HEALTH CARE COORDINATOR 2 - NURSE APPROXIMATE ANNUAL SALARY -$52,032.96 to$77,402.16PAY GRADE: 36 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: A Permanent, full time vacancy Department: Health and Human Services Division: Health Care Financing & Policy Location: Las Vegas, Boulder City, Indian Springs, Jean, Henderson Job Class Code:12.334 RECRUITMENT INFORMATION Announcement Number: 35616 Open to all qualified persons. Posted10/31/2018 Recruiter: ANGELICAGONZALEZ Phone: (775)###-#### Email: ...@dhhs.nv.gov Applications accepteduntil recruitment needs are satisfied ** Qualified individuals are encouraged to apply immediately. Lists of eligible candidates will be established and hiring may occur early in the recruiting process. Recruitment will close without notice when a sufficient number of applications are received or a hiring decision has been made. 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 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 II-RN serves within the Division of Health Care Financing and Policy 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%. Incumbents should possess a degree of knowledge and proficiency sufficient to perform work independently with some training.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 see full Class Specifications visit: To Qualify: In order to be qualified, you must meet the following requirements: Education and Experience (Minimum Qualifications) Licensure as a Registered Nurse and one year of professional experience providing case management services in a social or health related field; OR one year of experience as a Health Care Coordinator I - Nurse in Nevada State service; OR licensure and an equivalent combination of education and experience. 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 State of Nevada/FBI background check will be required of the selected applicant. Professional licensure as a registered nurse 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. A valid driver's license is required at the time of appointment and as a condition of continuing employment. This position requires the incumbent to travel over a wide geographic area, either by motor vehicle or air travel, including commuter planes. Travel at least 50% of the time is required. 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. The following additional questions are part of this Recruitment 1) Please describe your experience providing case management services in a social or health related field, including where the experience was gained. INFORMATIONAL LINKS For more information about state employment, visit the following: Division of Human Resource Management: Public Employees Retirement System: Public Employees Benefits Program: REFER A FRIEND Help us reach qualified candidates! Refer a friend by clicking here: Email Direct Inquiries or Correspondence to: Division of Human Resource Management Northern Nevada 209 East Musser Street, Room 101 Carson City, Nevada 89701-4204TDD for the Hearing Impaired (800) ###-####Division of Human Resource Management Southern Nevada 555 East Washington Avenue, Suite 1400 Las Vegas, Nevada 89101-1046TDD for the Hearing Impaired (800) ###-#### To begin the application process, click on the Apply button. Click Cancel to return to the previous page.
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Associated topics: asn, cardiothoracic, care, coronary, domiciliary, hospice, nurse rn, psychiatric, surgery, unit