Registered Nurse 2 - Medical Care (NY HELPS)

The duties that the incumbent of the vacancy will be expected to perform. Duties Description Registered Nurse 2 (Medical Care) positions at NYSIF are responsible for coordinating global case management of high-cost complex cases and are an extensive resource for the NYS Workers’ Compensation Board Medical Treatment Guidelines for Claims Service Managers and other Claims staff.Responsibilities include, but are not limited to: • Perform claimant outreach• Perform catastrophic and/or high-cost claims management• Review and process PARS for surgeries and DME• Perform claims management• Participate in utilization review audits• Review and calculate payments for pharmaceutical bills• Facilitate and negotiate claimant discharges from inpatient hospitalizations• Serve as a resource to claims staff in providing effective medical knowledge and management of these claims.• Identify and manage high medical exposure claims for NYSIF• Contact claimants and providers, facilities, families, employers, etc. based on the claimant’s medical status

The minimum qualifications required for this vacancy. Minimum Qualifications • One year of permanent, competitive class service in a title eligible for transfer under Section 70.1 of Civil Service Law. Eligible titles include, but aren’t limited to: Registered Nurse 1, Registered Nurse 1 Rehab; OR• Possession of a license and current registration as a registered professional nurse in New York State; and two years of registered nursing experience* in the following areas: rehabilitation, medical/surgical, public health, community health, visiting nursing, occupational health, utilization review, or review of medical records from hospitals for appropriate ICD 9 or 10/DRG/PAS/CPT coding.*Substitutions: a bachelor’s degree in nursing can substitute for one year of post-licensure clinical nursing experience; and a master’s degree in nursing can substitute for two years of post-licensure clinical nursing experience.Please be advised that the New York State Insurance Fund (NYSIF) does not offer sponsorship for employment visas to employees or potential employees. Candidates sponsored for employment by an organization should be aware of their sponsorship status and the relevant expiration date(s) of that sponsorship before applying to this position. NYSIF is not currently enrolled in eVerify, which is a requirement for certain types of employment verifications.

Additional comments regarding the vacancy. Additional Comments Please note, the salary range shown includes increased hiring rate and $20,000 geographic pay.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.Fringe Benefits: • Competitive Compensation.• Future Career Growth Potential. • Open and Supportive Team-Based Environment.• Plentiful Vacation, Personal, and Sick Leave Accruals. • Paid State and Federal Holidays.• Full Medical, Vision, and Dental. • Retirement Options. • Public Student Loan Forgiveness (PSLF).• Possibility of Telecommuting, Flextime, and Alternative Work Schedules.NY HELPS Program: 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 a future date, 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 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.NYSIF Commitment to Diversity, Equity, and InclusionThe New York State Insurance Fund (NYSIF) prioritizes and champions diversity, equity, and inclusion (DEI) throughout our agency. NYSIF provides equal opportunities to all employees and applicants for employment without regard to race, religion, color, age, sex, national origin, sexual orientation, gender identity, disability, veteran status, or any other protected category under federal, state, and local law. We believe that embracing our differences brings richness, new ideas and experiences to NYSIF, which energizes a creative and innovative work environment. We strive to foster a workplace where diverse individuals are able to participate fully in the decision-making process and have ample opportunity for advancement. We are committed to investing the necessary resources and attention to improving the engagement, retention, and promotion of the extraordinary talent we have.Executive Order 31 commits New York State government to becoming a model employer for people with disabilities, increasing the participation of people with disabilities in state service and ensuring equal access to opportunities. NYSIF is proud to utilize best practices to recruit, hire, retain, and promote career advancement of individuals with disabilities. This includes special focus on current and prospective employees with the most significant disabilities, such as the use of supported employment, individual placement with support services, customized employment, the civil service sections 55/b and 55/c programs, internships, and job shadowing. If you are a person with a disability and wish to request that a reasonable accommodation be provided for you to participate in a job interview, please send an email to NYSIF’s Reasonable Accommodations mailbox at [email protected].

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