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Job Title: Nurse Consultant
Location: Hartford, CT, CT United States
Position Type: Full Time
Post Date: 10/11/2024
Expire Date: 12/11/2024
Job Categories: Insurance
Job Description
Nurse Consultant
Nurse Consultant (General) (40 Hour)
Hybrid
Recruitment #241009-5927FP-001
Location Hartford, CT
Date Opened 10/10/2024 09:30:00 AM
Salary $99,806 - $133,911/year
Job Type Open to the Public
Close Date 10/24/2024 11:59:00 PM
Are you a passionate healthcare professional looking to make a tangible impact on Medicaid and Children's Health Insurance Programs (HUSKY Health)? We will empower you to lead groundbreaking healthcare initiatives that drive program quality, enhance community health, and promote social justice. We believe in fostering strong partnerships and open communication, and we are committed to shaping policies that ensure equity and inclusivity. Are you ready to join us in leveraging your clinical expertise and data-driven decision-making skills to shape the future of healthcare in Connecticut?

Unique Opportunity
We have an outstanding opportunity for a Nurse Consultant to join our Department of Social Services (DSS). In the Division of Health Services, Integrated Care Unit-Medical Administration, you will coordinate administrative service contracting for HUSKY Health Medicaid and CHIP, making a direct impact on community health and well-being. As a Nurse Consultant, you will be tasked with:
Leading program quality, ensuring contract compliance for the medical ASO contract.
Monitoring clinical contractual obligations, ensuring compliance with state and federal laws, regulations, and quality assurance activities.
Serving as a liaison between department sections, healthcare providers, and the public to enhance communication and collaboration.
Developing healthcare program goals, evaluating health service outcomes, and applying statistical data for data-driven decision-making.
Leading value-based purchasing initiatives, addressing social justice issues in data science, and presenting program initiatives at internal and public meetings.
Benefits
The State of Connecticut prioritizes the well-being of our employees and recognize the importance of maintaining a harmonious work-life balance. Alongside competitive compensation, we provide a range of benefits, including medical, dental, and vision insurance, retirement plans, paid time off, and professional development opportunities.
Visit our new State Employee Benefits Overview page!
Work for a Forbes top company: 'Forbes' State of Connecticut Ranked One of the Best Employers of 2023 - State of CT Receives National Recognition for Offering Job Growth, Competitive Benefits, and Flexible Schedule.
To excel in this role, you'll bring a deep understanding of Connecticut’s Medicaid and Children’s Health Insurance Program (HUSKY Health), with the ability to interpret federal and state policies to ensure effective implementation. You will collaborate closely with internal teams and external stakeholders to build strong partnerships, fostering open communication and shared goals. Your expertise in applying data-driven insights and healthcare standards will support strategic decision-making and continuous improvement. A commitment to addressing social justice in healthcare will be central to shaping policies that promote equity and inclusivity. Working together, we'll ensure that every project is managed smoothly, meeting tight deadlines while maintaining a focus on quality and impact.
Qualifications & Requirements
MINIMUM QUALIFICATIONS - GENERAL EXPERIENCE
Four (4) years of experience as a professional nurse in a position involving supervision, consultation, education or administration.

NOTE:
Administrative capacity is interpreted as having managerial responsibility in setting and implementing policies, carrying out program planning, and evaluating and coordinating special projects, etc. in the area specified in the appropriate parenthetical title.
Consultative capacity is interpreted as the providing of professional expert nursing advice to other than subordinate staff on major programmatic issues in the area specified in the appropriate parenthetical title.
Educational capacity is interpreted as experience in a full time professional educational position instructing professional nurses in a formalized program or teaching students in an undergraduate or graduate nursing program in the area specified in the appropriate parenthetical title.
Supervisory capacity is interpreted as having administrative supervision of registered nurses or other professional staff.
MINIMUM QUALIFICATIONS - SPECIAL EXPERIENCE
Two (2) years of the General Experience must have been in a public health nursing program, home health care agency, community health care setting, or in a hospital.
MINIMUM QUALIFICATIONS - SUBSTITUTIONS ALLOWED
A Bachelor's degree in nursing may be substituted for one (1) year of the General Experience.
A Master's degree in health services administration, nursing or public health may be substituted for one (1) additional year of the General Experience.
PREFERRED QUALIFICATIONS
Experience and/or understanding of the CT Medicaid and Children’s Health Insurance program (CHIP) known as HUSKY Health.
Experience in planning healthcare program goals, objectives, and evaluation of health service achievements.
Experience in establishing connections, building community relationships, and serving as a liaison between department sections, divisions, healthcare providers, and the public.
Experience with national healthcare standards and measures such as Healthcare Effectiveness Data and Information Set (HEDIS), National Quality Forum (NQF), and Adult and Child Heath Quality (Core) Measures.
Experience interpreting federal and state statute, regulation, and policy to ensure Medicaid and CHIP policy is implemented appropriately.
Experience in utilizing and interpreting statistical data and other science-based tools to make data-driven decisions, with an understanding of under-represented voices in various data sets.
Experience with addressing race, gender, and social justice aspects of data science and its impact on community health.
Experience with fast-paced work environment, managing short deadlines, and quickly turning around documents; capable of handling multiple projects simultaneously, often requiring immediate attention.
Experience in developing value-based purchasing (VBP) initiatives and clinical projects.
Experience working independently to represent program initiatives and present data at both public and internal departmental meetings.
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