Medical Certification Manager 1

About the Department

Position Duties

A current Louisiana license in a health services field, health regulation field, or social services field plus five years of experience as a licensed practitioner in hospital or nursing home administration, health services, health regulation, or social services; OR

A bachelor's degree plus five years of experience in hospital or nursing home administration, health services, health regulation, or social services; OR

A master's degree in a health services field, health regulation field, or a social services field plus four years of experience in hospital or nursing home administration, health services, health regulation, or social services.

Minimum Qualifications

The official job specifications for this role, as defined by the State Civil Service, can be found here.

Other Qualifications

Job Duties:

• Administration of a complex system of state funded supportive goods and services through the statewide program, Louisiana ACT 378 of 1989 that requires that children and adults to afforded the choice and opportunity to live in typical homes and communities. This position is responsible for ensuring that these Medicaid Waiver Programs and the ACT 378 Program are implemented following all CMS/federal and state rules, regulations, and procedures revising processes as are needed.
• Incumbent serves as administrator of medical certification determinations for applicants seeking admission to nursing facilities and Intermediate Care Facilities for people with Intellectual and/or Developmental Disabilities (ICF/DD) on behalf of the Louisiana Department of Health and Louisiana Medicaid Program. The Director of Developmental Disability Services (Medical Certification Manager) administers the establishment and ongoing system for the Determination Process for Systems Entry as the regional single point of entry for the statewide developmental disability service system.
• MCM is responsible for the implementation of the ACT 421 CMO Program within the LGE by providing determinations of the Request for Medical Eligibility Determination and conducting ACT 421 assessments for child eligibility determinations for this Medicaid program.
• Direct and manage the implementation, monitoring, and eligibility for a variety of service programs located in the region.

Position-Specific Details:

Appointment Type:   Probational, Promotional, Demotion, Lateral Transfer, or Detail to Special Duty

Compensation: NEDHSA is a designated approved National Health Service Corps (NHSC) site. Clinicians who work at NHSC-approved sites are eligible to apply to the NHSC Loan Repayment Program to pay off student loans.

• 2-year Full-Time Clinical Practice: NHSC will pay up to $50,000* for an initial 2 years of full-time clinical practice to clinicians.

How To Apply:

No Civil Service test score is required to be considered for this vacancy.  

To apply for this vacancy, click on the “Apply” link above and complete an electronic application, which can be used for this vacancy as well as future job opportunities. Applicants are responsible for checking the status of their application to determine where they are in the recruitment process. Further status message information is located under the Information section of the Current Job Opportunities page. 

*Information to support your eligibility for this job title must be included in the application (i.e., relevant, detailed experience/education). Resumes will not be accepted in lieu of completed education and experience sections on your application. Applications may be rejected if incomplete.

For further information about this vacancy, contact:

Benefits

Supplemental Questions

Required Question

Agency Information