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 Health Care Coordinator 4-Nurse supervisor position is under the direction of the Department of Health and Human Services, Division of Health Care Financing and Policy (DHCFP), and is located in the Las Vegas District Office. This position is responsible for supervising subordinate Health Care Coordinators and Administrative Assistants, including the hiring, evaluating performance, and administering disciplinary action. The position plans and organizes unit operations; develops procedures and guidelines; coordinates staff activities; evaluates the quality and quantity of the work performed; prepares reports and recommendations to management; plans, arranges and trains staff members; participates in community and public relations; and assists with budgetary recommendations such as staffing, travel and program needs. This position supervises case management services to disabled children (recipients) eligible under the Katie Beckett Eligibility Option as determined by the Division of Welfare and Supportive Services. This position also supervises the Case Mix Review team and 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 of 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: