New Job Medical Records Examiner In Pennsylvania

THE POSITION

If you are a Registered Nurse interested in reviewing cases based on reports of Medicaid fraud and abuse detection, this is the career for you!

The Department of Human Services, Bureau of Program Integrity, is actively recruiting for the position of Medical Record Examiner for the Medical Services Section. We provide excellent benefits, pay increases, paid leave and holidays, as well as opportunities for career advancement.

If this opportunity interests you, and if you meet the minimum qualifications, please apply today and join our amazing team!

DESCRIPTION OF WORK

As a Medical Records Examiner, you are responsible for reviewing and evaluating medical necessity, appropriateness, quality, quantity, and adequacy of medical care and services rendered by providers under or on behalf of the Pennsylvania Medical Assistance Program. In addition, you are responsible for selection of cases based on reports generated by the Fraud and Abuse Detection System as well as tips, complaints and referrals generated by both internal and external stakeholders.

Additional details regarding the duties of this position may be found in the position description.

Information regarding the work schedule and other relevant details:

• A full-time job that lasts 37.5 hours per week.
• Between Monday and Friday, work is from 8:00 am to 5:00 pm; lunch is served from 7:00 pm to 9:30 pm.
• Telework: You may have the opportunity to work from home (telework) part-time up to three (3) days a week. In order to telework, you must have a securely configured high-speed internet connection. If you are unable to telework, you will have the option to report to the headquarters office in Harrisburg.
• Travel as needed.
• FREE PARKING!
• Salary: In some cases, the starting salary may be non-negotiable.
• We will send you additional emails regarding this position. Look for these notices in your email, including any attachments found in your spam or junk folder?

The candidate must possess experience, education, and eligibility.

QUALIFICATIONS
Minimum experience and training requirements:.

• Three years of professional experience in the field of medical assistance, health care services, or human services; or
• A corresponding range of exposure and education.'

Necessary Special Requirements:

• An active license from the Pennsylvania Board of Nursing or a non-renewable, temporary practice permit issued by the Pennsylvania board of nursing are necessary for this position. What is the final procedure? The applicant must be aware of their current location.
• The Pennsylvania State Board of Nursing requires all employees with non-renewable temporary practice permits to become Registered Nurses within a one (1) year period. What is the maximum duration for this?
• The role requires an active license to drive.'

• It is necessary to meet the Pennsylvania residency requirement. To learn more about meeting Pennsylvania's residency requirements, click on Residency and follow the link.
• You must possess the ability to perform essential job duties.

How to Apply:

• Resumes, cover letters, and similar documents will not be reviewed, and the information contained therein will not be considered for the purposes of determining your eligibility for the position. Information to support your eligibility for the position must be provided on the application (i.e., relevant, detailed experience/education).
• If your claims for education are made in the supplemental application questions, you must include a copy of your college transcripts to meet the minimum requirements. Unofficial transcripts are also available.
• Your application must be submitted by the posting closing date. Late applications and other required materials will not be accepted.
• If you fail to meet the application requirements mentioned above, your eligibility for this position may be rescinded.

Veterans:

• Under Pennsylvania law (Pa. C.S., 2007), an employment preference for qualified veterans is available to qualify for appointment to many state and local government jobs; visit www.employment.pa.gov/Additional_Info/Pages/default.aspx Click on the Veterans' Preference tab to learn more or contact [email protected]. How can I get there?

Telecommunications Relay Service (TRS):

• 81, 711 (including individuals with hearing and speech disabilities).

If you are contacted for an interview and need accommodations due to a disability, please discuss your request for accommodations with the interviewer in advance of your interview date.

The Commonwealth is an equal employment opportunity employer and is committed to a diverse workforce. The Commonwealth values inclusion as we seek to recruit, develop, and retain the most qualified people to serve the citizens of Pennsylvania. The Commonwealth does not discriminate on the basis of race, color, religious creed, ancestry, union membership, age, gender, sexual orientation, gender identity or expression, national origin, AIDS or HIV status, disability, or any other categories protected by applicable federal or state law. All diverse candidates are encouraged to apply.

EXAMINATION INFORMATION

• The application, along with all supplementary questions, should be completed to apply for this position. No further tests are needed at any test center other than the actual exam (also called a written exam).?
• The amount of information you provide on your application and the responses you give to the supplemental questions are combined to determine your score.
• Your score applies exclusively to this posting. Only.
• You must provide complete and accurate information or:
  • It's possible that your score is not up to par.
  • you may be disqualified.
• You may only apply/test once for this posting.
• Your findings will be communicated to you via email.

See our complete list of Total Rewards by watching this brief video!

Health & Wellness

We provide a wide range of health plans to ensure that our employees have the optimal lifestyle for themselves and their loved ones. Our benefits package includes health insurance, dental care, vision coverage, and wellness services.

Compensation & Financial Planning
We invest in our employees by providing competitive wages and encouraging financial wellness by offering multiple ways to save money and ensure peace of mind including multiple retirement and investment plan options.

Work/Life Balance
We know there’s more to life than just work! Our generous paid leave benefits include paid vacation, paid sick leave, six weeks of paid parental leave, military leave, and paid time off for most major U.S. holidays, as well as flexible work schedules and work-from-home opportunities.*

Values and Culture
We believe in the work we do and provide continual opportunities for our employees to grow and contribute to the greater good. As one of the largest employers in the state, we provide opportunities for internal mobility, professional development, and the opportunity to give back by participating in workplace charitable giving.

Employee Perks
Sometimes, it is the little “extras” that make a big difference. Our employees receive special employee-only discounts and rates on a variety of services and memberships.

For more information on all of these Total Rewards benefits, please visit www.employment.pa.gov and click on the benefits box.

• Eligibility rules apply.