Nurse Auditor

The Governor’s Office of Crime Prevention, Youth and Victim Services serves as a coordinating office that advises the Governor on criminal justice strategies. This office plans, promotes, and funds efforts with government entities, private organizations, and the community to advance public policy, enhance public safety, reduce crime and juvenile delinquency, and serve victims.

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Gov. Ofc. of Crime Prevention, Youth & Victim Services

This position is responsible for auditing and reimbursing vendors for medical services provided to victims of rape, sexual assault and child sexual abuse and providing technical assistance regarding the Sexual Assault Reimbursement program to vendors including hospitals, doctors, and laboratories.

Review claims for reimbursement from hospitals, physicians and laboratories to ensure compliance with COMAR 10.12.02 - Rape and sexual offenses, physician and hospital charges.

 

Ensure proper disbursement of claims, including claims sent back for additional documentation, claims approved for reimbursement and claims denied reimbursement.

 

Provide technical assistance to vendors, victims victim advocacy organizations and collection agencies.

 

Education: Graduation from an accredited high school or possession of a high school equivalency certificate.

Experience: Four years of administrative staff or professional work.

Notes:

1. Candidates may substitute 30 college credit hours from an accredited college or university for each year up to four years of the required experience.

2. Candidates may substitute the possession of a Bachelor's degree from an accredited college or university for the required experience.

3. Candidates may substitute the possession of a Master's degree from an accredited college or university for the required experience.

4. Candidates may substitute U.S. Armed Forces military service experience as a commissioned officer involving staff work related to the administration of rules, regulations, policy, procedures and processes, or overseeing or coordinating unit operations or functioning as a staff assistant to a higher ranking commissioned officer on a year-for- year basis for the required experience.

Our Preferred Candidate Will Have One or More of the Following:

A Bachelor of Science degree in Nursing or an LPN or RN license.  

Working knowledge and understanding of medical terminology.

Working knowledge and understanding of medical documentation and ability to read and review.

Employees in this classification may be assigned duties which require the operation of a motor vehicle. Employees assigned such duties will be required to possess a motor vehicle operator's license valid in the State of Maryland.

Please make sure that you provide sufficient information on your application to show that you meet the qualifications for this recruitment. All information concerning your qualifications must be submitted by the closing date. We will not consider information submitted after this date. Successful candidates will be ranked as Best Qualified, Better Qualified, or Qualified and placed on the eligible (employment) list for at least one year.

The assessment may consist of a rating of your education, training, and experience related to the requirements of the position. It is important that you provide complete and accurate information on your application. Please report all experience and education that is related to this position.

Contractual employees who work for an agency and have a current employment contract of 30 or more hours a week (or on average 130 hours per month) will be eligible for subsidized health benefits coverage for themselves and their dependents. As a contractual employee, you will be responsible for paying 25% of the premiums for your medical and prescription coverage, including any eligible dependents you have enrolled. The State of Maryland will subsidize the remaining 75% of the cost for these benefits. You can also elect to enroll in dental coverage, accidental death and dismemberment insurance, and life insurance, but will be responsible to pay the full premium for these benefits.  

View rates on the Department of Budget & Management website, State Employees, Health Benefits, Contractual/Variable rates.

 

Paid leave will accrue at a rate of one hour for every 30 hours worked, not to exceed 40 hours per calendar year.

 

Online applications are highly recommended. However, if you are unable to apply online, the paper application and supplemental questionnaire may be submitted to: Department of Budget and Management, Recruitment and Examination Division, 301 W. Preston St., Baltimore, MD 21201. Paper application materials must be received in our office by the closing date for the recruitment. No postmarks will be accepted.

For questions regarding this recruitment, please contact the DBM Recruitment and Examination Division at Application.Help@maryland.gov or 410-767-4850, MD TTY Relay Service 1-800-735-2258.

We thank our Veterans for their service to our country.

People with disabilities and bilingual candidates are encouraged to apply.

As an equal opportunity employer, Maryland is committed to recruitment, retaining and promoting employees who are reflective of the State's diversity.