PASRR Nurse Consultant
Core
Maintaining an active role on the Long-Term Services and Supports (LTSS) Team, planning and updating PASRR policy, performing audits to prevent program abuse, and ensuring quality control for Medicaid beneficiaries in nursing homes.
Role type
Nurse Consultant II (Policy & Compliance)
Builds
PASRR policy updates, audit reports, compliance documentation
Domain
Public Health / Medicaid / Long-Term Care
Deliverable
dashboards & analysis
Required skills
Registered Nurse licensure, clinical experience, policy development, audit execution, regulatory compliance, data analysis
Preferred skills
NC Medicaid operations knowledge, Long-Term Care/Managed Care expertise, NCMUST familiarity, stakeholder relationship management, complex medical translation
Technologies
Microsoft Office (Outlook, Word, Excel), NCMUST
Responsibilities
Recommending policy changes based on practice patterns, creating and performing audits to prevent program abuse, assessing and documenting the PASRR program, reviewing diagnoses and treatment costs, evaluating vendor invoices, ensuring compliance with Federal and State standards.
Seniority
Mid-level, hands-on IC