Registered Nurse 2 (Medical Care) (NY HELPS), WCB Item #2346

NY HELP Yes Agency Workers' Compensation Board Title Registered Nurse 2 (Medical Care) (NY HELPS), WCB Item #2346 Occupational Category Health Care, Human/Social Services Salary Grade 20 Bargaining Unit PS&T - Professional, Scientific, and Technical (PEF) Salary Range From $101720 to $111381 Annually Employment Type Full-Time Appointment Type Permanent Jurisdictional Class Non-competitive Class Travel Percentage 0% Workweek Mon-Fri Hours Per Week 37.5 Workday From 8:30 AM To 4:30 PM Flextime allowed? No Mandatory overtime? No Compressed workweek allowed? No Telecommuting allowed? Yes County Albany Street Address Medical Director's Office, Clinical Standards Unit 150 Broadway City Menands State NY Zip Code 12204 Minimum Qualifications Candidates must have one year of permanent service in a title designated as appropriate for transfer in accordance with 70.1 of the Civil Service Law.ORCandidates must possess a current license and registration as a registered professional nurse in New York State and two years of registered nursing experience in the following areas: rehabilitation, medical/surgical, public health, community health, visiting nursing, occupational health, utilization review, or review of medical records from hospitals for appropriate ICD 9 or 10/DRG/PAS/CPT coding.This title is part of the New York Hiring for Emergency Limited Placement Statewide Program (NY HELPS).For the duration of the NY HELPS Program, this title may be filled via a non-competitive appointment, which means no examination is required but all candidates must meet the minimum qualifications of the title for which they apply. At a future date (within one year of permanent appointment), it is expected employees hired under NY HELPS will have their non-competitive employment status converted to competitive status, without having to compete in an examination. Employees will then be afforded with all of the same rights and privileges of competitive class employees of New York State. While serving permanently in a NY HELPS title, employees may take part in any promotion examination for which they are qualified.Individuals certified eligible for the 55b/c program under the Governor’s Program to Hire Persons/Veterans with Disabilities pursuant to Section 55b/c of the Civil Service Law will also be considered. To be considered, you must meet the minimum qualifications and provide a copy of your letter of eligibility with your response. Duties Description The Registered Nurse will be responsible for the following: Conducting medical necessity reviews of all prior authorization requests for treatment/procedures and/or testing to determine the medical necessity of treatments requested for injured workers in accordance with evidence based Medical Treatment Guidelines to determine if the request meets the criteria for approval in accordance with Section 324 of Title 12 NYCRR (MTG Variances & Special Services) and Section 441 of Title 12 NYCRR (Drug Formulary) and 442.2 (Durable Medical Equipment). Collaborating with MDO staff and providers to ensure continuity of care for injured workers. Drafting & issuing Notices of Resolution for all assigned prior authorization requests. Medical review and preparation of files for disputed medical bill resolution via the Workers' Compensation Board's arbitration process, ensuring correct application of the Workers' Compensation Board's medical fee schedules and associated Ground Rules and Regulations. Respond to external stakeholder inquiries via phone and/or email.Posted salary range ($101,720 - $111,381) includes the statutory hiring rate at Step 4 and job rate for PS&T Grade 20 ($72,032 - $91,381) and an additional Geographic Pay Differential of $20,000. Additional Comments Please Note: A hybrid telecommuting schedule can be discussed with the hiring manager during the interview.The Workers’ Compensation Board (Board) is an equal opportunity employer. The Board does not discriminate based upon age, race, creed, color, national origin, sexual orientation, gender identity or expression, religion, military or veteran status, sex, disability (including pregnancy-related conditions), predisposing genetic characteristics, familial status, marital status, status as a victim of domestic violence, or other applicable legally protected characteristics. The Board is dedicated to eliminating injustices and ensuring diversity in our workforce so we can better serve our staff and create a space where all feel safe to be themselves. To help meet those goals, we encourage applicants from marginalized communities to apply. We are looking for candidates who are committed to working in and contributing to an environment that fosters a sense of belonging, as well as inclusion, and celebrates people of all backgrounds, identities, experiences, and perspectives. Some positions may require additional credentials or a background check to verify your identity.Name Recruitment Unit Telephone Fax 518-486-6364 Email Address [email protected] Address Street Human Resources Management 328 State Street City Schenectady State NY Zip Code 12305 Notes on Applying Qualified candidates should send a letter of interest and resume which lists your actual Civil Service title, salary grade and specific verifiable information as to how you meet the minimum qualifications to be eligible to apply for this position. Please send your application to [email protected] (email applications are preferred). It is important that you reference the WCB Item #2346 in the subject line of your email to ensure receipt of your application. (Please do not reference the Vacancy ID No.)