Nurse Specialist - Medicaid Waiver

Headquarters
1365 S Waterman Ave
San Bernardino, CA 92408, USA

SUMMARY: Under the general supervision of the Program Manager, Medicaid Waiver, is responsible for Medicaid Waiver certification and consultation regarding health needs of consumers. Has no supervisory responsibility.

HOURLY RANGE:

• $36.9189 - $51.9485 per hour

SIGN-ON BONUS!

• $250 sign‑on bonus after the completion of 90 days of employment at IRC with work performance in good standing.
• $500 sign‑on bonus after the completion of 6 months of employment at IRC with work performance in good standing.
• Make sure to tell us if an IRC employee referred you when you get to that question on your application! Please include their full name.
• This incentive is only available for new employees. Rehires are not eligible for the sign‑on bonuses.

GENEROUS BENEFITS PACKAGE AND EMPLOYEE PERKS:

• To view our benefits package and employee perks, please click HERE.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Daily, certify/recertify eligibility of consumers for the Medicaid Waiver Program and coordinate agency's activities in this regard. Comply with the administrative requirements of the agency. Complete necessary paperwork, reports, etc. on a timely basis.
• Guided by the agency’s and program’s mission statement and core values, under the general direction of the Program Manager, Medicaid Waiver, provide nursing consultation and assessment services to staff and vendors on Medicaid Waiver consumers.
• Upon request, provide consultation regarding health needs of consumers, good nursing practices, and regulations to staff, facilities, vendors, parents and families. May be required to perform hands‑on training of various type facilities or provide development sessions on various medical and nursing issues to staff and vendors.
• Provide assistance and training to staff on the Medicaid Waiver Program. Provide consultation to staff regarding medical needs of consumers and the services and resources available to meet those needs.
• Communicate directly with Sacramento Department of Developmental Services (DDS) regarding Medicaid Waiver‑related issues and report to Program Manager, Medicaid Waiver.
• Give the Program Manager, Medicaid Waiver information regarding staff responsiveness to Medicaid Waiver Guidelines. Problem‑solve and troubleshoot work issues reporting to the Program Manager, Medicaid Waiver.
• Complete DDS Preadmission Screening and Resident Review (PASRR).
• Act as liaison with medical community generic resources. Daily, maintain an adequate skill level in interpersonal and community relationships.
• Lead or participate in at least one Quality Assurance evaluation/audit of a community care facility, a health care facility, or a day program annually.
• Seek to maintain current and to expand relevant knowledge base. Attend training sessions as required.
• Organize travel efficiently and effectively.
• Work cooperatively and effectively with others. Perform as a member of the team, answer questions, share expertise and contribute to the harmony of the team.
• Use office equipment appropriately and report the need for any repairs. Keep work area neat and orderly. Observe all safety rules and comply with IRC’s Injury and Illness Prevention Plan and Workplace Violence Prevention Plan. Notify Program Manager, Medicaid Waiver of any unsafe working conditions.
• Ability to handle a hybrid work environment consisting of working in the office and remotely at home while maintaining work productivity and efficiency; communicate via telephone calls, video conference calls, emails, and chat rooms.
• Handle change well and be flexible and adaptable in dealing with interruptions, new priorities and new assignments.
• Maintain good attendance and punctuality.
• Good verbal and written communication skills.
• Keep manager informed of pending work, work in progress and problems encountered.
• Utilize agency’s IT systems as assigned, maintaining security and following agency’s protocol and procedures, rules, and requirements.
• Attend training sessions as required.
• Comply with and ensure program compliance with agency’s Personnel Policies and Procedures.
• Assure that consumers’ rights and dignity are maintained in the provision of…