Department of Budget and Management

**Please note that your answers on the supplemental questionnaire must correspond to the information provided on your application to receive credit. Applications that do not include a completed supplemental questionnaire will be considered incomplete and may be subject to disapproval.**

Do you possess a current license as a Registered Nurse from the Maryland State Board of Nursing, or a license recognized by the Multi-State Compact agreement?

Please provide your license number and expiration date in the box below.

Do you possess a master's degree in nursing or a related field?

Please describe your experience as a Registered Nurse in an administrative, supervisory, consultative or teaching capacity. 

Please include name of employer, job title, dates of employment, and hours worked per week. If you do not possess experience in this area, put N/A in the box below. 

Describe your experience reviewing medical documentation, triaging escalated constituent/client concerns (grievances), and working as part of a multidisciplinary team/unit to ensure appropriate resolution.

This experience should be included on your application, including hours and dates worked. If you do not possess this type of experience, please put N/A in the text box.

Describe your experience working with or familiarity with the Maryland Medicaid Home and Community-Based Waiver and State Plan programs.

This experience should be included on your application, including hours and dates worked. If you do not possess this type of experience, please put N/A in the text box.

Describe your experience developing and implementing standard operating procedures, policies and regulations.

This experience should be included on your application, including hours and dates worked. If you do not possess this type of experience, please put N/A in the text box.

Describe your experience with data management systems for the purpose of tracking, trending, monitoring, and presenting recommendations to leadership.

This experience should be included on your application, including hours and dates worked. If you do not possess this type of experience, please put N/A in the text box.

Describe your experience working with various stakeholders and be able to participate in or lead stakeholder engagements appropriately and professionally.  

Please include name of employer, job title, dates of employment, and hours worked per week, this information must also be reflected in your application.  If you do not possess experience in this area, put N/A in the box below.