PRN Registered Nurse (Specialty)

Public Health Registered Nurse Consultant

Our client is looking to hire a Public Health Registered Nurse Consultant.

Key Responsibilities

Review submitted PAEs, Medicaid medical eligibility applications for level of care determinations for approval or denial for LTSS programs utilizing clinical expertise.

Decisions must be made in accordance with client rules.

Ensure compliance with Federal PASRR regulations with adjudicating PAEs for CHOICES program, specific to those seeking to resident and receives services in a nursing facility.

This also includes adjudicating skilled service requests, Enhanced Respiratory Care requests, safety requests, and target population decisions.

Transcribe approved PASRR determinations from the TMED system into the PERLSS system to allow for additional enrollment and eligibility actions to be taken on completed records.

Requirements and Skills

Must have a bachelors degree in nursing and experience equivalent to four years of full-time increasingly responsible professional nursing work.

Must have a current RN License approved to work in the State of Tennessee.

Must have 4-6 years experience identifying PAEs.

Must have 4-6 years experience caring for LTSS patients.

Must have 4-6 years experience working in a TMED role.

Must have 4-6 years experience in PASRR and PERLSS systems.

Proven technical skills (e.g., Microsoft Word, Excel, Outlook, PowerPoint, SharePoint, etc.)

Excellent time management skills with the ability to prioritize work to meet specific timeframes and deadlines with minimal supervision.

Excellent verbal and written communications skills

Keen attention to detail and adherence to deadlines

Self-motivated and able to thrive in a fast-paced and results-driven environment.

Critical thinking and problem-solving skills

Other Important Information

The position is onsite in downtown Nashville, TN.

The position is contract for 12 months with an opportunity to be extended.

Location Requirements

Candidate must be local.

Background Verification

Minimum Verification Requirements - Please complete the following verifications with Info Cubic upon candidate's selection. Additional verifications may be identified by the agency.

TN Standard Background Check

Baseline background check

Global Monitor Check

US Criminal Record Locator w/ Alias

Federal Criminal History (7 years)

County Criminal History (7 years)

National Sex Offender Registry