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Medical Certification Specialist 2

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Medical Certification Specialist 2

Salary

$5,477.00 - $9,856.00 Monthly

Location

Lake Charles, LA

Job Type

Classified

Job Number

IMCAL 2025 - 36

Department

LDH- Imperial Calcasieu Human Services Authority

Opening Date

07/18/2025

Closing Date

7/25/2025 11:59 PM Central

+ Description

+ Benefits

About this Job

Imperial Calcasieu Human Services Authority (ImCal HSA) exists so that citizens with mental health, addictions, and developmental challenges residing in the parishes of Allen, Beauregard, Calcasieu, Cameron, and Jefferson Davis are empowered, and self-determination is valued such that individuals live a satisfying, hopeful, and contributing life.

We're looking for a Medical Certification Specialist to join our Developmental Disabilities Division . Our Developmental Disabilities Division is committed to ensuring quality services, serving as the Single Point of Entry (SPOE) into the developmental disabilities services system.

Minimum Qualifications

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

A bachelor's degree plus three 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 two years of experience in hospital or nursing home administration, health services, health regulation, or social services.

Job Specification

The official job specifications for this role, as defined by the State Civil Service, can be foundhere (https://apps01.civilservice.louisiana.gov/onestopjobinfo/DisplayJobSpec.aspx?JobCode=163920) .

Job Duties and Other Information

Job Duties:

In this role, you will:

+ Review plans of care submitted for annual Waiver program recertification. Conduct thorough reviews of the Comprehensive Plan of Cares/electronic Plan of Cares (ePOC) and supporting documents using the Individual Supports Review Protocols providing feedback to Support Coordinator on corrections needed to the Plan of Care.

+ Make determination for continuation of waiver services within 10 business days as outlined in state and federal Medicaid policy and procedures.

+ Upon receipt of an Initial plan of care and after mandated pre-certification home visit, make determination of medical eligibility for certification for waiver services within 10 days of plan receipt and submits notice of Medical Certification (Form 142) to Medicaid office.

+ Obtain information from review of records, applicant/recipient interview and personal observation during home visits to make determination of eligibility for certification into waiver service program.

+ Make determination of medical eligibility within 10 days of receipt of plan of care and submit Medicaid Notice of Medical Certification (Form 142) to Medicaid.

+ Evaluate overall effectiveness of recipient’s plan ensuring personal outcomes and person- centered goals are identified appropriately within each plan as well as evaluate how supports will ensure the individual’s health and safety in the community setting.

Position-Specific Details:

Appointment Type: Probational or permanent

Work Schedule: Work hours are 8:00 AM to 4:30 PM, Monday - Friday.

Compensation : The salary offered will be determined based on qualifications and experience.

Louisiana is a State As a Model Employer (SAME) that supports the recruitment, hiring, and retention of individuals with disabilities.

How To Apply:

No Civil Service test score is required in order 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 the position 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. Applications may be rejected if incomplete.

Contact Information:

For further information about this vacancy contact:

Leigh Conway

HR Director - ImCal HSA

[email protected]

Louisiana State Government represents a wide variety of career options and offers an outstanding opportunity tomake a differencethrough public service. With an array of career opportunities in every major metropolitan center and in many rural areas, state employment provides an outstanding option to begin or continue your career.

As a state employee, you will earn competitive pay, choose from a variety of benefits, and have access to a great professional development program:

Insurance Coverage More information can be found at https://info.groupbenefits.org/

Parental Leave– Up to six weeks paid parental leave

More information can be found athttps://www.civilservice.louisiana.gov/Parental-Leave/Default.aspx

Holidays and Leave – State employees receive the following paid holidays each year:

+ New Year's Day

+ Martin Luther King, Jr. Day,

+ Mardi Gras,

+ Good Friday,

+ Memorial Day,

+ Independence Day,

+ Labor Day,

+ Veteran's Day,

+ Thanksgiving Day and Christmas Day.

***** Additional holidays may be proclaimed by the Governor

State employees earn sick and annual leave which can be accumulated and saved for future use. Your accrual rate increases as your years of service increase.

Retirement – State of Louisiana employees are eligible to participate in various retirement systems (based on the type of appointment and agency for which an employee works). These retirement systems provide retirement allowances and other benefits for state officers and employees and their beneficiaries. State retirement systems may include (but are not limited to):

+ Louisiana State Employees Retirement System (www.lasersonline.org). LASERS has provided this video (https://lasersonline.org/wp-content/uploads/2016/07/Your\_Retirement\_System.mp4) to give you more detailed information about their system

+ Teacher's Retirement System of Louisiana (www.trsl.org),

+ Louisiana School Employees Retirement System (www.lsers.net), among others

Employer

State of Louisiana

Address

For agency contact information, please refer to

the supplemental information above.

Louisiana State Civil Service, Louisiana, 70802

Phone

(866) 783-5462

Website

http://agency.governmentjobs.com/louisiana/default.cfm

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