Review Vacancy
AgencyWorkers' Compensation Board
TitleNurse Practitioner Family Health (NY HELPS), WCB Items #4326
Occupational CategoryHealth Care, Human/Social Services
Bargaining UnitPS&T - Professional, Scientific, and Technical (PEF)
Salary RangeFrom $96443 to $115252 Annually
Street Address Medical Director's Office, Provider Administration and Continuous Quality Improvement
150 Broadway
Duties Description Under the direction of the Registered Nurse Supervisor 2, SG 25 and the Principal Workers' Compensation Examiner, SG-25, the Nurse Practitioner duties will include but not limited to:
• Provide clinical support and expertise to the Medical Director and MDO staff related to medical treatment guidelines, the prescription drug formulary, impairment guidelines and the medical fee schedule;
• Review and process prior authorization requests for complex/invasive procedures known as Special Services, pursuant to Section 324 of Title 12 NYCRR;
• Monitor and update medical treatment guidelines, the prescription drug formulary, impairment guidelines and the medical fee schedule;
• Assist in the development of strategies and implementation of initiatives to facilitate authorized providers participation in the workers' compensation system of care;
• Conduct quality assurance analysis of medical necessity reviews conducted by medical care representatives of prior authorization requests for treatment/procedures and/or testing to determine the medical necessity of treatments requested for injured workers in accordance with evidence based Medical Treatment Guidelines to determine if the request meets the criteria for approval;
• Conduct quality assurance analysis of medical necessity reviews conducted by medical care representatives of prior authorization requests in accordance with Section 324 of Title 12 NYCRR (MTG Variances & Special Services) and Section 441 of Title 12 NYCRR (Drug Formulary) and 442.2 (Durable Medical Equipment);
• Collaborate with MDO staff and providers to ensure continuity of care for injured workers.
Minimum Qualifications One year of permanent, competitive service in a qualifying title you may be eligible for transfer under Section 70.1 of the Civil Service Law.
OR
Possession of a New York State License to practice as a Registered Professional Nurse and certification in Family Health by the New York State Education Department.
This title is part of the New York Hiring for Emergency Limited Placement Statewide Program (NY HELPS).
For the duration of the NY HELPS Program, this title may be filled via a non-competitive appointment, which means no examination is required but all candidates must meet the minimum qualifications of the title for which they apply. At this time, agencies may recruit and hire employees by making permanent non-competitive appointments and the official probationary period will begin.
At a future date (within one year of permanent appointment), it is expected employees hired under NY HELPS will have their non-competitive employment status converted to competitive status, without having to compete in an examination. Employees will then be afforded with all of the same rights and privileges of competitive class employees of New York State. While serving permanently in a NY HELPS title, employees may take part in any promotion examination for which they are qualified.
Additional Comments Please Note: This position requires both in-office and remote work. A hybrid telecommuting schedule can be discussed with the hiring manager during the interview.
We offer a work-life balance and a generous benefits package, worth 65% of salary, including:
Holiday & Paid Time Off
• Thirteen (13) paid holidays annually.
• Thirteen (13) days of paid vacation leave in year one, increasing to 20+ days with additional years of service.
• Five (5) days of paid personal leave annually.
• Thirteen (13) days of paid sick leave annually for PEF/CSEA and eight (8) days paid sick leave annually for M/C.
• Annual professional leave and educational leave opportunities for eligible staff.
Health Care Benefits
• Eligible employees and dependents can choose from a variety of affordable and generous health insurance programs.
• Family dental and vision benefits at no additional cost.
Additional Benefits
• Public Service Loan Forgiveness (PSLF).
• Enrollment in the New York State pension system which has earned the distinction of being one of the best-managed and best-funded plans in the nation OR Optional Retirement Defined Contribution Plan with 8% salary match (eligibility requirements apply).
• NYS Deferred Compensation and an exclusive 403(b) Optional Retirement Savings Plan.
• Paid Parental Leave for all employees and Paid Family Leave (M/C Only).
• Eligibility for various life insurance options.
• Access to NY 529 and NY ABLE College Savings Program
• Flexible Spending Program, which allows employees to set aside pre-tax payroll deductions for eligible health care and dependent care expenses.
For new State employees appointed to graded positions, the annual salary is the hiring rate (beginning of the Salary Range) of the position. Promotion salaries are calculated by the NYS Office of the State Comptroller in accordance with NYS Civil Service Law, OSC Payroll rules and regulations and negotiated union contracts.
The Workers’ Compensation Board (Board) is an equal opportunity employer. The Board does not discriminate based upon age, race, creed, color, national origin, sexual orientation, gender identity or expression, religion, military or veteran status, sex, disability (including pregnancy-related conditions), predisposing genetic characteristics, familial status, marital status, status as a victim of domestic violence, or other applicable legally protected characteristics. The Board is dedicated to eliminating injustices and ensuring diversity in our workforce so we can better serve our staff and create a space where all feel safe to be themselves. To help meet those goals, we encourage applicants from marginalized communities to apply. We are looking for candidates who are committed to working in and contributing to an environment that fosters a sense of belonging, as well as inclusion, and celebrates people of all backgrounds, identities, experiences, and perspectives.
We are happy to provide reasonable accommodations during the hiring process. If you have a disability or special need that requires a reasonable accommodation, please send a request to officeofgeneralcounsel@wcb.ny.gov.
Some positions may require additional credentials or a background check to verify your identity.
Address
Street Human Resources Management
328 State Street
Notes on ApplyingQualified candidates should send a letter of interest and resume which lists your actual Civil Service title, salary grade and specific verifiable information as to how you meet the minimum qualifications to be eligible to apply for this position. Please send your application to HRM@WCB.ny.gov (email applications are preferred). It is important that you reference the WCB Item #4326 in the subject line of your email to ensure receipt of your application. (Please do not reference the Vacancy ID No.)