Wisconsin State Government Nursing Consultant 2 (LTE) - Division of Medicaid Services in Dane, Wisconsin

The Department of Health Services (DHS); Division of Medicaid Services (DMS), Bureau of Benefits Management (BBM) is seeking applicants for a Nurse Consultant 2 Limited Term Employment (LTE) opportunity in Madison. DHS is located at 1 West Wilson Street in downtown Madison, near the state capitol, the Madison Metro route and the Capital City bike path.

To learn more about LTE positions with the State of Wisconsin, please click here.

Position Summary: These positions process prior authorization (PA) requests and prepayment reviews of health care services to establish medical necessity and appropriateness. These positions respond to appeals of PA denials and modifications, prepare legal position papers and serve as expert witnesses in legal proceedings. In addition, these positions maintain professional currency through participation in continuing education.

Special Notes:

Due to the nature of the position, all applicants who may be appointed will be required to allow the Department of Health Services to conduct a security check to determine whether the circumstances of any conviction may be related to the job being filled.

Qualifications:

A minimally qualified applicant will have:

  • Registered nurse with unrestricted licensure in the State of Wisconsin.

  • Home health or private duty nursing experience.

  • Experience in at least 2 different clinical settings (note: this does not necessarily mean different employers, just unique clinical environments).

  • Experience and participation in the development or revision of guidelines and standards for medical related policies and procedures.

A well-qualified applicant will also have:

  • Experience with ventilation systems, durable medical equipment (DME), or durable medical supplies (DMS).

  • Training in medical coding.

  • Experience auditing medical records, claims documents, or financial records.

How To Apply:

To apply for this position, click “Log In” to access your existing account or to create a new account if you do not already have an account in the system. After you have logged in, click “Apply Now.” You will be asked to provide your personal information and attach a resume and cover letter. All documents should be in Word of PDF compatible format.

To be considered for this position applicants must complete the online process. Application materials will not be accepted if received in an email, as a hard copy or a fax. If you have any questions regarding Wisc.Jobs or need assistance using the system, please contact the HR Specialist on this announcement.

Your resume and cover letter will be evaluated by one or more job experts.Your materials must provide sufficient detail to portray your qualifications. It is important that they clearly describe your background so the job expert(s) evaluating your application materials are able to make an accurate judgment regarding your qualifications. Use specific examples to clearly demonstrate your level of expertise. Candidates that are deemed eligible will be invited to participate in the next step of the selection process. If you have any questions regarding the application process, please contact the HR Specialist listed above.

Please note: Important communication regarding this recruitment will be sent via email.

DHS is an Equal Opportunity and Affirmative Action employer seeking a diverse and talented workforce.

County(ies): Dane

Type of Employment: Part Time (less than 40 hrs/week)

Salary: The starting salary for this position is $30/hr and is in pay schedule and range 11-03.

Contact: Skye Zeimet, HR Specialist-Sr, 608-266-0384, skye.zeimet@dhs.wi.gov

Bargaining Unit: Non-Represented

Area of Competition: Open

Deadline to Apply: 7/3/2017

Assessment Information: 38342 - 038 NURSING CONSULTANT 2 Preview Assessment

Classification Title: / JAC: NURSING CONSULTANT 2 17-01486

Job Working Title: Nursing Consultant LTE