OAAS Appeals - Coordinator 1
Location: Baton Rouge, La · Type: Full time · Posted: 2026-08-12 ·
Reference: R-002117
Thank you for your interest in LSU New Orleans.
Once you start the application process, you will not be able to save your
work, so you should collect all required information before you begin. The
required information is listed below in the job posting.
You must complete all required portions of the application and attach the
required documents in order to be considered for employment.
Department
Program Integrity
Job Summary
Job Description
Receive appeal notices and updates, create files for new appeals received,
and maintain files appropriately.
Review new appeals for the adverse action, reason for appeal, and
timeliness of submission.
Request Decision/Denial letters on new appeals received.
Research data materials to accumulate evidence, prepare summary of
evidence (SOE) packets, upload final SOE packets to the Division of
Administrative Law SharePoint site, and download rendered decision from
appeal hearings via SharePoint.
Coordinate with responsible parties, such as other LDH appeal staff, the
Division of Administrative Law (DAL) personnel, and the designated
contracted agencies.
Enter all of the initial data into the Appeals Log once the file has been
reviewed, and update the appeals log as needed for each case throughout
the entire appeals process.
Schedule appeal hearings and represent LDH by presentation of evidence
during appeal hearings.
Extend and follow up on Prior Authorization for appeals with existing
services.
Update the electronic file with decisions.
Monitor and analyze reports and evaluate monitored findings relative to
level of care eligibility and other programmatic policy in Office of Aging
and Adult Services (OAAS) programs.
Meet with various LDH staff and contracted consultants as needs arise, and
respond to routine, verbal, and written inquiries from agencies,
legislators, government officials, general public, and participants as
directed by supervisor.
Plan and/or conduct/assist with staff meetings, conferences, and assist
with training for staff, self-advocates, and providers.
Provide systems data to supervisor as needed for analytical reports, and
participate in implementation of special programs, projects, and the
collection of data for special projects and reports.
Other tasks as assigned.
QUALIFICATIONS
REQUIRED:
Bachelor's degree, or Associate's degree plus 3 years of professional
experience, or 6 years of professional work experience.
Excellent analytical skills, effective organizational and time management
skills.
Excellent verbal and written communications skills.
Proficient in the use of Microsoft Office, including but not limited to
Outlook, Word, and Excel.
DESIRED:
Advanced degree.
Minimum 1 year of professional experience in health care field, appeals,
or LTC program support.
Minimum 1 year of professional experience working with Louisiana's Office
of Aging and Adult Services (OAAS) Long Term- Personal Care Services
(LT-PCS) policies and procedures.
Minimum 1 year of professional experience working with Nursing Facility
Level of Care (NFLOC) Determinations and assessment tools.
Relevant industry certifications.
SALARY: 37-47k
Required Attachments
Please upload the following documents in the Resume/Cover Letter section.
Detailed resume listing relevant qualifications and experience;
Cover Letter indicating why you are a good fit for the position and LSU
New Orleans;
Names and contact information of three references;
Applications that do not include the required uploaded documents may not be
considered.
Posting Close Date
This position will remain open until filled.
Note to Applicant:
Applicants should fully describe their qualifications and experience with
specific reference to each of the minimum and preferred qualifications in
their cover letter. The search committee will use this information during the
initial review of application materials.
References will be contacted at the appropriate phase of the recruitment
process.
This position may require a criminal background check to be conducted on the
candidate(s) selected for hire.
As part of the hiring process, applicants for positions at LSU New Orleans may
be required to demonstrate the ability to perform job-related tasks.
LSU New Orleans seeks to recruit a highly productive workforce and will
provide equal employment opportunities to all employees and prospective
employees. Employment decisions shall be based strictly on merit and without
regard to religious or political beliefs, sex, race, or any other non-merit
factor.
