Medical Certification Specialist 1 and 2

State of Louisiana; Baton Rouge (LA); On-site; USD 52,000 - 70,000; Full time

Job summary

Louisiana Department of Health is seeking a Medical Certification Specialist 1/2 to oversee the Community Choices and ADHC Waiver programs within Regional Waiver Operations. You will monitor operations, provide guidance, and coordinate LOC determinations and MDS process support.

We invite qualified candidates with health regulatory or social services background. Office location is East Baton Rouge Parish; appointment may be probationary, with growth opportunities within the Medical Certification

Qualifications

• Excellent time-management skills.
• Excellent communication skills, both written and verbal.
• Experience with Home and Community Based Services (HCBS).

Responsibilities

• Oversee administration and delivery of the Community Choices Waiver (CCW) and ADHC Waiver programs within Regional Waiver Operations.
• Monitor regional waiver operations to ensure services are delivered efficiently and in accordance with program rules.
• Provide programmatic oversight, technical assistance, training, and guidance to regional staff and waiver stakeholders to support quality service delivery.
• Review and coordinate Nursing Facility LOC determinations for Nursing Facility Continued Stay Requests and My Choice Louisiana participants.
• Serve as Local Contact Agency for MDS 3.0 Section Q process by coordinating referrals and connecting individuals with resources.
• Monitor SCAs to evaluate service quality, compliance, and effectiveness in meeting participant needs.
• Provide technical assistance to Direct Service Providers and SCAs and identify opportunities to improve operations and services.

Skills

Time management

Communication

HCBS experience

Education

LA license in health services

Bachelor's degree + experience

Master's degree + experience

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

Make a meaningful impact on the lives of Louisiana’s seniors and adults with disabilities! As part of Regional Waiver Operations, you’ll help oversee statewide Home and Community-Based Services (HCBS) waiver programs that empower individuals to live safely and independently in their communities. This dynamic role offers the opportunity to support program operations, ensure quality and compliance, provide technical assistance, and help connect individuals with vital long-term care resources. If you’re passionate about improving services and making a difference in the lives of others, we encourage you to apply!

This position may be filled in the following parish(es): EAST BATON ROUGE

• A current Louisiana license in a health services field, health regulation field, or social services field plus two years of experience in hospital or nursing home administration, health services, health regulation, or social services; OR
• A bachelor's degree plus two 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 one year 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

• Oversees the administration and delivery of the Community Choices Waiver (CCW) and Adult Day Health Care (ADHC) Waiver programs within Regional Waiver Operations.
• Monitors regional waiver operations to ensure services are delivered efficiently, effectively, and in accordance with program rules and requirements.
• Provides programmatic oversight, technical assistance, training, and guidance to regional staff and waiver stakeholders to support quality service delivery.
• Reviews and coordinates Nursing Facility Level of Care (LOC) determinations for Nursing Facility Continued Stay Requests and participants in the My Choice Louisiana program.
• Serves as the Local Contact Agency for the MDS 3.0 Section Q process by coordinating referrals, assessing eligibility, facilitating waiver offers, and connecting individuals with community resources.
• Monitors Support Coordination Agencies (SCAs) to evaluate service quality, program compliance, and effectiveness in meeting participant needs.
• Provides technical assistance and support to Direct Service Providers (DSPs) and Support Coordination Agencies (SCAs) and identifies opportunities to improve program operations and participant services.

Preferred Qualifications

1. Excellent time-management skills.
2. Excellent communication skills, both written and verbal.
3. Experience with Home and Community Based Services.

Position-Specific Details

Location: Office of Aging and Adult Services / AD PROGRAM OPERATIONS / East Baton Rouge Parish

Appointment Type: This position may be filled as aProbationary appointment

Cost Center: 3201022002

Position Number(s): 50370239

Career Progression: This position may be filled as a Medical CertificationSpecialist 1 or 2determined by the qualifications of the candidate selected. This position provides the opportunity to advance within this job series.

Contact Information

Debbie Parris-Thymes

[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.