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.

*** THIS RECRUITMENT MAY CLOSE AT ANY TIME BASED ON THE AMOUNT OF APPLICATIONS RECEIVED. APPLICANTS ARE ENCOURAGED TO APPLY AS SOON AS POSSIBLE. ***

This Health Care Coordinator II-Nurse position is under the direction of the Department of Health and Human Services, Division of Health Care Financing and Policy, and is located in the Las Vegas District Office. This position will provide case management services to disabled children (recipients) eligible under the Katie Beckett Eligibility Option as determined by the Division of Welfare and Supportive Services. Case management includes assessment of level of care (LOC) for new referrals and redeterminations, oversight and coordination of services, contract with providers, monitoring quarterly cost and a minimum of one home visit annually. This position also requires quarterly telephone contracts with the recipient's parent or legal guardian. Case Mix Review includes on site review of Minimum Data Set (MDS) documentation of long term care facilities to validate and ensure adequacy of services to Medicaid eligible recipients. The successful candidate will need to complete certification by the American Association of Nurse Assessment Coordinators (AANAC) as a Resident Assessment Coordinator (RAC-CT) after a period of training. The travel requirements for this position are less than 50%

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