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 RECRUITMENT MAY CLOSE WITHOUT FURTHER NOTICE DEPENDING ON THE AMOUNT OF APPLICATIONS RECEIVED. APPLICANTS ARE ENCOURAGED TO APPLY AS SOON AS POSSIBLE.

The Health Care Coordinator I-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 Options 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, contact with providers, monitoring quarterly costs and a minimum of one home visit annually. This position also requires quarterly telephone contacts 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 on 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: