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 portion of a program, and assist in training other Health care Coordinators and providers. This is the journey level of the series.

The Health Care Coordinator will work in the Behavioral Health section of the Clinical Policy Team in the DHCFP unit. This position is responsible for overseeing the Residential Treatment Centers/Psychiatric Residential Treatment Facilities, Inpatient Psychiatric Hospitals and Targeted Case Management. The incumbent will be required to research/analyze federal and state regulations and other best practices. The incumbent will be required to work with contracted staff, providers, other state agencies, and stakeholders to educate and outreach on policies and procedures. The incumbent will be responsible for working directly with providers to assist in facilitating placements when necessary. The incumbent must have the ability to use Microsoft Office programs and the ability to travel up to 25%. A behavioral health background is preferred.

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