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Executive Order 11246, Section 503 & VEVRAA EOE, including disability/vets
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 ---
Apply
   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. Please provide Requirement id: 141162 while calling.
 
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(Consultant: Bachelors Degree, Microsoft Office, PAE TEC Pinnacle 6.0 +, PERL in Nashville, TN)
     
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