What are the responsibilities and job description for the HEALTH CARE COORDINATOR 2 - NURSE position at State of Nevada?
State of Nevada Announces
An Open Competitive Recruitment for:
HEALTH CARE COORDINATOR 2 - NURSE
APPROXIMATE ANNUAL SALARY - $67,296.24 to $100,098.72 PAY GRADE: 36
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.
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: Reno, Sparks
Job Class Code: 12.334
RECRUITMENT INFORMATION
Announcement Number: 51027
Open to all qualified persons.
Posted 04/03/2025
Close Date: 04/10/2025
Recruiter:
ANA MARIA ORNELLAS
Phone: (775)684-0151
Email: aornellas@admin.nv.gov
ANA MARIA ORNELLAS
Phone: (775)684-0151
Email: aornellas@admin.nv.gov
Applications accepted for another 6 Days 20 Hrs 12 Mins
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.
This opening is for a Health Care Coordinator 2 - Nurse within the Division of Health Care Financing and Policy District Office, in Reno. This Health Care Coordinator 2 (HCC) position with case management experience to manage the cases of children cared for in the home on the Katie Beckett Eligibility Option. HCCs 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. Health Care Coordinators in this position use multiple databases to research recipient data, eligibility information, and computer system interface issues. This position accepts Care Coordination cases and assists Medicaid recipients in accessing their healthcare and assessing their needs to prevent further serious occurrences. ***THIS RECRUITMENT MAY CLOSE WITHOUT FURTHER NOTICE DEPENDING ON THE NUMBER OF APPLICATIONS RECEIVED. APPLICANTS ARE ENCOURAGED TO APPLY AS SOON AS POSSIBLE***
To see full Class Specifications visit: http://hr.nv.gov/Resources/ClassSpecs/Class_Specifications-12_0/
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.
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.
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: https://pebp.nv.gov/
More Benefits Information: http://nvjobs.nv.gov/Applicants/EB
Division of Human Resource Management: http://hr.nv.gov
Public Employees Retirement System: http://www.nvpers.org
Public Employees Benefits Program: https://pebp.nv.gov/
More Benefits Information: http://nvjobs.nv.gov/Applicants/EB
Salary : $67,296 - $100,099
