PASRR Nurse Consultant

Basic Information

Agency: Dept of Health and Human Services

Division: HEALTH BENEFITS

Job Classification Title: Nurse Consultant II (NS)

Position Number:

Grade: MH17

About Us

The North Carolina Department of Health and Human Services (DHHS) is one of the largest, most complex agencies in the state, and has approximately 17,000 employees. It is responsible for ensuring the health, safety, and well‑being of all North Carolinians, providing human service needs for special populations including individuals who are deaf, blind, developmentally disabled, and mentally ill, and helping poor North Carolinians achieve economic independence.

Description of Work

The position is responsible for maintaining an active role on the LTSS Team. The Nurse Consultant recommends changes in policy as practice patterns change and new programs and services are developed. It is responsible for the planning, implementation and updating of PASRR policy. It is responsible for creating and performing audits to prevent program abuse, assessing and documenting the PASRR program.

The Nurse Consultant is also responsible for assuring that quality control is maintained through review of diagnoses, related treatment, costs incurred; evaluation of invoices, monthly audits of vendor performance, and assurance of compliance with Federal and State standards. The responsibilities of this position directly affect the safety and well‑being of Medicaid beneficiaries seeking admission to Medicaid certified nursing homes as well as the effective expenditure of public funds relating to this program.

Knowledge Skills and Abilities / Management Preferences

The Knowledge, Skills, and Abilities (KSAs)/ Management Preferences are not required. Applicants who possess the following skills are preferred:

• Licensed to practice as a Registered Nurse in the State of North Carolina and two years of clinical experience in the area of specialization.
• Proven ability in establishing and maintaining effective working relationships with internal and external stakeholders.
• Excellent oral and written communication skills.
• Demonstrated ability to understand and translate complex medical and regulatory requirements into practical, clear and unambiguous policies and procedures.
• Proficiency in Microsoft Office, including Outlook, Word, and Excel.

Management Preferences

• Familiarity with relevant and current NC Medicaid operations.
• Knowledge of Long‑Term Care, Managed Care and Home and Community Based Services.
• Familiarity with NCMUST.

Salary Grade Range

$66,696 - $110,049

Recruitment Range

$66,696 - $81,612

Hybrid Teleworking Schedule

Position is eligible for a hybrid‑teleworking schedule to include weekly onsite work hours.

Minimum Education and Experience

• Licensed to practice as a Registered Nurse in the State of North Carolina and two years of clinical experience in the area of specialization.

Compensation & Benefits

The State of North Carolina offers excellent comprehensive benefits. Employees can participate in health insurance options, standard and supplemental retirement plans, and the NCFlex program (numerous high‑quality, low‑cost benefits on a pre‑tax basis). Employees also receive paid vacation, sick, and community service leave. In addition, paid parental leave is available to eligible employees.

The Division of Health Benefits manages and oversees North Carolina Medicaid and other programs that provide access to services and supports. With a budget over $27 billion per fiscal year, DHB ensures that more than 108,000 enrolled providers are reimbursed for delivering covered services to 3.1 million beneficiaries.

EEO Statement

The State of North Carolina is an Equal Employment Opportunity Employer and dedicated to providing employees with a work environment free from all forms of unlawful employment discrimination, harassment, or retaliation. The state provides reasonable accommodation to employees and applicants with disabilities; known limitations related to pregnancy, childbirth, or related medical conditions; and for religious beliefs, observances, and practices.