Medical Certification Specialist

The mission of the Louisiana Department of Health is to protect and promote health and to ensure access to medical, preventive, and rehabilitative services for all residents of the State of Louisiana.

Learn more about Louisiana Department of Health

Join the Program Operations Division at the Office of Aging and Adult Services (OAAS) and play a key role in strengthening Louisiana’s Home and Community-Based Services. This dynamic position supports critical long-term care programs—including Community Choices Waiver, Adult Day Health Care, PACE, and Nursing Facility services—by monitoring operations, ensuring Medicaid compliance, and promoting high-quality, person-centered care. Based in one of OAAS’s regional offices with opportunities for statewide collaboration, this role is ideal for professionals who thrive in the field, enjoy problem-solving, and are passionate about improving access, quality, and outcomes for vulnerable populations across Louisiana.

• A current Louisiana license in a health services field, health regulation field, or social services field plus two years of experience in hospital or nursing home administration, health services, health regulation, or social services.
• A bachelor's degree plus two years of experience in hospital or nursing home administration, health services, health regulation, or social services.
• A master's degree in a health services field, health regulation field, or a social services field plus one year of experience in hospital or nursing home administration, health services, health regulation, or social services.

The official job specifications for this role, as defined by the State Civil Service, can be found here.

• Ensures waiver eligibility by issuing timely waiver denial and discharge notices with appeal rights, preparing Summary of Evidence packets, and representing the Department in waiver appeal hearings before the Division of Administrative Law.
• Conducts annual and ongoing monitoring of Support Coordination Agencies and a representative sample of participants through on-site, in-home, interview, record, and data reviews using established monitoring tools.
• Analyzes, scores, and documents monitoring findings, determines required remediation and severity, and reviews, approves, and provides feedback on corrective action plans to ensure effective implementation.
• Recommends termination of Support Coordination Agency performance agreements when warranted and collaborates with Research and Quality staff to improve monitoring processes.
• Performs on-site nursing facility level of care determinations to evaluate admissions and continued stays, ensuring individuals meet nursing facility criteria and exploring appropriate alternatives.
• Serves as the Local Contact Agency for Section Q referrals and the My Choice Louisiana initiative by connecting nursing facility residents to HCBS and community resources and supporting transitions to community-based settings when appropriate.

Location: Office of Aging and Adult Services / Headquarters - AD PROGRAM OPERATIONS-RO6 / Rapides

Appointment Type: This position may be filled as a Probationary appointment

Cost Center:

Position Number(s):

Career Progression: This position may be filled as a Medical Certification Specialist 1 or 2 determined by the qualifications of the candidate selected. This position provides the opportunity to advance within this job series.

No Civil Service test score is required in order to be considered for this vacancy.

To apply for this vacancy, click on the “Apply” link above and complete an electronic application, which can be used for this vacancy as well as future job opportunities. Applicants are responsible for checking the status of their application to determine where they are in the recruitment process. Further status message information is located under the Information section of the Current Job Opportunities page.

Information to support your eligibility for the position must be included in the application (i.e., relevant, detailed experience/education). Resumes will not be accepted in lieu of completed education and experience sections. Applications may be rejected if incomplete.

For further information, please contact

Debbie Parris-Thymes

Debbie.

Parris-Thymes2

LA Department of Health (LDH)

Division of Human Resources

PO Box 4818, Baton Rouge, LA

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LDH supports Louisiana’s commitment to being a State as a Model Employer (SAME) by promoting the recruitment, hiring, and retention of individuals with disabilities.

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