Nurse Consultant I

State of North Carolina · Burke County · $62,044–$102,371 (stated in the posting)

Apply on the company website

Agency

Dept of Health and Human Services

Division

Broughton Hospital

Job Classification Title

Nurse Consultant I (NS)

Position Number

65020925

Grade

MH16

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

Broughton Hospital is seeking a detail‑oriented and collaborative Nurse Consultant to join our Utilization Review (UR) Department. In this role, you will perform initial, continued stay, and retrospective reviews and prepare and submit appeal requests as needed. Your work ensures that services delivered are medically necessary, supports optimal reimbursement, and maintains compliance with federal and state regulations, accrediting bodies, and internal policies. You will work closely with Medicare, Medicaid, and commercial insurers to complete timely clinical reviews. In addition, you will serve as a resource to interdisciplinary team members by providing guidance on documentation quality, patient acuity, and level‑of‑care standards. The position also supports data collection and reporting for the Department of Operated Health Facilities, hospital leadership, and the Utilization Review Committee.

The standard work schedule is Monday through Friday, 7:00 a.m. to 4:00 p.m. Some flexibility may be required for training or to meet operational needs.

Knowledge Skills and Abilities/Management Preferences

Recruitment Range $62,044 - $102,371 

The Knowledge, Skills, and Abilities (KSAs)/ Management Preferences are not required. Applicants who possess the following skills are preferred: 


Management Preferences:  

Conditional Requirements: Selected applicants must be able to pass a State Bureau of Investigation Criminal History Check, and complete and pass BLS/CPR training and Crisis Prevention Intervention (CPI) training during orientation. 


This Position Is Designated As Mandatory And Must Report Or Stay Over During Adverse Weather Events. 

About the Facility: 

Broughton Hospital is one of the three regional psychiatric hospitals with statutory responsibility for operating as part of the Division of State Operated Healthcare Facilities (DSOHF).  With the North Carolina Department of Health and Human Services, we provide help and support to North Carolinians, and their families, experiencing mental illness. Our hospital serves the western thirty-seven (37) counties of North Carolina, as part of the state's system of care and treatment for persons with mental illness. 


Supplemental Contact Information: 

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. 

Positions in the Division of State Operated Healthcare Facilities shall be subject to pre-employment drug testing and criminal record background checks. Also, the use of tobacco products of any kind including vapor products are prohibited from our campuses. All employees are required to adhere to the facility's Vaccination Policy. 


Application Process 

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

Veteran’s and National Guard Preference 


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. 


Applicants will be communicated via email only for updates on the status of their application. If there are any questions about this posting other than your application status, please contact HR at 828-608-4130. 


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.


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. 

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:

Tandrea Lanae Jones

Contact:

DHHS Workday Support Form


More jobs at State of North Carolina · Healthcare & Care jobs in Burke County