Nurse Monitor - Non-Merit

Regular Schedule: 30 hours per week.

A Non-merit vacanciy exist in the Community Health Services/Community First Choice Program of the Baltimore County Department of Health and Human Services.

Non-Merit positions are not classified within the Baltimore County Government Classification and Compensation Plan.

All interested candidates must apply at this time.

A list of eligible applicants will be established based on the examination as outlined below.

List all promotions and changes in job duties due to reclassification as separate work experience on your application. Applicants must include the dates of the promotions and reclassifications.

Note: Failure to complete all fields of the "Work Experience" section of the application will result in your application not being considered. A resume will not be considered in determining your qualifications for a position. Applicants selected for an interview may provide a resume at that time.

You must attach your transcript(s)/degree(s) and license(s)/certification(s) to your application. Unofficial copies are acceptable.

Failure to submit proof of Licenses, Certifications and Education will result in your application not being considered.  Proof of licenses, certifications, and/or education must be submitted with each application.

Job Purpose 
Nurse Monitors provide quality assurance oversight (QA) of Residential Service Agencies (RSAs) to ensure the health and safety of at-risk Medicaid participants.

Definition of Responsibilities

• Nurse Monitors provide quality assurance oversight (QA) of Residential Service Agencies (RSAs) serving at-risk Medicaid participants.  
• Nurse monitors liaison with Adult Evaluation and Referral (AERS) staff, Support Planners (SPs), and the Office of Health Care Quality (OHCQ) to facilitate the health and safety of participants in a variety of community settings.
• Monitors work flexible hours including evenings and weekends to meet the needs of participants who receive in-home services around the clock.
• Monitors possess medical-surgical/geriatric and/or pediatric experience, strong assessment skills, the ability to work independently in a home setting, and the capacity to instruct and evaluate providers of in-home assistance to vulnerable Medicaid participants across the age spectrum as needed.
• Monitors must be familiar with/able to learn and interpret applicable COMAR regulations.
• Monitors possess a high degree of electronic medical record experience/computer literacy and excellent documentation skills.

Essential Job Duties

• Review State Tracking System (LTSS) data/interRAI assessments and any attachments upon assignment of cases.
• Contact assigned clients/representatives timely. 
• Make home visits at a frequency determined by the medical/social-emotional status of the participant. 
• Conduct in person Quality Assurance reviews annually and as needed. Contact SPs and RSAs to coordinate care/resolve care issues promptly. 
• Verify presence and appropriateness of (nursing) care plans for participants.
• Report deficiencies via LTSS to MHD and other agencies as needed.

Examples of Other Duties

• Complete all documentation/submit all activity billing via LTSS timely and in keeping with Program policies/processes. 
• Make joint home visits with SPs and other agencies (i.e. Adult or Child Protective Services) as necessary.  
• Performs other related duties as required.

(NOTE: The duties and responsibilities listed above are for the purpose of determining a common set of minimum qualifications for all positions in this class. They may not include all of the essential job functions of each position in the class. Each position may not be required to perform all of the essential job functions listed.)Required Qualifications
This position requires a registered nurse with a Maryland license and a minimum of 2 years professional nursing experience.

Education:   Must possess at least an AA in nursing, bachelors in nursing or other field preferred.
 
Experience: Must have at least 2 years medical/surgical experience.
  
Licenses and Certificates
Possession of a valid license to practice as a professional registered nurse, issued by the Maryland State Board of Examiners of Nurses, is required at the time of appointment.

Possession of a valid driver's license equivalent to a noncommercial, class C Maryland driver's license is required at the time of appointment. All licenses and certifications must be maintained at current levels throughout employment.

Knowledge, Skills and Abilities:

Knowledge:

• Knowledge of applicable COMAR regulations
• Knowledge of nurse best practices for assessment and care planning
• Knowledge of corrective action plans
• Knowledge of nursing delegation/Nurse Practice Act

Skills:

• Must be able to and learn and use current State Tracking System technology
• Must be computer literate/EMR proficient
• Must be able to navigate the County by car
• Must be able to provide outreach and teaching (participants, families, SPs, RSAs)
• Must be able to link participants to other services
• Must be able to advocate for services as needed

Abilities: 

• Ability to work independently in a home setting
• Ability to instruct and evaluate providers of in-home assistance to vulnerable Medicaid participants across the age spectrum
• Ability to oversee/evaluate the performance of Residential Service Agencies (RSAs) to ensure the health and safety of at-risk participants

Proof of Licenses, Certifications and Education
Applicants are required to submit proof of licenses, certifications and education beyond high school to meet the required and preferred qualifications of the position. Diplomas or transcript must show the applicant's major field of study. Copies and unofficial transcripts are acceptable.

Failure to submit proof of Licenses, Certifications and Education will result in your application not being considered.

Proof of Degree Equivalency
Applicants who have obtained a degree from outside the United States of America are required to submit degree equivalence documentation from World Education Services, Inc. (www.WES.org)

Mail or deliver documents to:
ATTN: Nurse Monitor
Office of Human Resources
Baltimore County Government
308 Allegheny Ave.
Towson, MD 21204

You must attach your transcript(s)/degree(s) and license(s)/certification(s) to your application. Unofficial copies are acceptable.

EXAMINATION PROCEDURE
Applicants will be qualified based on an evaluation of their training and experience, as stated on their application, which includes answers to the supplemental questionnaire. Be sure to state the dates, duties and responsibilities of past and present experience clearly and completely for evaluation.Nurse Monitors must be available to make visits/contacts outside regular County hours (8:30 am – 4:30 pm) and/or on weekends as needed. Monitors must agree to document all billable activities in the LTSS and submit activity billing timely.

Licenses and Certificates
Possession of a valid license to practice as a professional registered nurse, issued by the Maryland State Board of Examiners of Nurses, is required at the time of appointment.

Possession of a valid driver's license equivalent to a noncommercial, class C Maryland driver's license is required at the time of appointment. 

All licenses and certifications must be maintained at current levels throughout employment. 

Physical and Environmental Conditions
The work of this classification may include the performance of physical activities such as walking, standing, and lifting, the operation of medical equipment and instruments, and travel throughout the county. Duties may expose incumbents to various bio-medical hazards.

Medical Examination and Employment Background Investigation 
Applicants selected for employment with Baltimore County must successfully complete a physical examination, drug screening and employment investigation, including, but not limited to criminal background, education certification and fingerprinting checks.