PERL Consultant (Jobs in Nashville, TN)   Requirement id 141162 Job title Consultant Job location in Nashville, TN Skills required Bachelors Degree, Microsoft Office, PAE TEC Pinnacle 6.0 +, PERL Open Date 24-May-2023 Close Date Job type Contract Duration 12 Months Compensation DOE Status requirement --- Job interview type ---    Email Recruiter: coolsoft Job Description Consultant: Bachelors Degree, Microsoft Office, PAE TEC Pinnacle 6.0 +, PERL start date : 06/26/2023 End date : 06/30/2024 submission deadline : 05/31/2023 client info : TN TennCare Note : * Position Location : On Site Description : Key Responsibilities · Review submitted PAEs, Medicaid medical eligibility applications for level of care determinations for approval or denial for LTSS programs utilizing clinical expertise. · Decisions must be made in accordance with client rules. · Ensure compliance with Federal PASRR regulations with adjudicating PAEs for CHOICES program, specific to those seeking to resident and receives services in a nursing facility. · This also includes adjudicating skilled service requests, Enhanced Respiratory Care requests, safety requests, and target population decisions. · Transcribe approved PASRR determinations from the TMED system into the PERLSS system to allow for additional enrollment and eligibility actions to be taken on completed records. Requirements and Skills · Must have a bachelors degree in nursing and experience equivalent to four years of full-time increasingly responsible professional nursing work. · Must have a current RN License approved to work in the State of Tennessee · Must have 4-6 years experience identifying PAEs. · Must have 4-6 years experience caring for LTSS patients. · Must have 4-6 years experience working in a TMED role. · Must have 4-6 years experience in PASRR and PERLSS systems. · Proven technical skills (e.g., Microsoft Word, Excel, Outlook, PowerPoint, SharePoint, etc.) · Excellent time management skills with the ability to prioritize work to meet specific timeframes and deadlines with minimal supervision. · Excellent verbal and written communications skills · Keen attention to detail and adherence to deadlines · Self-motivated and able to thrive in a fast-paced and results-driven environment. · Critical thinking and problem-solving skills   Call 502-379-4456 Ext 100 for more details. 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