Consultative Examination (CE) Assistant Supervisor

Agency

Dept of Health and Human Services

Division

Disability Determination Services

Job Classification Title

Administrative Specialist II (S)

Position Number

60055987

Grade

NC09

About Us

The North Carolina Department of Health and Human Services (DHHS) is one of the largest, most complex agencies in the state, and has approximately 17,000 employees. It is responsible for ensuring the health, safety, and well-being of all North Carolinians, providing human service needs for special populations including individuals who are deaf, blind, developmentally disabled, and mentally ill, and helping poor North Carolinians achieve economic independence.

Description of Work

Disability Determination Services is responsible for adjudicating disability applications under Social Security, Supplemental Security Income, and Medical Assistance programs. Applications are forwarded to Disability Determination Service (DDS) from local Social Security offices or in the case of Medical Assistance claims, from the County Department of Social Services. Agency personnel are responsible for obtaining medical and vocational information on applicants.

The primary purpose of the Consultative Examination Control Unit (CEC) is to schedule appointments for consultative examination (CE) requests for disability applicants and to review and approve the reports for payment once the examination is completed and received from the medical facility. The medical examinations are requested by the NC DDS Case Processing Units to assist in the adjudication of Medicaid, SSI and SSDI Social Security Claims. The unit is responsible for providing timely, accurate and knowledgeable support to the 300+ Disability Analysts in the agency, for any need involving claims that require a consultation with a medical consultant.

The unit prepares and maintains electronic files that contain accurate and detailed information on the 750+ medical consultants and facilities recruited throughout the state to perform disability evaluations. The unit provides information to agency staff regarding specific scheduling procedures, payment requirements and availability of specific tests throughout the state. The unit provides guidance to the operations staff to ensure accurate CPT and ICD 10 code selections are correct when scheduling appropriate examinations and ancillary tests. This information is critical to the proper processing of complete and accurate disability decisions and ensuring the fiscal integrity of payments to our select panel of medical consultants.

The primary purpose of the Consultative Examination Control (CEC) Assistant Supervisor position is to provide technical and supervisory guidance, training to CEC staff that process payment, schedule, and check-in medical examination requests for Disability Analysts. This position acts as a skilled negotiator and is adept in resolving complex issues regarding questions concerning past and present Consultative Examinations (CE) for a panel of 750+ active medical consultants, hospitals, and related facilities throughout the state. The CEC Unit schedules an average of 106,000 Consultative Examinations per year.

The CEC Assistant Supervisor has daily interaction with the Professional Relations Office (PRO), unit supervisors, agency analysts, unit staff and medical facilities to resolve payment or scheduling issues. In the absence of the CEC Supervisor, the CEC Assistant Supervisor maintains daily and weekly reports received from the unit in an Excel program. This information is maintained by the CEC Supervisor to determine work performance statistics for unit staff.

The CEC Assistant Supervisor prepares weekly reports of CE statistics, along with a weekly account of Broken appointments and forwards to the Executive Management Team for their review in the absence of the CEC Supervisor. The CEC Assistant Supervisor also assists the CEC Supervisor with preparing a Consolidated File Report monthly, which documents the number of CEs that are scheduled and cancellations, along with a percentage of broken appointments for the month to present at the monthly Executive Management meeting. This position in the Consultative Examination Control (CEC) Unit of DDS is also responsible for supervising, training and providing oversight to staff who schedule and check in medical appointment requests for disability analysts.

The CEC Assistant Supervisor assist the CEC Supervisor with interviewing and hiring staff, evaluating performance, establishing priorities, organizing resources, and coordinating and monitoring the workflow of the unit. This position maintains scheduling calendars and resolves issues associated with scheduling. This position is also responsible for the check in of consultative examination reports and payment issues; trains staff on the consultative process and related procedures; monitors and tracks scheduling and check in activity, responds to inquiries from medical facilities and interoffice agency staff to include management, the Professional Relations Unit and DHHS Accounting.

The CEC Assistant Supervisor serves as the assistant point of contact for the unit, provides assistance and information for all CEC related activities to the Social Security disability process and is required to act in the full range of supervisory functions for this unit in the absence of the CEC Supervisor.

Knowledge Skills and Abilities/Management Preferences

Salary Range: $41,206 -$72,113

Recruitment Range: $41,206-$72,113

Candidates now meet the minimum qualifications of a position if they have the minimum education and experience listed on the vacancy announcement.

The following Management Preferences are not required, but applicants that possess these skills are preferred.

• Demonstrated experience in written and oral communication with individuals from varying backgrounds.
• Demonstrated experience in switching between multiple tasks.

Position is funded in part through federal funds.

Posting closes at 11:59 p.m. the night before the end date.

