HEALTH CARE COORDINATOR 1
- Bilingual Spanish/English - Underfill for a Health Care Coordinator 2
APPROXIMATE ANNUAL SALARY -
PAY GRADE: 32
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.
Work Type: Permanent, full time vacancies as they may occur
in this geographical location.
Health Care Coordinators perform professional work related to Medicaid program operations and auditing providers to ensure compliance with program policies and regulations.
Incumbents perform in a trainee capacity and acquire the knowledge, skills and abilities required in this occupation.
This position is with the Department of Health and Human Services in the Division of Health Care Financing and Policy (DHCFP / Medicaid) and is located in the Care Coordination Unit at the DHCFP Las Vegas District Office. This position requires less than ten percent of time travelling within the Las Vegas District Office catchment area.
Health Care Coordinators (HCC's) evaluate individuals referred to the medical services program and provide ongoing case management services to Medicaid eligible clients; evaluate the need for medical services, treatment, equipment, and supplies and authorize payment; screen individuals to determine appropriate level of care in nursing homes; review programs and participate in program development. The Health Care Coordinator in this position uses multiple databases to research recipient data, eligibility information, and computer system interface issues. This position will assist the staff on the customer service phone lines to provide the recipient information regarding benefits and to troubleshoot complicated access to care issues. The position is part of a team of dedicated staff working to ensure services provided by the unit attain goals of prevention, early intervention and quality of care for eligible individuals and offers a family-friendly schedule.
In order to be qualified, you must meet the following requirements:
Education and Experience (Minimum Qualifications)
Licensure as a Social Worker or professional licensure or certification in a medical specialty applicable to the assignment.
A valid driver's license is required at the time of appointment and as a condition of continuing employment.
A pre-employment criminal history check and fingerprinting are required. Persons offered employment in this position will be required to pay for these items.
A State of Nevada/FBI background check will be required of the selected applicant.
Professional licensure or certification as a social worker, nurse or in a medical specialty issued by the appropriate licensing board in the State of Nevada at the time of appointment. Incumbents must maintain professional licensure or certification in their specialty as a condition of continuing employment.
Travel up to 50% of the time is required.
Additional Position Experience
This position requires the applicant to be fluent in Spanish and English.
Application Evaluation Exam
The exam will consist of an application evaluation. It is essential that applications include detailed information with time frames regarding education and experience. The most qualified applicants will be contacted by the hiring agency for interview. The hiring agency may require specific skills related testing as part of the interviewing process.