For more information on benefit and retirement programs, please see the sections below.
In order to receive consideration, applicants must indicate their availability for any work type, travel, and location requirements listed.

Health Care Coordinators perform professional work related to program operations and auditing providers to ensure compliance with program policies and regulations. Assess potential client needs for case management services using assessment tools to identify social service and/or medical needs; participate in periodic reviews of facilities providing care to Medicaid eligible clients to validate and ensure adequacy of services and resident care. Review health care providers and fiscal agents to ensure clients are receiving appropriate services and payment is correct for services received, process payment authorization requests from providers to ensure the requested service, treatment, equipment or supplies are medically necessary and in compliance with Medicaid criteria prior to approving or denying requests. Review records from the fiscal agent, providers, clients and computer generated reports in order to identify abuse and potential fraud and to ensure claims were paid properly by the fiscal agent. Explain proper billing procedures to contract providers selected by the client; monitor the quality of care given by the provider to clients; and submit billings for services provided to the fiscal agent for payment.

Incumbents become familiar with Medicaid policies and procedures and receive training in the duties described above. This is the entry level in the series and progression to the journey level may occur upon successful completion of the probationary period, meeting the minimum qualifications, and with the recommendations of the appointing authority.

This position is located within the Department of Health and Human Services/Division of Health Care Financing and Policy/Reno District Office. This is a Health Care Coordinator II-RN position. The incumbent will be primarily responsible for providing case management for recipients in the HCBW for Persons with Physical Disabilities. The incumbent must be able to determine if an individual meets the criteria for placement on the waiver. The waiver provides personal and in home supportive services to assist the recipient to remain in a community setting or to return home if institutionalized. The incumbent may also conduct reviews of personal care service agencies, evaluate serious occurrence reports, and provide care coordination to Medicaid recipients per federal and Medicaid policy.

In order to be qualified, you must meet the following requirements: