The Community Nurse Coordinator will provide consultation to our providers, members and their family members, coordinate authorization of the delivery of home and community based services, evaluate the cost and clinical appropriateness of medical, social and behavioral health aspects of care while ensuring compliance with appropriate regulations, conduct reviews for quality of services and/or compliance and participate in fair hearings related to medical necessity determinations.
Incumbents should possess knowledge of principles and practices of nursing care administration and experience in home and community based services such as assisted living, adult day centers, home health services and other related community based services.
This is a full-time 40 hour per week position out of DSS Central Office conveniently located in Hartford, CT at 55 Farmington Avenue. In this role you will receive a competitive benefits package. This includes health and dental insurance, a retirement plan, group life insurance, and other supplemental benefits. Paid time off is also offered, including 13 paid holidays per calendar year, in addition to vacation, sick and personal leave accruals.
The State of Connecticut, Department of Social Services provides and funds a broad range of Health and Human Services, goods and programs to low-income elderly, persons with disabilities, families, and individuals who need assistance in maintaining or achieving their full potential of self -direction, self-reliance and independent living. The department administers programs such as energy assistance, home care for the elderly, refugee assistance, temporary assistance for needy families (TANF), Medicaid, supplemental nutrition assistance programs (SNAP), state supplement to SSI, child support enforcement and the social services and community services block grants. The Department serves about 1 million residents of all ages in all 169 towns and cities. DSS has approximately 1,600 dedicated staff. Follow us on twitter @ctdss and see what we are all about!
Why our state
We are passionate about helping advance Connecticut into the future. Every single day is an opportunity to positively impact the lives of Connecticut citizens. Our employees:
- Serve the public through meaningful work
- Seek limitless opportunities to grow
- Enjoy a work/life balance
- Are interested in diversity and fresh perspectives
There are so many things to love about living, working, and playing in our state including these Key Facts and Figures:
- #4 in the U.S. for employees with advanced degrees
- #7 in private R&D investments
- #3 in the country for quality of K-12 education
- #5 for quality of life in the U.S.
- 2,000 miles of hiking/bike paths
- 618 miles of scenic coastline
- 21 world-class art museums
- Five Tony-Award winning regional theatres, and more!
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To Apply:
- In order to be considered for this job opening, you must meet the Minimum Qualifications as listed on this job opening. You must specify your qualifications on your application.
- The minimum experience and training requirements must be met by the close date on the job opening, unless otherwise specified.
- In order to comply with Public Act 21-69, the State of Connecticut is no longer asking for resumes during the initial application process.
- Although applicants will receive correspondence via email, as a backup they are also encouraged to sign on to their Personal Status Board on a daily basis to monitor their status, view all emailed notices and complete tasks required in the recruitment process.
- This posting may require completion of additional referral questions (RQs). You can access these RQs via an email that will be sent to you after the posting’s closing date or by visiting your JobAps Personal Status Board (Certification Questionnaires section). Your responses to these RQs must be submitted by the question’s expiration date. Please regularly check your email and JobAps Personal Status Board for notifications. Please check your SPAM and/or Junk folders on a daily basis in the event an email provider places auto-notification emails in a user’s spam.
- At any point during the recruitment process, applicants may be required to submit additional documentation which support their qualification(s) for this position. These documents may include: a cover letter, resume, performance reviews, attendance records, supervisory references, licensure, etc., at the discretion of the hiring agency. Applicants must meet the minimum qualifications as indicated to apply for this position.
- The immediate vacancy is listed above, however, applications to this recruitment may be used for future vacancies in this job class.
- Interviews will be limited to candidates whose experience and training most closely meet the requirements of the position.
- All application materials must be received by the recruiting agency by the time specified on the job opening for the position for which you are applying. Late applications may not be submitted and will not be considered. Exceptions are rare and limited to documented events that incapacitate a candidate during the entire duration of the job posting time period. It is the candidate’s obligation and responsibility to request an exception and provide a legally recognized justification to accommodate such exception. Requests should be made to [email protected].
- If you have any questions pertaining to this recruitment please contact Elizabeth Weston at [email protected] and reference the recruitment number.
- Due to the large volume of applications received, the Department of Administrative Services is unable to provide confirmation of receipt or status during the recruitment process. Updates will be available through your JobAps portal account.
- Follow the State of Connecticut on LinkedIn.
In the Department of Social Services, Home and Community Based Services unit this class is accountable for independently performing a full range of tasks associated with the provision of professional nursing consultation to access agencies who provide case management services to consumers and their families regarding social services program-based healthcare services.
Provide consultation and case management to access agencies, health care providers, clients and family members; coordinates authorization of delivery of services with access agencies; evaluates cost and clinical appropriateness of medical, social and behavioral health aspects of care; conducts health care case reviews for quality and care management; reviews and approves or denies prior authorization requests for services; serves as a resource to clients and health insurance companies regarding rights and responsibilities; serves as liaison with internal agency contacts and outside providers regarding program policies and procedures; completes health screen assessment and determines level of care eligibility; evaluates care plan to ensure compliance with cost caps and federal regulations; reviews, evaluates and authorizes requests for medical services and equipment for clients; investigates client complaints; may conduct on site quality assessment and/or compliance review; may represent the department in fair hearings related to medical necessity determination of nursing facility level of care; may make recommendations for policy changes; performs related duties as required.
Considerable knowledge of principles and practices of nursing care administration for variety of specialties with varied settings; knowledge of relevant State and Federal laws, statutes and regulations; knowledge of relevant agency policy and procedures; knowledge of managed care practices; knowledge of principles and practices pertinent to community processes; knowledge of state and federal and local health agencies and programs; considerable interpersonal skills; oral and written communication skills; ability to problem solve; ability to understand and communicate health programs; ability to utilize computer software.
Three (3) years of experience as a registered professional nurse in a position involving home healthcare, nursing homes or other community based nursing program.
Two (2) years of the General Experience must have been in the areas of client care plans or utilization review. For State employees, the Special Experience is interpreted at or above the the level of Nurse.
A Bachelor’s degree in nursing may be substituted for one (1) year of General Experience.
- Clinical experience with principles and practices of nursing care administration.
- Experience with Medicaid.
- Experience with community based long term services and supports.
- Experience with person centered principles.
- Experience or coursework with Home and Community Based Waivers.
- Experience collaborating with providers, agencies and organizations.
In addition to the checking of references and of facts stated in the application, a thorough background investigation of each candidate may be made before persons are certified for appointment.
Source: Indeed.com
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