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Medical Certification Program Manager

State of Louisiana

Baton Rouge, LAJob$6,391–11,520/moPosted 6 days agoStill listed 3 days ago

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At a glance

Compensation
$6,391–11,520/mo
Location
Baton Rouge, LA
Work Authorization
Not specified

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Requirements

Credentials this posting asks for.

Louisiana Health Services License Or Related

Job overview

The Medical Certification Program Manager oversees regulatory management and compliance for Home and Community-Based Service providers, Case Management providers, and Direct Service Workers. The role reviews provider applications and licensing records, guides providers on regulatory requirements, monitors complaints and incidents, analyzes program data, and coordinates surveys and investigations. The position is based in the Office of the Secretary / Health Standards in East Baton Rouge Parish.

Skills & qualifications

RequiredNice to have

Skills

Regulatory ComplianceProvider OversightApplication ReviewComplaint InvestigationData Analysis

Qualifications

Louisiana Health Services License or RelatedBachelor's Degree or Equivalent PathMaster's Degree in Health or Social Services4 Years Relevant Experience3 Years Relevant Experience

Full job description

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 Make a meaningful impact on the health and safety of Louisiana residents by joining the Louisiana Department of Health! As a Medical Certification Program Manager, you will help oversee Home and Community-Based Service providers, ensure regulatory compliance, and support the timely resolution of complaints and reported incidents. Bring your analytical skills and regulatory expertise to a vital role that strengthens provider accountability, promotes quality care, and helps protect thousands of Louisiana residents. A current Louisiana license in a health services field, health regulation field, or social services field plus four years of experience as a licensed practitioner in hospital or nursing home administration, health services, health regulation, or social services; OR

A bachelor's degree plus four 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 three years of experience in hospital or nursing home administration, health services, health regulation, or social services.

The official job specifications for this role, as defined by the State Civil Service, can be found here. Job Duties:

  • Oversee the regulatory management and compliance of Home and Community-Based Service providers, Case Management providers, and Direct Service Workers to ensure adherence to applicable state and federal requirements.

  • Review and analyze provider applications, licensing documentation, and other records to ensure accuracy, completeness, and compliance with established regulations.

  • Provide guidance and technical assistance to providers regarding regulatory requirements, agency policies, and procedures necessary to maintain compliance.

  • Monitor the intake, assessment, and resolution of complaints and reported incidents involving licensed providers to ensure appropriate follow-up and protection of client health and safety.

  • Analyze data from HSS databases and other agency systems to identify compliance issues, monitor program performance, and support informed decision-making.

  • Prioritize, track, and coordinate annual surveys and complaint investigations, ensuring timely documentation, appropriate routing, and communication of findings.

  • Manage licensing activities, address changes, and related regulatory processes to ensure timely processing, operational efficiency, and continuity of healthcare services for Louisiana residents.

Position-Specific Details: Location: Office of the Secretary / Health Standards / East Baton Rouge Parish Appointment Type: This position will be filled as a Probationary appointment Cost Center: 3071040205 Position Number(s): 50357635

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). Resumes will not be accepted in lieu of completed education and experience sections. Applications may be rejected if incomplete.

For information on how to check your application status and understand status updates, please click HERE.

Contact Information: Deanda Thymes [email protected] 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.

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.

Information on the Louisiana Works, Louisiana Rehabilitation Services is available here. LDH is an equal opportunity employer and seeks to recruit a highly productive and diverse workforce and will provide equal employment opportunities to all employees and prospective employees. Employment decisions shall be based strictly on merit and without regard to religious or political beliefs, sex, race, or any other non-merit factor.

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