COORDINATOR HEALTH CARE FACILITIES ANALYSIS

Official job specification

The text below is the official specification published by the New Jersey Civil Service Commission. The plain-language summary and analysis above are derived from it by NJ Civil Service Navigator. Source: the official specification page at NJ CSC.

Definition

Under direction of the Assistant Director, Administrative and Fiscal Affairs, or other higher supervisory officer in a State department or agency, is responsible for coordinating and supervising reimbursement activities in a New Jersey health services program; does other related duties as required.

Examples of work

Coordinates and supervises the approval activities and timely implementation of nursing home or other reimbursement rates. Coordinates and supervises the analysis activity to ensure compliance with Medicaid policy and procedure with respect to Long Term Care (LTC) reimbursement as promulgated by N.J.A.C. 10:63 et. seq, commonly referred to as the Cost Accounting And Rate Review Guidelines (C.A.R.E.) or other regulatory or statutory requirements. Trains subordinate personnel, including that of the supervisory level, in analysis procedures, methods and systems as they pertain to nursing home reimbursement rates. Prepares instructions and makes such revisions therein as required for use of subordinate employees. Develops proposed reimbursement alternatives to accommodate the changing trends in LTC and other programs and the various types of special LTC or other programs reimbursed by the Department. Drafts proposed Federal and/or State regulations and/or Federal State Plan changes needed to amend or create the authority to put into effect the evolving methodology of LTC or other reimbursement. Serves as a liaison between the Department and the nursing home or other associations (Proprietary, Voluntary, Governmental); confers on a regular basis with various consultants and public and private officials regarding aspects of LTC or other programs; consults with nursing homes or other entities, and assists those facilities with problems relative to the reimbursement process. Serves on the LTC or other Committee as liaison between the Director and the nursing home or other industry to communicate policy, and responds to the industry on issues regarding various aspects of the Medicaid or other programs. Reviews, analyzes, and prepares written comments for the Director regarding Certificate of Need Applications for proposed long term care or other construction, sale, transfer or ownership, or bed capacity changes and inquiries from State and Federal agencies, and individuals or organizations. Supervises the work operations and/or functional programs and has responsibility for employee evaluations, and for effectively recommending the hiring, firing, promoting, demoting and/or disciplining of employees. Coordinates and supervises the work of subordinates in carrying out the function of final per diem rate determination, overpayment calculation after audit, and input of allowable audit adjustment data into the computerized system of final rate determination. Coordinates and supervises the review and approval of audit recommendations to ensure the consistent application of Medicaid Policy. Establishes and maintains essential reimbursement records, files, correspondence and audit data to be used as basis of historical costs in the Medicaid Program. Implements per diem rate penalties imposed on Long Term Care Facilities (LTCFs) or other entities as a result of untimely submission of cost study data and related financial reports. Reviews and approves or disapproves requests for extensions of regulatory requirements for submitting financial information. Testifies on behalf of the Director at hearings before the Office of Administrative Law in matters appealed before the Court by LTCFs or other entities who have taken exception to the specific application of the rate reimbursement methodology; provides assistance to the Office of the Attorney General in the compilation, review and preparation of materials for presentation during these hearings. Coordinates and supervises the monitoring of the fiscal operation of nursing homes or other entities who have entered into a receivership status because of financial insolvency and/or civil or criminal proceedings. Authorizes cash advance payments to facilities to endure that debt obligations are met on time and that adequate nursing care is rendered to the patients residing at the facility. Acts as coordinator between the rate setting function, the payment function, and the Auditing function. Prepares correspondence in the course of official duties. Coordinates, supervises, and/or prepares clear, technically sound, accurate planning reports and studies containing findings, conclusions and formal recommendations. May be required to learn to utilize various types of electronic and/or manual recording and information systems used by the agency, office or related units.

License

Appointees will l be required to possess a driver's license valid in New Jersey only if the operation of a vehicle, rather than employee mobility, is necessary to perform essential duties of the position.

Knowledge, skills and abilities

Knowledge of government budget practices, procedures, problems and analysis. Knowledge of the laws of New Jersey, applicable Federal Laws and the rules, regulations and policies of the Departments of the Treasury and Human Services, pertaining to budgets, budget control and fiscal procedures. Knowledge of accepted accounting principles and methods. Ability to coordinate and supervise the evaluation of the administrative procedures of a large governmental agency or large hospital. Ability to supervise and instruct individuals in the proper method of preparation, review and analysis of reimbursement costs and administrative procedures pertaining to Long Term Care Facilities or other entities. Ability to analyze, interpret and apply basic law and regulations. Ability to coordinate and supervise continuing studies and analysis in order to determine budget requirements, the necessity of revision in administrative procedures and in programs, and to prevent inefficiency and waste. Ability to prepare clear, sound, accurate, and informative reports containing facts, findings, conclusions and recommendations. Ability to supervise the maintenance of the essential records and files. Ability to learn to utilize various types of electronic and/or manual recording and information systems used by the agency, office or related units. Ability to read, write, speak, and understand, or communicate in English sufficiently to perform the duties of this position. American Sign Language or Braille may also be considered as acceptable forms of communication. Persons with mental or physical disabilities are eligible as long as they can perform essential functions of the job with or without reasonable accommodation. If the accommodation cannot be made because it would cause the employer undue hardship, such persons may not be eligible.

Note

Applicants must meet one of the following or a combination of both experience and education. Thirty (30) semester hour credits are equal to one (1) year of relevant experience. Nine (9) years of professional experience in analyzing and evaluating the budget, organization and administrative practices of a large health care facility, organization, or agency, including or supplemented by eighteen (18) credit hours in accounting, finance, economics, statistics, or management; two (2) years of experience must be in a supervisory capacity. OR Possession of a bachelor's degree from an accredited college or university including or supplemented by eighteen (18) credit hours in accounting, finance, economics, statistics, or management; and five (5) years of the above-mentioned professional experience, two (2) years of experience must be in supervisory capacity. OR Possession of a master's degree in public administration, business administration, hospital administration, finance, or accounting; and four (4) years of the above-mentioned professional experience, two (2) experience of years must be in supervisory capacity. "Professional experience" refers to work that is creative, analytical, evaluative, and interpretive; requires a range and depth of specialized knowledge of the profession's principles, concepts, theories, and practices; and is performed with the authority to act according to one's own judgment and make accurate and informed decisions.