Medical Records Examiner

Are you ready to transition your clinical expertise into a high-impact administrative role? The Pennsylvania Department of Human Services is seeking a clinically-seasoned and exceptionally organized registered nurse to join our incident management team. In this critical role, you will move beyond direct patient care to oversee the systemic health, safety, and welfare of program participants. You will utilize your diagnostic and clinical knowledge to elevate provider incident reports, ensuring every individual receives care that meets strict regulatory standards. If you are looking to evolve your nursing career toward quality management and public service, we encourage you to apply today!

As a Medical Records Examiner, you will join a team dedicated to reviewing provider documentation of critical incidents. A core function of the role involves utilizing a designated reporting system to obtain provider-generated reports and evaluating these documents to ensure that participants' immediate needs are addressed, risks identified, and appropriate risk mitigation strategies documented. A significant responsibility includes conducting mortality reviews for reported participate deaths, which requires extensive, focused record reviews to identify medically related conditions and contributing circumstances. The findings from these mortality reviews will be summarized and presented directly to the Medical Director of the Office of Long-Term Living. Beyond individual case reviews, you will complete trend and root cause analyses, developing actionable suggestions for improved outcomes across the population served. In a clinical consultant capacity, you will provide expertise to the incident management team; offer technical assistance to service coordinators, providers, and managed care organizations; and collaborate with internal and external agencies to ensure adherence to regulation governing home and community-based services.

Interested in learning more? Additional details regarding this position can be found in the position description.

Work Schedule and Additional Information:

• Full-time employment, 37.5 hours per week
• Work hours are 7:30 AM to 4:00 PM, Monday - Friday, with a 60-minute lunch.
• Home Headquartered: This position is home headquartered. In order to be home headquartered, you must have a securely configured high-speed internet connection and work from an approved location inside Pennsylvania.
• Salary: In some cases, the starting salary may be non-negotiable.
• You will receive further communication regarding this position via email. Check your email, including spam/junk folders, for these notices.

QUALIFICATIONS

Minimum Experience and Training Requirements:

• Three years of professional experience in the field of medical assistance, health care services, or human services; or
• An equivalent combination of experience and training.

• You must possess active authorization to practice as a Registered Nurse in Pennsylvania.
  
• If you possess an active temporary practice permit, you must obtain licensure as a Registered Nurse within the one (1) year period defined by the Pennsylvania State Board of Nursing.

• You must meet the PA residency requirement. For more information on ways to meet PA residency requirements, follow the link and click on Residency.
• You must be able to perform essential job functions.

• Resumes, cover letters, and similar documents will not be reviewed, and the information contained therein will not be considered for the purposes of determining your eligibility for the position. Information to support your eligibility for the position must be provided on the application (i.e., relevant, detailed experience/education).
• If you are claiming education in your answers to the supplemental application questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are acceptable.
• Your application must be submitted by the posting closing date. Late applications and other required materials will not be accepted.
• Failure to comply with the above application requirements may eliminate you from consideration for this position.

Veterans:

• Pennsylvania law (51 Pa. C.S. *7103) provides employment preference for qualified veterans for appointment to many state and local government jobs. To learn more about employment preferences for veterans, go to www.pa.gov/agencies/employment/how-to-apply.html and click on Veterans.

Telecommunications Relay Service (TRS):

• 711 (hearing and speech disabilities or other individuals).

If you are contacted for an interview and need accommodations due to a disability, please discuss your request for accommodations with the interviewer in advance of your interview date.

The Commonwealth is an equal employment opportunity employer and is committed to a diverse workforce. The Commonwealth values inclusion as we seek to recruit, develop, and retain the most qualified people to serve the citizens of Pennsylvania. The Commonwealth does not discriminate on the basis of race, color, religious creed, ancestry, union membership, age, gender, sexual orientation, gender identity or expression, national origin, AIDS or HIV status, disability, or any other categories protected by applicable federal or state law. All diverse candidates are encouraged to apply.

• Completing the application, including all supplemental questions, serves as your exam for this position. No additional exam is required at a test center (also referred to as a written exam).
• Your score is based on the detailed information you provide on your application and in response to the supplemental questions.
• Your score is valid for this specific posting only.
• You must provide complete and accurate information or:
  • your score may be lower than deserved.
  • you may be disqualified.
• You may only apply/test once for this posting.
• Your results will be provided via email.