Nurse Analyst, Medicaid Fraud, Chicago or Oakbrook 23-E-06

Deputy Chief - Administration

Bureau: Medicaid Fraud

Location: Oakbrook, IL

Salary: $65,000.00 - $95,000.00 Annually

Job Type: Full-Time

Job Number: 23-E-06

Summary of Duties and Responsibilities

The Nurse Analyst is responsible for collecting, analyzing, and screening information from a variety of sources and is required to use that information to determine whether patient abuse, neglect, prescription drug diversion, fraud, waste, or abuse has occurred. The Nurse Analyst will assist in the evaluation and creation of investigative strategies and case objectives; evaluate the physical and mental status of victims; and assist with interviews of individuals and/or witnesses involved with alleged fraud or abuse cases. The Nurse Analyst will be responsible for writing reports; creating summary exhibits of findings; maintaining accurate records and files; and testifying in court and before the grand jury. Additionally, they will review, analyze, interpret, and prepare detailed summaries of: medical records; charts; progress notes; medication administration records; Minimum Data Set resident assessment instruments; ICD-9/10 coding; CPT coding; and, Medicaid claims/utilization data.

Qualifications

This position requires a Bachelor's degree in nursing; a current license to practice as a Registered Nurse (RN) in good standing in the State of Illinois; and, a minimum of three (3) years of experience as a nurse practicing as a RN. Knowledge of state and federal rules and regulations related to health care and health care facilities particularly in the Medicaid program is desired along with work experience in patient/resident care settings (long-term care, assisted living, home health, hospice, hospital, group homes). The ability to define problems, collect data, or information; establish facts and draw valid conclusions; ability to prepare meaningful, concise, and accurate reports; strong communication, organizational, and interpersonal skills; and proficiency in Microsoft Office is also desired. Travel will be required and candidates must possess a valid driver's license. Attendance, professionalism, integrity, and the ability to maintain satisfactory working relationships with the general public, other agencies, and OAG employees required.

Supplemental Information

This position requires in office attendance.

Benefits

We offer a complete benefits package to full-time employees including health care, dental, vision, retirement, deferred compensation plans, flexible spending accounts, life insurance, long-term disability, holidays, vacation, and sick leave. Part-time employees who work an average of 20 hours per week over the course of a year, receive benefits on a pro-rated basis.

As an employee of the Illinois Attorney General's Office, you'll have access to many great benefits. Join the legal team responsible for protecting the public interest of the state and the people of Illinois!

• Health and Dental insurance along with free Vision insurance*
• Pension Benefits through the State Employees'; Retirement System
• Deferred Compensation: supplemental retirement savings program-457k
• Commuter Savings Program: pre-tax transportation program
• Flexible Spending: Medical and Dependent pre-tax savings program
• Life insurance benefit: free with option to purchase additional (up to 8 x your annual salary) at low cost. Spouse and child life insurance available
• Disability coverage
• Employee Assistance Program through ComPsych
• Holidays: 13 1/2 paid
• Vacation days: minimum of 12 days, maximum of 27 days, prorated
• Personal days: 4 annually
• Floating Holiday: 1 annually
• Sick days: 1 per month
• For attorneys, office provided Continuing Legal Education
• Semi-monthly payroll

*Health and Dental cost ranges: for single: $131.00 - $314.00 monthly; for family: $299.00 - $653.00 monthly

For more information on benefits: visit cms.illinois.gov/benefits/stateemployee.html