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 position is located within the Aging and Disability Services Division (ADSD) of the Department of Health and Human Services - Community Based Care, and will be located in Las Vegas, NV. ADSD provides an atmosphere of innovative thinking, teamwork, friendly co-workers, and promotes a positive work environment. 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. As part of the Community Based Care unit, this position is responsible for medical consultation and Intermediary Service Organization (ISO) evaluations, oversight of the development of plan of care for self directed services and authorization for those services, staff training and supervision, safety management, program and policy development, and medical consultation for home and community based programs and oversight of Personal Assistance Services Program. Additionally, this position is an integral leadership position for Quality Management initiatives. This position also works closely with the provider community to ensure that policy, regulations and laws are being followed. This position is key in staff and provider training for person centered planning and evaluation and implementation of the Centers for Medicare and Medicaid Services (CMS) "New Rules" for home based settings that are required for continued qualifications and federal match payments for waiver services.

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