Department Name: 7K725:INSTITUTE FOR PHARMACEUTICAL OUTCOMES AND POLICY
The purpose of the Quality Assurance and Waiver Assurance contract is to improve the efficiency of the waiver assessment and auditing tools used to administer the program. The candidate for this position must be a registered nurse in the State of Kentucky and will work out of Frankfort, Kentucky, at the Cabinet for Health and Family Services building. Some travel is required.
The responsibilities for this position include but are not limited to:
Provides clinical decisions, completes waiver audits, and collects valuable data to ensure research objectives are met.
Understands and stays up-to-date on waiver regulations and associated application procedures.
Performs accurate and timely audit assessments based on Medicaid eligibility and requirements.
Reviews resolutions to member issues evaluated for the Medicaid Waiver Management Application (MWMA).
Provides feedback on audit reports.
Conducts analysis of services within the waiver as well as issues identified within the MWMA, system communication, member and provider calls, communication from the ombudsman's office and/or legislation.
Attends professional meetings, civic meetings or other meetings to gather or distribute program or technical information.
Coordinates with various Cabinet Departments on related task forces and committees.
This position is grant-funded and will be located in Frankfort, Kentucky.
Knowledge of physical and psychological development. Excellent analytical and decision making skills. Ability to communicate effectively and interact with physically disabled and elderly individuals. Ability to travel throughout the state on a regular basis with the ability to travel out-of-state for overnight trips upon occasion.
Position Time Status: Full-Time
Required Related Experience:
Required License/Registration/Certification :
Associates in Nursing degree or higher. BSN preferred. Prefer experience working with the elderly and physically disabled. Driver’s license is highly desired due to extensive travel.
University Community of Inclusion:
The University of Kentucky is committed to a diverse and inclusive workforce by ensuring all our students, faculty, and staff work in an environment of openness and acceptance. We strive to foster a community where people of all backgrounds, identities, and perspectives can feel secure and welcome. We also value the well-being of each of our employees and are dedicated to creating a healthy place to work, learn and live. In the interest of maintaining a safe and healthy environment for our students, employees, patients and visitors the University of Kentucky is a Tobacco & Drug Free campus.
As an Equal Opportunity Employer, we strongly encourage veterans, individuals with disabilities, women, and all minorities to consider our employment opportunities.
Any candidate offered a position may be required to pass pre-employment screenings as mandated by University of Kentucky Human Resources. These screenings may include a national background check and/or drug screen.
Adjacent to downtown Lexington, UK is nestled in the scenic heart of the beautiful Bluegrass Region of Kentucky. UK's campus covers more than 814 acres, with more than 30,700 students and 13,500 full-time employees, including nearly 2,400 full-time faculty and librarians.