Job Information
The County of Los Angeles UTILIZATION REVIEW NURSE SUPERVISOR II in Los Angeles, California
UTILIZATION REVIEW NURSE SUPERVISOR II
Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979)
Apply
UTILIZATION REVIEW NURSE SUPERVISOR II
Salary
$113,309.04 - $169,609.20 Annually
Location
Los Angeles County, CA
Job Type
Full time
Job Number
Y5126D
Department
HEALTH SERVICES
Opening Date
06/08/2020
Description
Benefits
Questions
Position/Program Information
TYPE OF RECRUITMENT:
OPEN COMPETITIVE JOB OPPORTUNITY
EXAM NUMBER:
Y5126D
FILING START DATE:
06/09/2020 AT 8:00 A.M. (PST)
This examination will remain open until the needs of the service are met and is subject to closure without prior notice.
ABOUT LOS ANGELES COUNTY DEPARTMENT OF HEALTH SERVICES
The Los Angeles County Department of Health Services (DHS) is the second largest municipal health system in the nation. Through its integrated system of 25 health centers and four (4) acute hospitals and expanded network of community partner clinics – DHS annually provides direct care for 600,000 unique patients, employs over 23,000 staff, and has an annual budget of over $6.9 billion.
Through academic affiliations with the University of California, Los Angeles (UCLA), the University of Southern California (USC), and the Charles R. Drew University of Medicine and Sciences (CDU), DHS hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty and subspecialty. In addition to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the County's 911 emergency response system, as well as Housing for Health and the Office of Diversion and Re-entry, each with a critical role in connecting vulnerable populations, including those released from correctional and institutional settings, to supportive housing.
For additional information regarding DHS please visitwww.dhs.lacounty.gov
MISSION:
To advance the health of our patients and our communities by providing extraordinary care.
DEFINITION:
Exercises, under medical direction, administrative and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center, one of the largest public hospitals in the country with 600-beds.
CLASSIFICATION STANDARDS:
The position allocated to this class is responsible for directing, through subordinate supervisors, the activities of the Utilization Review Nurses engaged in utilization review activities, in accordance with the Professional Standards Review Organization guidelines and the Joint Commission on Accreditation of Hospitals' utilization review standard. Under the direction of a physician member of the Utilization Review Committee, the incumbent is responsible for the development and implementation of procedures for and the effective conduct of the system to review patients' medical charts to ascertain the medical necessity for services and appropriateness of the level of care, for notification of appropriate persons of cases which do not meet medical necessity and level of care criteria, and for certification of approved hospital days reimbursable under the Medicare and MediCal programs.
Essential Job Functions
Plans, develops, and implements procedures to fulfill the Professional Standards Review organization requirements for an effective and timely utilization review system.
Directs the utilization review function through subordinate supervisors, conferring with supervisors on personnel, and technical and administrative problems.
Reviews and analyzes reports prepared by subordinate supervisors on number and status of reviews, physician advisor referrals, and type of physician advisor determinations, to determine if improvement in procedures or additional staff training is needed and to make recommendations on potential areas for medical care evaluation studies.
Determines need for and conducts in-service training to improve quality of admission and continued stay reviews, and to disseminate information concerning new or revised procedures.
Evaluates the performance of subordinate supervisors and reviews their evaluations of Utilization Review Nurses; counsels subordinates on their performance.
Develops procedures for the compilation of information from medical charts concerning diagnoses, problems, procedures, or practitioner categories as directed for medical care evaluation studies.
Works with Professional Standards Review Organization representative to orient new staff to Federal laws and regulations pertaining to Medicare and Medi-Cal reimbursement.
Confers with physicians, administrative personnel, and other disciplines in the hospital to coordinate the work of the unit, obtain information, answer questions concerning the necessity for utilization review, and develop review procedures.
Attends Utilization Review Committee meetings to inform the Committee of new or revised utilization review requirements, the impact of the requirements, and procedures to be implemented for compliance.
Requirements
SELECTION REQUIREMENTS:
- One (1) year experience within the last five (5) years in the supervision* of nursing staff engaged in utilization review activities.
