Medical Certification Manager 1

State of Louisiana; Baton Rouge (LA); Hybrid; USD 75,000 - 95,000; Full time

Job summary

Louisiana Department of Health is seeking a Medical Certification Manager 1 to lead regional OAAS Long-Term Care operations, oversee waiver and medical certification activities, and ensure compliance with state and federal rules. This role directs staff, monitors performance, and drives efforts to reduce waiver wait lists while promoting quality care for older adults and individuals with adult-onset disabilities.

Location may be in Tangipahoa, St. Tammany, Livingston, Washington, St.

Qualifications

• Current Louisiana license in a health services field, health regulation field, or social services field.
• Five years of experience as a licensed practitioner in hospital or nursing home administration, health services, health regulation, or social services.
• Bachelor's degree plus five years of experience in hospital or nursing home administration, health services, health regulation, or social services.
• Master's degree in a health services field, health regulation field, or a social services field plus four years of experience in hospital or nursing home administration, health services, health regulation, or social services.

Responsibilities

• Manage and supervise regional office staff responsible for the delivery of OAAS Long-Term Care programs.
• Oversee regional waiver operations to ensure efficient, effective, and compliant program administration.
• Monitor waiver waitlist prioritization and support initiatives to reduce the number of individuals awaiting services.
• Oversee medical certification activities and level-of-care determinations to ensure compliance with federal and state requirements.
• Monitor Support Coordination Agencies (SCAs) to ensure quality services and appropriate participant support.
• Ensure program integrity, quality assurance, and timely resolution of critical incidents to protect participant health and safety.
• Provide technical assistance, implement policies and procedures, and monitor staff performance to ensure regional operations meet departmental standards and program goals.

Skills

Leadership

Regulatory compliance

Program management

Waiver operations

Team supervision

Education

Louisiana license in health services/health regulation/social services

Bachelor's degree + 5 years in relevant admin fields

Master's degree + 4 years in relevant admin fields

Job description

The mission of the Louisiana Department of Health is to protect and promote health and to ensure access to medical, preventive, and rehabilitative services for all residents of the State of Louisiana.

Learn more about Louisiana Department of Health

This position may be filled in the following parishes: Tangipahoa, St. Tammany, Livingston, Washington, St. Helena, Orleans, Jefferson Parishes

Are you ready to make an impact? As a Medical Certification Manager 1, you’ll lead regional operations and a dedicated team responsible for supporting older adults and individuals with adult-onset disabilities. This leadership opportunity allows you to strengthen program operations, promote quality care, ensure compliance, and help reduce waiver waiting lists. Join our team and play a vital role in ensuring individuals receive the services, support, and resources they need to live healthier, safer, and more fulfilling lives!

• A current Louisiana license in a health services field, health regulation field, or social services field plus five years of experience as a licensed practitioner in hospital or nursing home administration, health services, health regulation, or social services; OR
• A bachelor's degree plus five years of experience in hospital or nursing home administration, health services, health regulation, or social services; OR
• A master's degree in a health services field, health regulation field, or a social services field plus four years of experience in hospital or nursing home administration, health services, health regulation, or social services.

The official job specifications for this role, as defined by the State Civil Service, can be found here.

Job Duties:

• Manage and supervise regional office staff responsible for the delivery of OAAS Long-Term Care programs.
• Oversee regional waiver operations to ensure efficient, effective, and compliant program administration.
• Monitor waiver waitlist prioritization and support initiatives to reduce the number of individuals awaiting services.
• Oversee medical certification activities and level-of-care determinations to ensure compliance with federal and state requirements.
• Monitor Support Coordination Agencies (SCAs) to ensure quality services and appropriate participant support.
• Ensure program integrity, quality assurance, and timely resolution of critical incidents to protect participant health and safety.
• Provide technical assistance, implement policies and procedures, and monitor staff performance to ensure regional operations meet departmental standards and program goals.

Position-Specific Details:

Location: Office of Aging and Adult Services / Headquarters / May be filled in Tangipahoa, St. Tammany, Livingston, Washington, St. Helena, Orleans, Jefferson Parishes

Appointment Type: This position may be filled as aProbationary appointment,

Cost Center: 3201022009

Position Number(s): 50697910

Contact Information:

Casey Hickman

[e-mail]

LA Department of Health (LDH)

Division of Human Resources

PO Box 4818 Baton Rouge, LA 70821

225-342-6477

This organization participates in E-verify, and for more information on E-verify, please contact DHS at 1-888-464-4218.

LDH supports Louisiana’s commitment to being a State as a Model Employer (SAME) by promoting the recruitment, hiring, and retention of individuals with disabilities.

Information on the Louisiana Works, Louisiana Rehabilitation Services is available here.

LDH is an equal opportunity employer and seeks to recruit a highly productive and diverse workforce and will provide equal employment opportunities to all employees and prospective employees. Employment decisions shall be based strictly on merit and without regard to religious or political beliefs, sex, race, or any other non-merit factor.