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 perform the full range of duties described above. In addition, incumbents at this level may intermittently serve as the project lead of a case management team, function as coordinator of a specifically assigned protion of a program, and assist in training other Health care Coordinators and providers. This is the journey level of the series.

This position is located within the Aging and Disability Services Division (ADSD) of Health and Human Services in the Community Based Care Program in Las Vegas. ADSD provides an atmosphere of innovative thinking, teamwork, and friendly co-workers, and is a great place to work. The mission of the Aging and Disability Services Division (ADSD) is to provide leadership and advocacy in the planning, development and delivery of a high quality, comprehensive support service system across the lifespan to allow all of Nevada's elders, children and adults with disabilities or special health care needs, to live independent, meaningful and dignified lives to the greatest extent possible. Incumbent must have and maintain a current Nevada Nursing License. Incumbent will assist in providing nursing consultation and recommendations to Community Based Care staff, which includes reviewing medical records for eligibility purposes. Provide case management for the physically disabled clients as needed, including monthly contact, independent home visits with recipients in their homes and in group home settings. Incumbent will complete social health assessments and level of care screenings for eligibility purposes. Incumbent will assist with case reviews, preparing necessary forms, reports, and inputting data. Incumbent will provide training and education to subordinates in a supervisory role.

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