-AND-
- Current certification issued by the American Heart Association's Basic Life Support (BLS) for Healthcare Providers (CPR & AED) Programs.
LICENSE(S) AND CERTIFICATE(S) REQUIRED:
A current license to practice as a Registered Nurse issued by the California Board of Registered Nursing.
Applicants must ensure the License and Certification Section of the application is completed. Provide the title(s) of your required license(s), the number(s), date(s) of issue, date(s) of expiration and the name(s) of the issuing agency for the required license as specified in the Selection Requirements.
Applicants claiming experience in a state other than California must provide their Registered Nurse License Number from that state on the application at the time of filing. Out-of-State experience provided on the application without the required license number will not be considered.
Required license(s) and/or certification(s) must be active and unrestricted, or your application will not be accepted. Additionally, in order to receive credit for license(s) and/or certification(s) in relation to any desirable qualifications, the license(s) and/ or certification(s) must be active and unrestricted.
A current certification issued by the American Heart Association's Basic Life Support (BLS) for Healthcare Providers (CPR & AED) Program.
Applicants MUSTattach a legible photocopy of the required BLS certification to their applicationat the time of filing or within 15 calendar days of filing your application online. Applications submitted without the required evidence of BLS certification will be rejected.
PHYSICAL CLASS II:
Light: Light physical effort which may include occasional light lifting to a 10-pound limit, and some bending, stooping or squatting. Considerable walking may be involved.
SPECIALTY REQUIREMENTS:
*For this examination, supervisionMUSTinclude all the following: planning, assigning, reviewing work of staff and evaluating employee performance.
DESIRABLE QUALIFICATIONS:
Credit will be given to applicants who possess the following desirable qualifications:
Experience within the last five (5) years in the supervision* of nursing staff engaged in utilization review activities beyond the selection requirements.
Bachelor of Science degree in Nursing (BSN) or higher from an accredited institution**.
**In order to receive credit for any type of college degree, youMUSTinclude a legible copy of the official degree, official transcripts, or official letter from the accredited institution which shows the area of specializationWITHyour online applicationat the time of filing, or within 15 calendar days from the date of filing the application.
Additional Information
EXAMINATION CONTENT
The examination will consist of an evaluation of education and experience based upon application information and Desirable Qualifications, weighted 100%
Candidates must achieve a passing score of 70% or higher on the examination in order to be placed on the eligible register.
Notification Letters and other correspondences will be sent electronically to the email address provided on the application. It is important that applicants provide a valid email address. Please addmteran1@dhs.lacounty.gov (oramirez@dhs.lacounty.gov) andinfo@governmentjobs.comto your email address book and to the list of approved senders to prevent email notifications from being filtered as SPAM/JUNK mail.
ELIGIBILITY INFORMATION:
The names of candidates receiving a passing grade in the examination will be placed on the eligible register in the order of their score group for a period of twelve (12) months from the date of promulgation. Applications will be processed on an as received basis and promulgated to the eligible register accordingly.
No person may compete for this examination more than once every twelve (12) months.
AVAILABLE SHIFT:
Appointees may be required to work any shift, including evenings, nights, weekends and holidays.
VACANCY INFORMATION:
The resulting eligible register for this examination will be used to fill a vacancy at the Comprehensive Health Centers and its affiliated Health Centers and any other vacancies throughout the Department of Health Services as they occur.
APPLICATION AND FILING INFORMATION:
Applications must be filed online only. Applications submitted by U.S. mail, fax, or in person will not be accepted.
The acceptance of your application depends on whether you haveclearlyshown that you meet theSELECTION REQUIREMENTS. Fill out your application and supplemental questionnaire completely and correctly to receive full credit for related education and/or experience in the spaces provided so we can evaluate your qualifications for the job. Please do not group your experience, for each position held, give the name and address of your employer, your position title, beginning and ending dates, number of hours worked per week, and description of work performed.If your application is incomplete, it will be rejected.
IMPORTANT NOTES:
Allinformation supplied by applicants and included in the application materials is subject toVERIFICATION.
We may reject your application at any time during the examination and hiring process, including after appointment has been made.
