Registered Nurse (RN) - Med Surg
Public Consulting Group
Albany, NY

Medicaid Registered Nurse DHPCO 1092

Overview 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. Responsibilities 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. Qualifications 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 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 the following reasonable range of compensation for this role: 70K to 80K. In addition, SSO provides a range of benefits for this role. EEO Statement Public Consulting Group is an Equal Opportunity Employer dedicated to celebrating diversity and intentionally creating a culture of inclusion. We believe that we work best when our employees feel empowered and accepted, and that starts by honoring each of our unique life experiences. At PCG, all aspects of employment regarding recruitment, hiring, training, promotion, compensation, benefits, transfers, layoffs, return from layoff, company-sponsored training, education, and social and recreational programs are based on merit, business needs, job requirements, and individual qualifications. We do not discriminate on the basis of race, color, religion or belief, national, social, or ethnic origin, sex, gender identity and/or expression, age, physical, mental, or sensory disability, sexual orientation, marital, civil union, or domestic partnership status, past or present military service, citizenship status, family medical history or genetic information, family or parental status, or any other status protected under federal, state, or local law. PCG will not tolerate discrimination or harassment based on any of these characteristics. PCG believes in health, equality, and prosperity for everyone so we can succeed in changing the ways the public sector, including health, education, technology and human services industries, work.