Medical Records Examiner

Are you a registered nursing looking to utilize your skills in a challenging new environment? Do you have solid analytical skills and sound judgement to evaluate the appropriateness of care at Medicaid certified nursing facilities statewide? The Department of Human Services (DHS), Division of Fee for Service Operations is seeking a conscientious Medical Records Examiner. If you want to use your professional and investigative skills to help ensure citizens received quality care, then we want to talk to you! We encourage you to apply today!

As a Medical Records Examiner, you will review and evaluate clinical and fiscal records to assess the compliance of nursing facilities with the Omnibus Budget Reconciliation Act (OBRA), Minimum Data Set (MDS), and federal and state regulations. You will routinely complete PA Pre-Admission Screening Resident Reviews (PASRR) and reconcile the nursing facility Case Mix Index (CMI) report. You will work both independently and in team settings to compile summaries and conduct entrance and exit interviews. This role requires strong analytical skills to compile information nursing facilities will use to formulate corrective action plans, as well as a genuine desire to ensure long-term care facilities provide appropriate medical, social, physical, rehabilitative, and restorative care services. In addition, you will help nursing facility staff achieve compliance by providing technical assistance and participate in the development of medical assistance policies and regulations.

Interested in learning more? Additional details regarding this position can be found in the position description.

Work Schedule and Additional Information:

• Full-time employment, 37.5 hours per week
• Work hours are 7:30 AM to 3:30 PM, Monday - Friday, with a 30-minute lunch.
• Home Headquartered: This position is home headquartered. In order to be home headquartered, you must have a securely configured high-speed internet connection and work from an approved location inside Pennsylvania.
• Salary: In some cases, the starting salary may be non-negotiable.
• You will receive further communication regarding this position via email. Check your email, including spam/junk folders, for these notices.

QUALIFICATIONS

Minimum Experience and Training Requirements:

• Three years of professional experience in the field of medical assistance, health care services, or human services; or
• An equivalent combination of experience and training.

Special Requirements:

• You must possess active authorization to practice as a Registered Nurse in Pennsylvania.
• All employees possessing an active temporary practice permit must obtain licensure as a Registered Nurse within the one (1) year period defined by the Pennsylvania State Board of Nursing.
• You must be in possession of an active motor vehicle license.
  

• You must meet the PA residency requirement. For more information on ways to meet PA residency requirements, follow the link and click on Residency.
• You must be able to perform essential job functions.

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 you are claiming education in your answers to the supplemental application questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are acceptable.
• Your application must be submitted by the posting closing date. Late applications and other required materials will not be accepted.
• Failure to comply with the above application requirements may eliminate you from consideration for this position.

Veterans:

Telecommunications Relay Service (TRS):

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.

• Completing the application, including all supplemental questions, serves as your exam for this position. No additional exam is required at a test center (also referred to as a written exam).
• Your score is based on the detailed information you provide on your application and in response to the supplemental questions.
• Your score is valid for this specific posting only.
• You must provide complete and accurate information or:
  • your score may be lower than deserved.
  • you may be disqualified.
• You may only apply/test once for this posting.
• Your results will be provided via email.