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State of Nevada Announces
An Open Competitive Recruitment for:
HEALTH CARE COORDINATOR 1 - NURSE
APPROXIMATE ANNUAL SALARY -  $47,710.80 to  $70,741.44  PAY GRADE: 34
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.
JOB INFORMATION
Work Type: Permanent, full time vacancies as they may occur in this geographical location.
Department: Health and Human Services
Division: Health Care Financing & Policy
Location: Las Vegas, Boulder City, Indian Springs, Jean, Henderson
Job Class Code: 12.335
RECRUITMENT INFORMATION
Announcement Number: 36999
Open to all qualified persons.
Posted 04/18/2019
Close Date: 06/12/2019
Recruiter:
   ANGELICA GONZALEZ
   Phone: (775)684-7200
   Email: angonzalez@dhhs.nv.gov
Applications accepted for another Expired
The Position
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 become familiar with Medicaid policies and procedures and receive training in the duties described above. This is the entry level in the series and progression to the journey level may occur upon successful completion of the probationary period, meeting the minimum qualifications, and with the recommendations of the appointing authority.
The Health Care Coordinator I -RN serves within the Division of Health Care Financing and Policy (DHCFP) of the Department of Health and Human Services. The incumbent of this position's duties will fall primarily under the Facility Outreach and Community Integration Services (FOCIS) unit located at the Las Vegas Medicaid District Office. FOCIS is a program created by the State of Nevada in response to the Federal Olmstead Decision. This mandate requires that individuals residing in nursing facilities, hospitals, or rehabilitation centers, be given the opportunity to explore resources as an alternative to living within an institution. Health Care Coordinators, within this unit, perform professional work related to Medicaid program operations which includes research, assessment, and care plan development in compliance with program policies and regulations. Health Care Coordinators are out in the field, meeting with recipients, or within travel up to 50%. DHCFP provides a supportive and team based atmosphere that encourages flexibility and creative collaboration. It is our goal to provide quality health care services to low-income Nevadans in the most efficient, equitable, and cost containing manner possible. To be a part of this progressive and innovative team, apply today!

To Qualify:
In order to be qualified, you must meet the following requirements:
Education and Experience (Minimum Qualifications)
    Licensure as a Registered Nurse.
Special Requirements
    A pre-employment criminal history check and fingerprinting are required. Persons offered employment in this position will be required to pay for fingerprinting.
    A valid driver's license is required at the time of appointment and as a condition of continuing employment.
    Professional licensure as a registered nurse or certification in a medical specialty issued by the appropriate licensing board in the State of Nevada is required at the time of appointment and as a condition of continuing employment.
The Examination
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.
INFORMATIONAL LINKS
For more information about state employment, visit the following:
Division of Human Resource Management: http://hr.nv.gov
Public Employees Retirement System: http://www.nvpers.org
Public Employees Benefits Program: http://pebp.state.nv.us
More Benefits Information: http://nvjobs.nv.gov/Applicants/EB
REFER A FRIEND
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Email
Direct Inquiries or Correspondence to:
Division of Human Resource Management
Northern Nevada
209 East Musser Street,
Room 101
Carson City, Nevada 89701-4204

TDD for the Hearing Impaired (800) 326-6868
Division of Human Resource Management
Southern Nevada
555 East Washington Avenue,
Suite 1400
Las Vegas, Nevada 89101-1046

TDD for the Hearing Impaired (800) 326-6868


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