This is supervisory nursing work, providing direction to a small group of managed care nurses and participating in the delivery of managed health care services. Employees provide technical direction and policy guidance to nurses engaged in the review of managed health care. Employees in this class function as liaison to health maintenance organization representatives and health care providers to ensure the effective delivery of managed health care services. Work includes ensuring adherence to provider organization administrative requirements and related departmental policies and procedures. Contact with patients, facility and hospital staff, and health maintenance organization representatives is a significant aspect of the work.
Work is performed under the direction of a technical nursing superior.
Three years of nursing experience, two years of which has included managed care nursing experience. In accordance with Civil Service Regulation 9.091B, candidates will have 30 days after the results have been mailed to review their test. Only a departmental promotional eligible list for Prisons will be established as a result of this examination.