Remote Rn Insurance Jobs in Winston Salem, NC (NOW HIRING)

Agency
Dept of Health and Human Services
Division
Health Service Regulation
Job Classification Title
Nurse Consultant I (NS)
Position Number
60054265
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
The Registered Nurse conducts onsite and in-office licensure and certification surveys to determine whether health care providers meet State Licensure and Federal Certification requirements. The role evaluates compliance across multiple program areas, including acute hospitals, critical access hospitals, psychiatric hospitals, abortion clinics, ambulatory surgery centers, cardiac rehabilitation centers, end stage renal disease providers, portable X-ray suppliers, rural health clinics, outpatient rehabilitation therapists, and rehabilitation facilities.
Work includes completing standard and complaint surveys, preparing legally defensible deficiency reports, reviewing Plans of Correction, and responding to inquiries from the public and provider community. The position also engages with health care associations and civic groups to communicate program goals and requirements.
This home-based role operates within the Wake/Central Region and requires travel throughout assigned counties.
Key Duties Include:
- Perform onsite standard and complaint surveys to assess compliance with State Licensure and Federal Certification regulations.
- Conduct in-office documentation reviews to verify adherence to applicable regulatory criteria.
- Inspect acute hospitals, critical access hospitals, psychiatric hospitals, abortion clinics, ambulatory surgery centers, cardiac rehabilitation centers, and end stage renal disease providers for regulatory conformity.
- Use observations, interviews, and record reviews to prepare deficiency reports documenting non-compliance with required regulations.
- Review Plans of Correction submitted by providers and assess whether proposed corrective actions adequately address cited deficiencies.
- Intake complaints and concerns from the public and prepare them for investigation.
- Respond to written requests for licensure and certification information from providers, agencies, and the public.
- Provide clarification to providers and prospective providers on licensure and certification requirements and survey processes.
- Participate in meetings with health care associations, civic groups, and professional organizations to communicate program goals.
- Coordinate survey activities throughout the Wake/Central Region, including regular travel to assigned counties.
Knowledge Skills and Abilities/Management Preferences
Salary Grade Range: $62,044.00-$102,371.00
Recruitment Range: $62,044.00 - $76,066.00
Candidates now meet the minimum qualifications of a position if they meet the minimum education and experience listed on the vacancy announcement.
The Knowledge, Skills, and Abilities (KSAs)/ Management Preferences are not required. Applicants who possess the following skills are preferred:

• Expert-level management skill demonstrated through performing regulatory tasks that require independent judgment, coordinated teamwork, and oversight of complex survey activities.

• Strong oral and written communication proficiency demonstrated through preparing clear compliance documentation and engaging effectively with providers, public groups, and professional organizations.

• Advanced investigative and analytical competency demonstrated through evaluating survey observations, record reviews, interviews, and compliance evidence during licensure and certification review processes.

• Intermediate computer proficiency demonstrated through use of Windows-based systems, MS Office products, electronic data management tools, and digital submission workflows.

• Demonstrated experience applying state licensure rules, federal certification standards, and program policies across diverse health care settings, supported by prior regulatory or provider-side work.

***ANTICIPATED VACANCY***
The Posting Will Close At 11:59 P.M. The Night Before The End Date
This Position Is Funded In Part Through Federal Funds
Must Be A Licensed Registered Nurse
This Position Is A Fully Remote Work Option
This Is A Home-Based Position In The Wake /Central Region And Should Reside In Wake, Alamance, Guilford, Forsyth, Orange, Durham, Caswell Counties.
About the Division of Health Service Regulation (DHSR):
The Division of Health Service Regulation oversees medical, mental health and adult care facilities, emergency medical services, and local jails. We check to see that people receiving care in these facilities are safe and receive appropriate care. We make certain that medical buildings are built only when there is a need for them.
About the Acute and Home Care Licensure and Certification Section:
The Acute and Home Care Licensure and Certification Section oversees state-licensed and federally certified health care providers to ensure they meet all regulatory requirements related to the quality of care delivered. The section's regulatory scope covers a wide range of program areas, including clinical laboratories, acute care and psychiatric hospitals, nursing facility beds within hospitals, rural primary care hospitals, ambulatory surgery centers, cardiac rehabilitation programs, abortion clinics, home care and home health agencies, hospice agencies, nursing pools, end stage renal disease facilities, rural health clinics, outpatient rehabilitation providers, comprehensive outpatient rehabilitation facilities, and portable x-ray suppliers. In support of this oversight, the section conducts surveys and complaint investigations to verify continued compliance with state and federal laws governing health care quality.
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. Visit the website for State Benefits.
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 11:59 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 the 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.
CONTACT INFORMATION
If there are any questions about this posting, please contact Talent Acquisition at talentacquisition@dhhs.nc.gov. Resumes will not be accepted in lieu of completing this application.
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.
Licensed to practice as a Registered Nurse in the State of North Carolina and one year of experience in the area of specialization.
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:
Tresha Walker
Email:
talentacquisition@dhhs.nc.gov