The Institute for Biomedical Informatics is looking for a Nurse Researcher Auditor to join the team! The candidate for this position must be a registered nurse in the State of Kentucky and will work out of Frankfort, Kentucky, at the Cabinet for Health and Family Services building as well as telecommute. Some travel is required. This position will work on the Quality Assurance and Waiver Audit contract. The purpose of this contract is to improve the efficiency of the waiver assessment and auditing tools used to administer the program.
The responsibilities for this position include but are not limited to:
• Provides clinical decisions, completes waiver audits, and collects valuable data to ensure research objectives are met.
• Understands and stays up-to-date on waiver regulations and associated application procedures.
• Performs accurate and timely audit assessments based on Medicaid eligibility and requirements.
• Reviews resolutions to member issues evaluated for the Medicaid Waiver Management Application (MWMA).
• Provides feedback on audit reports.
• Conducts analysis of services within the waiver as well as issues identified within the MWMA, system communication, member and provider calls, communication from the ombudsman’s office and/or legislation.
• Attends professional meetings, civic meetings or other meetings to gather or distribute program or technical information.
• Coordinates with various Cabinet Departments on related task forces and committees.
This position is grant-funded and will follow a hybrid working schedule.
There is currently more than one position open for the Nurse Research Assessor/Auditor. To be considered for each position, you must apply for each position. One application will not be considered for all positions.
The University of Kentucky considers the health, safety and well-being of our entire community to be a top priority. In alignment with this priority, all new hires must provide proof of COVID-19 vaccination or obtain an approved medical or religious exemption as a condition of employment. For areas that fall under the federal CMS mandate, start of employment cannot occur until two weeks after receiving the full COVID-19 vaccination series or upon obtaining an approved exemption. Only vaccines approved by the World Health Organization can be accepted.
Knowledge of physical and psychological development. Excellent analytical and decision making skills. Ability to communicate effectively and interact with physically disabled and elderly individuals. Ability to travel throughout the state on a regular basis with the ability to travel out-of-state for overnight trips upon occasion.