Nurse II

Job/Position DescriptionNurse IIThe Texas Health and Human Services Commission (HHSC) Medicaid and CHIP Services (MCS) division seeks a highly qualified candidate to fill the position of Nurse II in the Quality Monitoring Program (QMP). MCS is driven by its mission to deliver quality, cost-effective services to Texans. This position makes a significant contribution to MCSand#146;s mission by performing senior-level consultative services and technical assistance work to include: providing guidance in the planning, development, coordination, and implementation of QMP initiatives and procedures; functioning as a liaison with internal and external stakeholders, assisting with critical projects; conducting monitoring visits and providing guidance relevant to the federally mandated Pre-Admission Screening and Resident Review (PASRR) Medicaid program to Texas nursing facilities. In addition, this position will assist with the provision of education to nursing facility staff and others as it relates to quality improvement and effective compliance with federal and state PASRR regulations. The ideal candidate thrives in an environment that emphasizes teamwork to achieve goals, excellence through high professional standards and personal accountability, curiosity to continuously grow and learn, critical thinking for effective execution, and integrity to do things right even when what is right is not easy. The ideal candidate also has the ability to implement creative solutions to problems, works collaboratively with peers on team projects and independently with little supervision; maintains collaborative relationships with colleagues and team members and is able to build rapport with facility staff and residents. Performs other duties as assigned. This position works under the direct supervision of the PASRR Director within QMP, with considerable latitude for the use of initiative and independent judgment. The PASRR Nurse II conducts onsite monitoring visits, both independently and as part of a team, to ensure compliance to the program standards and implementation of Medicaid laws and regulations relevant to the federally mandated PASRR Medicaid program. This includes independently conducting medical record reviews and onsite quality monitoring visits to nursing facilities to ensure that persons with intellectual or developmental disability (IDD) have been appropriately screened and evaluated; are placed in the least restrictive residential setting to meet their needs; and are receiving the specialized services needed to maximize the individualand#146;s potential. The PASRR Nurse II performs a review of elements of an individualand#146;s medical record, any relevant documents, interviews nursing facility staff, and observes the individual engaged in activities or receiving necessary services and supports as specified in the habilitation service plan (HSP) and Nursing Facility Comprehensive Care Plan (NFCPC). The PASRR Nurse II must use independent, professional judgment in determining if PASRR systems are providing services as outlined in the PASRR Evaluation and PASRR Comprehensive Service Plan (PCSP), providing educational consultation, producing accurate quality assurance, and providing orientation to peers and others as needed. The position will be responsible for assisting with the development and updating of program policy/procedures and educational programs, documenting complete and accurate reports, monitoring visit activities, and communicating pertinent information regarding visits with the Direc https://jobshrportal.hhsc.state.tx.us/ENG/CareerPortal/jobprofile.cfm?szOrderID=616385 Copy the URL in the preceding sentence to an Internet Explorer browser to apply to the job directly through the Texas Health and Human Services Career Portal.