FALSIFICATIONof any information may result inDISQUALIFICATIONorRECISSION OF APPOINTMENT.
UtilizingVERBIAGEfrom Class Specification and/or Selection Requirements serving as your description of dutiesWILL NOTbe sufficient to demonstrate that you meet the requirements. Comments such as "SEE RESUME" or "SEE APPLICATION" will not be considered as a response; in doing so, your application will beREJECTED.
NOTE:
Candidates who apply online must upload any required documents as attachments during application submission. If you are unable to attach required documents, you may email the documents to Martha Teran at mteran1@dhs.lacounty.govat the time of filing, or within 15 calendar days from the date of filing the application. Please include your Name, the Exam Number and Exam Title on the email.
SOCIAL SECURITY NUMBER:
Please include your Social Security Number for record control purposes. Federal law requires that all employed persons have a Social Security Number.
FAIR CHANCE INITIATIVE:
The County of Los Angeles is a Fair Chance employer. Except for a very limited number of positions, you will not be asked to provide information about a conviction historyunless you receive a contingent offer of employment.The County will make an individualized assessment of whether your conviction history has a direct or adverse relationship with the specific duties of the job, and consider potential mitigating factors, including, but not limited to, evidence and extent of rehabilitation, recency of the offense(s), and age at the time of the offense(s).If asked to provide information about a conviction history, any convictions or court records which are exempted by a valid court order do not have to be disclosed.
NO SHARING OF USER ID AND PASSWORD:
All applicants must file their applications online using their own user ID and password. Using a family member or friend's user ID and password may erase a candidate's original application record.
ADA Coordinator Phone:(323) 914-6365
California Relay Services Phone: (800) 735-2922
DEPARTMENT CONTACT:
Martha Teran, Exam Analyst
HR ESC phone number is (213) 288-7000
mteran1@dhs.lacounty.gov
COUNTY OF LOS ANGELES
Employment Information
Any language contained in the job posting supersedes any language contained below.
Your Responsibilities:
1.Completing Your Application:
a. Before submission of the application, it is your responsibility to ensure that all information provided is correct and complete on the application. Incomplete applications cannot be accepted.
b. List each payroll title separately for each job. Do not group your experience. Specify the beginning and ending dates for each job. If you are a Los Angeles County employee and have held multiple positions, do NOT list all of your time with the County under your present payroll title.
c. Please include your Social Security Number for record control purposes. Federal law requires that all employed persons have a Social Security Number.
d. To receive credit, include required documents (e.g., copy of your diploma, transcript, certificate, or license) as directed on the job posting. International degrees in a foreign language must be translated to English and evaluated for equivalency to U.S. standards. Refer to the job posting for specific deadlines for supporting documentation.
2.Requirements on Job Posting:
a. Your application will only be accepted if it clearly shows you meet the requirements. The information you give will determine your eligibility and is subject to verification at any time.
b. You must be at least 16 years of age at the time of appointment unless other age limits are stated on the job posting. The Federal Age Discrimination in Employment Act (ADEA) of 1967, as amended, prohibits discrimination on the basis of age for any individual age 40 or older.
c. Experience is evaluated on the basis of a verifiable 40- hour week, unless specified otherwise. Prorated part-time experience may be acceptable.
3.Application Deadline: All job applications must be completed and submitted before the closing time on the last day of the filing period as indicated on the job posting unless other instructions are provided. Job postings with an open continuous filing period are subject to closure without prior notice. It is to your advantage to file your application early and not wait until the last allowable date and time as you will not be able to apply once the filing period has closed.
4.Change of Name or Address: To change personal information such as your name or address, log into your profile onwww.governmentjobs.comand make the necessary change. This can be done at any time.
5.Equal Employment Opportunity/Non-Discrimination Policy:
a. It is the policy of the County of Los Angeles to provide equal employment opportunity for all qualified persons, regardless of race, color, religion, sex, national origin, age, sexual orientation, disability, or any other characteristic protected by state or federal law. b. If you are an individual requesting reasonable accommodation(s) in the examination process, please contact the testing accommodation coordinator listed on the job posting. The provision of accommodation(s) may be subject to verification, consistent with state and federal law. All accommodation-related information will remain confidential.
