Medical Certification Specialist 1-2 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5062704) Apply  Medical Certification Specialist 1-2 Salary $5,119.00 - $9,211.00 Monthly Location Shreveport, LA Job Type Classified Job Number OAAS/DPT/212441 Department LDH-Office of Aging & Adult Services Opening Date 08/29/2025 Closing Date 9/12/2025 11:59 PM Central + Description + Benefits + Questions About this Job 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 (https://ldh.la.gov/) This position is part of the OAAS (OAAS) Program Operations section and is domiciled at the Office of Aging and Adult Services in Region 7 (Shreveport). Local travel and field work is required in order to perform field visits to Nursing Facilities (NFs), Provider Agencies, Support Coordination Agencies (SCAs), and participants’ homes to ensure OAAS Long Term Care programs serving older adults and persons with adult-onset disabilities are delivered efficiently, effectively and within program rules. The ideal candidate will have excellent written and verbal communication skills, possess analytical thinking and problem-solving skills, demonstrate initiative, and be well organized. The position also requires the ability to: engage and develop a rapport with others, apply knowledge and think critically, promote change and adaptability, and organize and prioritize a workload. The candidate must be/become certified in the use of the Louisiana interRAI Home Care (iHC) assessment tool and in person-centered care planning principles. An ideal candidate should possess: + Experience using standardized functional/clinical assessment tools, + Knowledge of Medicaid Long Term Care Programs’ rules and regulations (including Nursing Facilities, Community Choices Waiver (CCW), Adult Day Health Care (ADHC) Waiver, Long-Term Personal Care Services (LT-PCS) and the Program for the All-Inclusive Care for the Elderly (PACE), + Proficiency in Microsoft Office programs (Word, Excel, Power Point, SharePoint, etc.), and familiarity with Medicaid’s LaMEDS system. Minimum Qualifications 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. Job Specification The official job specifications for this role, as defined by the State Civil Service, can be foundhere (https://apps01.civilservice.louisiana.gov/onestopjobinfo/DisplayJobSpec.aspx?JobCode=163910) . Job Duties and Other Information Job Duties: + Conducting annual SCA monitoring to ensure quality services are delivered effectively to participants. + Submitting cases to the OAAS Service Review Panel (SRP) for review/case guidance. + Issuing accurate denial/discharge/reduction notices to individuals/participants timely and per policy guidelines. + Completing Summary of Evidence (SOE) packets for appeal hearings and participating in the hearings by representing the Department. + Requesting follow-up information on participant Critical Incident Reports (CIRs) until the incident is resolved and completed, compliant with Centers for Medicare and Medicaid Services (CMS) timelines. + Conducting home visits with individuals/participants, including expedited waiver offer requests, resolution meetings, plan of care meetings, team meetings, monitoring visits, etc. + Providing technical assistance to Direct Service Providers (DSPs) and SCAs as necessary. + Completing Nursing Facility Level of Care Reviews with Nursing Facility residents for Level of Care determinations. + Attending and participating in quarterly SC and DSP meetings. + Responding and being available during statewide disaster/weather events (potential or otherwise) to provide reporting on participants’ evacuation and status. + Participating in meetings, possibly after hours, to provide support and be available for questions that may arise. + Reporting to assigned LDH emergency response location when activated for emergency response duty assignments. + Conducting iHC assessments in the field at individuals’ homes. Position-Specific Details: Location:Office of Aging and Adult Services / Headquarters - AD PROGRAM OPERATIONS-RO7 / Caddo Parish Appointment Type: Probationary, Promotional Appointment Cost Center: 3201022007 Position Number(s): 50687783 Career Progression:This position may be filled as aMedical CertificationSpecialist 1 or 2determined by the qualifications of the candidate selected. This position provides the opportunity to advance within this job series. 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. How To Apply: No Civil Service test score is required in order to be considered for this vacancy. To apply for this vacancy, click on the “Apply” link above and complete an electronic application, which can be used for this vacancy as well as future job opportunities. Applicants are responsible for checking the status of their application to determine where they are in the recruitment process. Further status message information is located under the Information section of the Current Job Opportunities page. *Information to support your eligibility for the position must be included in the application (i.e., relevant, detailed experience/education). Resumeswill notbe accepted in lieu of completed education and experience sections. Applications may be rejected if incomplete. Contact Information: Debbie Parris-Thymes Debbie.Parris-Thymes@@la.gov 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. Louisiana State Government represents a wide variety of career options and offers an outstanding opportunity tomake a differencethrough public service. With an array of career opportunities in every major metropolitan center and in many rural areas, state employment provides an outstanding option to begin or continue your career. As a state employee, you will earn competitive pay, choose from a variety of benefits, and have access to a great professional development program: Insurance Coverage More information can be found at https://info.groupbenefits.org/ Parental Leave– Up to six weeks paid parental leave More information can be found athttps://www.civilservice.louisiana.gov/Parental-Leave/Default.aspx Holidays and Leave – State employees receive the following paid holidays each year: + New Year's Day + Martin Luther King, Jr. Day, + Mardi Gras, + Good Friday, + Memorial Day, + Independence Day, + Labor Day, + Veteran's Day, + Thanksgiving Day and Christmas Day. ***** Additional holidays may be proclaimed by the Governor State employees earn sick and annual leave which can be accumulated and saved for future use. Your accrual rate increases as your years of service increase. Retirement – State of Louisiana employees are eligible to participate in various retirement systems (based on the type of appointment and agency for which an employee works). These retirement systems provide retirement allowances and other benefits for state officers and employees and their beneficiaries. State retirement systems may include (but are not limited to): + Louisiana State Employees Retirement System (www.lasersonline.org). LASERS has provided this video (https://lasersonline.org/wp-content/uploads/2016/07/Your\_Retirement\_System.mp4) to give you more detailed information about their system + Teacher's Retirement System of Louisiana (www.trsl.org), + Louisiana School Employees Retirement System (www.lsers.net), among others 01 To ensure compliance with LDH Nepotism Policy#41, if you have any immediate family members that are currently employed by LDH, please list the name and relationship. Please type “N/A” if no immediate family members are employed by LDH. 02 1. Do you have experience with Medicaid Home and Community Based Service waiver programs? If yes, please describe your experience and reference the experience included in your application (not resume). If no, enter N/A 03 2. Do you have experience working with older adults and/or people with adult-onset disabilities? If yes, please describe your experience and reference the experience included in your application (not resume). If no, enter N/A 04 3. Do you have experience with Level of Care assessment tools for eligibility determinations, specifically the interRAI (iHC) Home Care assessment tool? If yes, please describe your experience and reference the experience included in your application (not resume). If no, enter N/A 05 4. Do you have any experience working with nursing facilities? If yes, please describe your experience and reference the experience included in your application (not resume). If no, enter N/A 06 Do you possess a current Louisiana license in a health services field, health regulation field, or social services field? + Yes + No 07 If you answered 'YES' to the question above, please list the license TYPE, NUMBER, ORIGINAL ISSUE DATE, and EXPIRATION DATE. If you answered 'NO', enter N/A. Required Question Employer State of Louisiana Address For agency contact information, please refer to the supplemental information above. Louisiana State Civil Service, Louisiana, 70802 Phone (866) 783-5462 Website http://agency.governmentjobs.com/louisiana/default.cfm Apply Please verify your email addressVerify Email