial for LTSS programs utilizing clinical expertise. · Decisions must be made in accordance with client rules. · Ensure compliance with Federal PASRR regulations with adjudicating PAEs for CHOICES program, specific to those seeking to resident and receives services in a nursing facility. · This also includes adjudicating skilled service requests, Enhanced Respiratory Care requests, safety requests, and target population decisions. · Transcribe approved PASRR determinations from the TMED system into the PERLSS system to allow for additional enrollment and eligibility actions to be taken on completed records. Requirements and Skills · Must have a bachelor’s degree in nursing and experience equivalent to four years of full-time increasingly responsible professional nursing work. · Must have a current RN License approved to work in the State of Tennessee · Must have 4-6 years’ experience identifying PAEs. · Must have 4-6 years’ experience caring for LTSS patients. · Must have 4-6 years’ experience working in a TMED role. · Must have 4-6 years’ experience in PASRR and PERLSS systems. · Proven technical skills (e.g., Microsoft Word, Excel, Outlook, PowerPoint, SharePoint, etc.) · Excellent time management skills with the ability to prioritize work to meet specific timeframes and deadlines with minimal supervision. · Excellent verbal and written communications skills · Keen attention to detail and adherence to deadlines · Self-motivated and able to thrive in a fast-paced and results-driven environment. · Critical thinking and problem-solving skills Other Important Information · The position is onsite in downtown Nashville, TN · The position is contract for 12 months with an opportunity to be extended. Days Monday Yes Tuesday Yes Wednesday Yes Thursday Yes Friday Yes Saturday No Sunday No Hours/Day 7.5 Time Zone CST
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