Disclaimer: The County of Los Angeles is not responsible or in any way liable for any computer hardware or software malfunction that may affect the employment application or the application selection process.
You assume all responsibility and risk for the use of this system and the Internet generally. This system and the information provided on it are provided on an "as is" and "as available" basis without warranties of any kind, either express or implied. No advice or information given by the County of Los Angeles or its respective employees shall modify the foregoing or create any warranty.
The County of Los Angeles expressly disclaims any warranty that the information on this system or on the Internet generally will be uninterruptible or error free or that any information, software or other material accessible from the system is free of viruses or other harmful components. You shall have no recourse against the County of Los Angeles as the system provider for any alleged or actual infringement of any proprietary rights a user may have in anything posted or retrieved on our system.
The County of Los Angeles shall not be liable for any direct, indirect, punitive, incidental, special or consequential damages arising out of or in any way connected with the use of this system or with the delay or inability to use it (or any linked sites), or for any information obtained through this system, or otherwise arising out of the use of this system, the Internet generally or on any other basis.
NOTE: Your application is submitted using Secure Encryption to ensure the privacy of all information you transmit over the Internet.
By accepting the Use Disclaimer set forth herein, you agree to all of the above terms and further agree to use this Online Job Employment Application System only for the submission of bona fide employment applications to the County of Los Angeles. Any other use of this Online Job Employment Application System, including without limitation any copying, downloading, translating, decompiling, or reverse engineering of the system, data, or related software, shall be a violation of the Use Disclaimer.
Test Preparation: Study Guides and other resources are available to help candidates prepare for employment tests. An interactive system for taking practice tests may be accessed on the Department of Human Resources website athttps://hr.lacounty.gov/. Additional resources may be listed on the job posting.
Veteran’s Credit: In all open competitive examinations, a veteran’s credit of 10 percent of the total credits specified for such examinations will be added to the final passing grade of an honorably discharged veteran who served in the Armed Forces of the United States under any of the following conditions: During a declared war; -or- During the period April 28, 1952 through July 1, 1955; -or- For more than 180 consecutive days, other than for training, any part of which occurred after January 31, 1955, and before October 15, 1976; -or- During the Gulf War from August 2, 1990 through January 2, 1992; -or- For more than 180 consecutive days, other than for training, any part of which occurred during the period beginning September 11, 2001, and ending on August 31, 2010 the last day of Operation Iraqi Freedom; -or- In a campaign or expedition for which a campaign medal or expeditionary medal has been authorized and awarded. Any Armed Forces Expeditionary medal or campaign badge, including El Salvador, Lebanon, Grenada, Panama, Southwest Asia, Somalia, and Haiti qualifies for credit.
A campaign medal holder or Gulf War veteran who originally enlisted after September 7, 1980 (or began active duty on or after October 14, 1982, and has not previously completed 24 months of continuous active duty) must have served continuously for 24 months or the full period called or ordered to active duty.
This also applies to the spouse of such person who, while engaged in such service was wounded, disabled or crippled and thereby permanently prevented from engaging in any remunerative occupation, and also to the widow or widower of any such person who died or was killed while in such service. A DD214, Certificate of Discharge or Separation from Active Duty, or other official documents issued by the branch of service are required as verification of eligibility for Veterans preference. Applicants must submit the documentation for each open competitive exam to qualify for veteran’s credit. More information available at:https://www.opm.gov/policy-data-oversight/veterans-services/vet-guide-for-hr-professionals/
Accreditation Information: Accredited institutions are those listed in the publications of regional, national or international accrediting agencies that are accepted by the Department of Human Resources. Publications such as American Universities and Colleges and International Handbook of Universities are acceptable references. Also acceptable, if appropriate, are degrees that have been evaluated and deemed to be equivalent to degrees from United States accredited institutions by an academic credential evaluation agency recognized by The National Association of Credential Evaluation Services or the Association of International Credential Evaluators, Inc. (AICE). More information is available at:http://file.lacounty.gov/SDSInter/dhr/070812_PPG123.pdfandhttp://file.lacounty.gov/SDSInter/dhr/205105_PPG_123_AC EResourceGuide.pdf (https://file.lacounty.gov/SDSInter/dhr/205105_PPG_123_ACE_Resource_Guide.pdf)
Background Check: The County of Los Angeles is a Fair Chance employer. Except as otherwise permissible under applicable laws, you will not be asked to provide information about a conviction history unless you receive a conditional offer of employment. The County will make an individualized assessment of whether your conviction history has a direct or adverse relationship with the specific duties of the job, and will also consider potential mitigating factors, including, but not limited to, evidence and extent of rehabilitation, recency of the offense(s), and age at the time of the offense(s). If asked to provide information about a conviction history, any convictions or court records which are exempted by a valid court order do not have to be disclosed.