About Disability Determination Services:

The Division of Disability Determination Services (DDS) makes medical determinations for Social Security and state Medicaid Disability claims. Social Security Disability claims are initially processed at local SSA field offices, and the case is sent to DDS to evaluate disability. DDS is responsible for obtaining medical evidence and making the initial determination on whether a person, or a claimant, is disabled or blind under the law.

Compensation and Benefits:

The State of North Carolina offers excellent comprehensive benefits. Employees can participate in health insurance options, standard and supplemental retirement plans, and the NCFlex program (numerous high-quality, low-cost benefits on a pre-tax basis). Employees also receive paid vacation, sick, and community service leave. In addition, paid parental leave is available to eligible employees.

Supplemental Contact Information:

The North Carolina Department of Health and Human Services (DHHS) is an Equal Opportunity Employer that embraces an Employment First philosophy, which consists of complying with all federal laws, state laws, and Executive Orders. We are committed to reviewing requests for reasonable accommodation at any time during the hiring process or while on the job. For more information about DHHS: https://www.ncdhhs.gov/.

DHHS uses the Merit-Based Recruitment and Selection Plan to fill positions subject to the State Human Resources Act with the most qualified individuals. Hiring salary will be based on relevant qualifications, internal equity, and budgetary considerations pertinent to the advertised position.

In accordance with the Governor’s Executive Order 303, our agency supports second-chance employment for individuals who were previously incarcerated or justice-involved. We invite all potential applicants to apply for positions for which they may be qualified.

Application Process

Be sure to complete the application in its entirety. Resumes will not be accepted in lieu of completing this application.

• Information should be provided in the appropriate areas, to include the following: Education, including high school and all degrees obtained, Work Experience, and Certificates & Licenses. It is critical to our screening and salary determination process that applications contain comprehensive candidate information.
• Answers to Supplemental Questions are not a substitute for providing all relevant information within the body of your application. To receive credit for the supplemental questions, you must provide supporting information within the "Work Experience" section of the application to support your answers.
• If multiple applications are submitted to an individual posting, only the most recent application received prior to the closing date will be accepted. Applications must be submitted by 5:00 PM on the closing date.
• Applicants may be subject to a criminal background check. All candidates selected for positions considered "Positions of Trust" will be subject to a criminal background check.
• Due to the volume of applications received, we are unable to provide information regarding the status of your application over the phone. To check the status of your application, please log in to your account. Upon the closing date, applications are "Under Review" and will be screened by Human Resources for qualified applicants. The hiring process may take several weeks.
• Degrees must be received from appropriately accredited institutions. Transcripts and degree evaluations may be uploaded with your application. The State of North Carolina/Office of State Human Resources uses the National Association of Credential Evaluation Services (NACES) as a referral resource for applicants who need to have their credentials certified as equivalent.
• For a list of organizations that perform this specialized service, please visit the NACES membership website at https://www.naces.org/members.

Degree/College Credit Verification

Degrees must be received from appropriately accredited institutions. Transcripts, degree evaluations and cover letters may be uploaded with your application.

Veterans’ and National Guard Preference

• Applicants seeking Veteran's Preference must attach a DD-214 Member-4 Form (Certificate of Release or Discharge from Active Duty) to their applications.
• Applicants seeking National Guard Preference must attach an NGB 23A (RPAS), along with the state application, if they are a current member of the NC National Guard in good standing.
• Applicants who are former members of either the NC Army National Guard or the NC Air National Guard, with honorable discharge and six years of creditable service, must attach a copy of their DD 256 or NGB 22, along with the state application.

ADA Accommodations

Consistent with the Americans with Disabilities Act (ADA) and the Pregnant Workers Fairness Act (PWFA), DHHS is committed to the full inclusion of all qualified individuals. As part of this commitment, DHHS will ensure that people with disabilities, or known limitations covered by the PWFA, are provided with reasonable accommodation. If reasonable accommodation is needed to participate in the job application or interview process, please contact the person indicated below.

Minimum Education and Experience

Some state job postings say you can qualify by an “equivalent combination of education and experience.” If that language appears below, then you may qualify through EITHER years of education OR years of directly related experience, OR a combination of both. See the Education and Experience Equivalency Guide for details.

High school diploma or General Educational Development (GED) diploma and four years of related administrative experience; or equivalent combination of education and experience.

EEO Statement

The State of North Carolina is an Equal Employment Opportunity Employer and dedicated to providing employees with a work environment free from all forms of unlawful employment discrimination, harassment, or retaliation. The state provides reasonable accommodation to employees and applicants with disabilities; known limitations related to pregnancy, childbirth, or related medical conditions; and for religious beliefs, observances, and practices.

Recruiter:

Charlene Michele Moore

Contact:

DHHS Workday Support Form