The salary range indicated in this announcement is based on the Employee/Employer retirement compensation schedule. An employer-only option is available at a reduced salary range. Generally, salaries start at the lowest level of a step 1 and increase with each year of service to the highest level of a step 10.

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.

Under direction, the Compliance Specialist - Registered Nurse provides medical expertise for the Division of Industrial Relations, Workers' Compensation Section. Incumbents monitor compliance and detect violations of State laws and/or regulations by medical providers, insurance carriers, Third Party Administrators (TPAs), medical billing vendors, employers, and in Permanent Partial Disability (PPD) reports; supervise lower-level Compliance/Audit Investigators; and oversee the Medical Unit in their assigned regions.

This position may be located in Carson City or Las Vegas, based upon the most qualified candidate. The Compliance Coordinator Registered Nurse manages and supervises subordinate Medical Unit staff statewide, providing medical expertise for the Division of Industrial Relations, Workers' Compensation Section. This position monitors compliance, detecting violations of State law by medical providers, insurers, third-party administrators, medical billing vendors, employers and in Permanent Partial Disability (PPD) reports. The position ensures both the Treating and Rating panels are developed and updated per statutory requirements; maintains the Treating and Rating Panels of Physicians and Chiropractic Physicians; approves and facilitates the posting of insurers' provider lists and other statutory requirements; verifies that medical providers and claim file records are complete and appropriately documented and authorized services correlate with services provided and billed; conducts interviews with stakeholders; documents findings and deficiencies appropriately; makes determinations regarding program violations including recommendations for administrative actions including fines; gathers data; revises the Medical Fee Schedule annually; provides advice and assistance in preparation of medical documentation and testimony for hearings/appeals; ensures compliance with standards of health care; trains internal and external stakeholders; investigates and recommends warning, suspension, or removal of provider from provider panels; verifies that providers and other stakeholders comply with division policies and procedures; conducts audits as assigned; coordinates and facilitates quarterly Quality Assurance Panel meetings; ensures legislative deadlines are met for Medical Unit projects; reviews and identifies errors on PPD reports and facilitates PPD Review Panel meetings; and approves and resolves medical billing disputes, writing formal determinations as needed.

The State of Nevada is an equal opportunity employer dedicated to building diverse, inclusive, and innovative work environments with employees who reflect our communities and enthusiastically serve them. All applicants are considered without regard to race, color, national origin, religion or belief, age, disability, sex, sexual orientation, gender identity or expression, pregnancy, domestic partnership, genetic information (GINA), or compensation and/or wages. *** THIS RECRUITMENT MAY CLOSE WITHOUT FURTHER NOTICE DEPENDING ON THE NUMBER OF APPLICATIONS RECEIVED. APPLICANTS ARE ENCOURAGED TO APPLY AS SOON AS POSSIBLE***

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