Career Planning: Resources to help current and prospective employees plan a career with Los Angeles County are available. To explore career paths to and from nearly all job titles, please visit our interactive Career PathFinder application athttps://career-pathfinder.hr.lacounty.gov/#/.
Benefit Information: Depending on the position, the successful candidate will enroll in a contributory defined benefit pension plan if the candidate is a “new member” of the County’s defined benefit plan (LACERA) on or after January 1, 2013 (first employed by the County on or after December 1, 2012) – unless she or he established reciprocity with another public retirement system in which she or he was a member before January 1, 2013. It should be noted that County employees do not pay into Social Security, but do pay the Medical Hospital Insurance Tax portion of Social Security at a rate of 1.45%. The Los Angeles County Employees Retirement Association (LACERA) has reciprocal agreements with several public retirement systems in California.
Americans with Disabilities Act of 1990: All positions are open to qualified men and women. Pursuant to the Americans with Disabilities Act of 1990, persons with disabilities who believe they need reasonable accommodation, or help in order to apply for a position, may contact the ADA/Personnel Services for Disabled Persons Coordinator. Hearing impaired applicants with telephone teletype equipment may leave messages by calling the teletype phone number on the job posting. The County will attempt to meet reasonable accommodation requests whenever possible.
Equal Employment Opportunity: It is the policy of the County of Los Angeles to provide equal employment opportunity for all qualified persons, regardless of race, religion, sex, national origin, age, sexual orientation, disability, or any other characteristic protected by state or federal law. All positions are open to qualified men and women pursuant to the Americans with Disabilities Act of 1990 and the California Fair Employment and Housing Act. The County will comply with all of its obligations under State and Federal laws regarding the provision of reasonable accommodations to applicants.
Los Angeles County Child Support Compliance Program: In an effort to improve compliance with court ordered child, family and spousal support obligations, certain employment and identification information (i.e., name, address, Social Security number and date of hire) is regularly reported to the State Directory of New Hires which may assist in locating persons who owe these obligations. Family Code Section 17512 permits under certain circumstances for additional employment and identifying information to be requested. Applicants will not be disqualified from employment based on this information.
Social Security Act of 2004: Section 419 (c) of Public Law 108-203, the Social Security Protection Act of 2004, requires State and local government employers to disclose the effect of the Windfall Elimination Provision and the Government Pension Offset Provision to employees hired on or after January 1, 2005, in jobs not covered by Social Security. The County of Los Angeles does not participate in the Social Security System. All newly hired County of Los Angeles employees must sign a statement (Form SSA-1945) prior to the start of employment indicating that they are aware of a possible reduction in their future Social Security benefit entitlement. For more information on Social Security and about each provision, you may visit the websitewww.socialsecurity.gov, or call toll free 1-800-772- 1213. Persons who are deaf or hard of hearing may call the TTY number 1-800-325-0778 or contact a local Social Security office.
Employment Eligibility Information: Final appointment is contingent upon verification of U.S. citizenship or the right to work in the United States. Immigration law provides that all persons hired after November 6, 1986, are required to present original documents to the County, within three (3) business days of hiring, which show satisfactory proof of 1) identity and 2) U.S. employment eligibility.
The California Fair Employment and Housing Act(Part 2.8 commencing with Section 12900 of Division 3 of Title 2 of the Government Code) the Regulations of the Fair Employment and Housing Commission (California Code of Regulations, Title 2, Division 4, Sections 7285.0 through 8504) and other applicable laws prohibit employment discrimination based on an applicant's protected characteristics, including race, color, religion, national origin, ancestry, physical disability, mental disability, medical condition, marital status, sex, sexual orientation, age, pregnancy, childbirth, and other characteristics.
COVID-19 VACCINATION: Some County workforce members may be required to be fully vaccinated against COVID-19. Successful candidates for those positions/classifications may be required to submit proof of vaccination against COVID-19 or request an exemption for qualifying medical or religious reasons during the onboarding process. Candidates should not present proof of vaccination until instructed to do so by the hiring department.
Updated February 2024
For detailed information, please clickhere (http://hr.lacounty.gov/benefits/)
01
The information you provide on this supplemental questionnaire will be evaluated and used to determine your qualification of the exam. Please note that all information is subject to verification at any time in the examination and hiring process. Falsification of any information may result in disqualification or dismissal. It is the applicant's sole responsibility to complete this questionnaire completely and correctly. The experience you claim in this supplemental questionnaire must be consistent with the experience listed in your application. Comments such as "SEE RESUME" or "SEE APPLICATION" will not be considered a response; in doing so, your application will be REJECTED.
I understand the above information and instructions.
02
SELECTION REQUIREMENTS
Do you have one (1) year experience within the last five (5) years in the supervision* of nursing staff engaged in utilization review activities? In order to receive credit for supervision* experience, you must clearly demonstrate experience inALLof following components: planning, assigning, reviewing work of staff, and evaluating employee performance.Your response will be verified on your application, "Work Experience" section.
Yes
No
03
Do you have a current Basic Life Support (BLS) for Healthcare providers (CPR & AED) program certification issued by the American Heart Association? ApplicantMUSTattach a legible photocopy of the required BLS certification to their applicationat the time of filing or within 15 calendar days of filing your applicaton online.Applications submitted without the required evidence of BLS certification will be rejected.
Yes
No
04
DESIRABLE QUALIFICATIONS
Do you have experience within the last five (5) years in the supervision* of nursing staff engaged in utilization review activities beyond the selection requirements? In order to receive credit for supervision* experience, you must clearly demonstrate experience inALLof following components: planning, assigning, reviewing work of staff, and evaluating employee performance.Your response will be verified on your application, "Work Experience" section.
Yes
No
05
Do you have a bachelor's degree in Nursing or higher from an accredited institution**? ApplicantMUSTattach a legible copy of your degree or official transcript at the time of filing or within 15 calendar days of filing your application online to receive credit.
Yes
No
06
EMAIL NOTIFICATION• Option 1 - If you do not wish to receive emails about your applications with Los Angeles County, select "Unsubscribe" at the bottom of this mail; or visit governmentjobs.com, log into your profile, go to Account-Email Preferences and select "Off" for "Job Application Emails." This will prevent you from being contacted about any jobs that you have applied for. You can still check for notifications by checking your profile inbox, which saves a copy of all emailed notices.
• Option 2 - If you wish to be contacted via email about jobs for which you have applied with Los Angeles County, do not select "Unsubscribe" or alter your profile email settings. In order to avoid email notifications from being filtered into your spam/junk folders, please ensure to add "analyst email" and "info@governmentjobs.com" to your list of approved senders and take any additional steps necessary to ensure that emails from the @lacounty.gov and @governmentjobs.com domains are not filtered on accident. If you have opted out of receiving email and want to opt back in, you can do so by changing your email settings.
•Applicants have the ability to opt out of emails from LA County. If you unsubscribe, you will not receive any email notification for any examination for which you apply with Los Angeles County.
•Regardless of whether you choose to unsubscribe, you can always check for notifications by logging into governmentjobs.com and viewing your profile inbox, which saves a copy of all emailed notices.
•It is the applicant's responsibility to take the above steps to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notifications to be a valid reason for a late test administration or re-scheduling.
I have read and understand the options.
Required Question
Agency
County of Los Angeles
Address
Los Angeles, California, 90010
Website
http://hr.lacounty.gov
Apply
Please verify your email addressVerify Email