City of Fremont, CA
Fremont, California, United States
Description The City of Fremont's Human Services Department is recruiting for Senior Program Coordinator VIEW OUR RECRUITMENT BROCHURE The Department The Human Services Department (HSD) delivers and supports services by forging long-term community partnerships; engaging with and building the capacity of the community to do its own problem- solving; and leveraging financial and volunteer resources. The Department’s nationally and internationally recognized programs support thousands of residents throughout their life course, from infants to elders. The department offers a hybrid working environment which is friendly, supportive, collegial and, where staff of many disciplines come together to problem solve, compassionately assist those in need, learn together and share successes. The Aging and Family Services Division (AFS) of HSD specifically supports older residents and their caregivers to live active, healthy lives in the Tri-City community. With input from local, older adults (age 55 years+) as our guide, the AFS team strives to provide a continuum of supportive services that range from health promotion activities to home-based end of life care. AFS has a Senior InfoLine (phone and email) that is answered in 4 languages (Farsi, English, Spanish and Chinese) that is often an entry point. As an older adult or their caregiver’s situation changes, they seamlessly have access to a continuum of programs that include counseling and emotional support; care coordination and resource assistance; specialized family caregiver support and education. Many of these supportive services are provided in the resident’s home. We also provide regular expert clinical consultation, supervision, opportunities for self-reflection, and team building, fostering a culture of empathy, inclusivity, humility, and respect. First Review of Applications The first review of applications is May 6, 2024, at 12:00 p.m. (PT). This recruitment may close without notice after this date so interested applicants are encouraged to apply immediately. A resume and supplemental questionnaire (part of the online application) must be submitted with the completed City application. To be considered for this outstanding employment opportunity, please complete an application online by clicking "Apply" just above this box. Selection Process The process may include individual and/or panel interviews, professional reference checks, fingerprint check for criminal history and other related components. Only those candidates who have the best combination of qualifications in relation to the requirements and duties of the position will continue in the selection process. Meeting the minimum qualifications does not guarantee an invitation to participate in the process. Reasonable Accommodation Human Resources will make reasonable efforts in the examination process to accommodate persons with disabilities. Please advise Human Resources of any special needs a minimum of 5 days in advance of the selection process by calling (510) 494-4660 or emailing humanresources@fremont.gov . Contact Us For additional information, please contact Human Resources Department at: humanresources@fremont.gov . The information contained herein is subject to change and does not constitute either an expressed or implied contract. _______________________________________________________________________________ Senior Program Coordinator Class Specification Definition Under general supervision, the Senior Program Coordinator plans, implements, manages and evaluates community programs in the Human Services Department. Class Characteristics This classification is characterized by having principal responsibility for development and delivery of programs in support of a variety of senior and family support services provided through the Human Services Department. Incumbents often carry a client caseload. Incumbents act as the primary community contact point for programs. Assignments and objectives are generally outlined; work is performed with a high degree of independence. This position is distinguished from the Program Coordinator by its responsibility for managing established programs that have been identified as a priority of the department, and for supervision and training of a significant number of staff assigned to the programs. Essential Functions Position exists in a variety of departments. Not all functions are essential in all departments depending on department needs. • Administers one or more established program areas. • Assumes direct responsibility for program design and implementation. • Authorizes modifications to existing programs and develops proposals for new programs. • Oversees day-to-day program operations. • Assigns and monitors the work of individuals who lead support groups and counsel with clients. • Completes intake evaluations, utilization reviews and client summaries. • Develops and presents training programs. • Conducts meetings with community groups, employers, service providers and/or members of the community. • Serves as liaison to citizen advisory bodies. • Prepares and monitors program budgets. • Researches potential grant opportunities and writes grant proposals. • Develops and implements program market strategies including print media and public events. • Coordinates programs with community service providers. • Performs outreach/public speaking activities to promote program(s) in the community. • Develops and maintains strong working relationships with City departments, hospitals, health care professionals, family services providers and the community-at-large. • Maintains program documentation. • Prepares written and statistical reports. • Supervises substantial numbers of service and/or clerical staff, interns and volunteers. • Participates in meetings as required. In addition to the above, incumbents assigned to the Infant-Toddler Program perform the following essential functions: • Receives and reviews requests for services. • Conducts intake evaluations to determine type and severity of problems. • Determines counseling objectives. • Establishes diagnostic and treatment plans. • Interviews clients, relatives and other involved persons to evaluate clients' needs and assess clients' condition. • Observes client behavior and modifies treatment plan to incorporate new information and changing perceptions. • Coordinates plan with staff, other agencies, institutions, private practitioners and law enforcement personnel. • Performs individual, family and group counseling to enhance mental and emotional health, level of social functioning and independent living for children, adolescents, adults and older adults using a variety of therapeutic and counseling techniques. • Refers clients to available therapeutic, social service, educational and medical resources when appropriate. • Conducts crisis intervention as necessary. • Provides case management services to clients. • Opens cases and establishes and maintains case files. • Explains treatment facility procedures and clients' rights and responsibilities. • Prepares correspondence and reports on client histories, treatment progress and other matters related to case treatment. Marginal Functions • Other duties as assigned. Minimum Qualifications Knowledge, Skills and Abilities Knowledge of: The techniques and methodology of educational and social service program design, development, and administration; manual and automated record keeping systems; needs assessment and program evaluation practices and techniques; local and/or regional resources available to meet the needs of the targeted population; the principles and practices of program administration and budgeting; cost center budgeting; practices and techniques used to hire and train staff and volunteers; practices of supervision; program marketing and public relations techniques; the preparation of written and verbal reports. Ability to: Conduct needs assessments, surveys and focus groups in order to plan for community's needs; develop, plan, organize, and implement programs; gather data and report customer satisfaction feedback; determine and implement the appropriate course of action in emergency or stressful situations; develop and maintain effective working relationships with other staff, agencies, service providers, and institutions; participate in the development and implementation of operational policies and procedures; assist staff, interns and volunteers in establishing effective relationships with clients from a variety of socioeconomic and ethnic backgrounds and age groups; evaluate staff effectiveness and prepare performance appraisals; work independently; prepare concise narrative and statistical reports and evaluations, using appropriate word processing and spreadsheet technology; communicate effectively both verbally and in writing. In addition to the above, incumbents assigned to the Infant-Toddler Program must have the knowledge, skills and abilities to provide mental health treatment and clinical case management. Incumbents must possess the physical and mental capacity to work under the conditions described in this document and to perform the duties required by their assigned position. Education/Experience Any combination of education and/or experience that has provided the knowledge and skills necessary to satisfactory job performance would be qualifying. A typical way to obtain the required knowledge and skills would be: Education and/or experience equivalent to graduation from an accredited college or university with a Master's degree in recreation, social services, or a related field and two (2) years of experience in developing programs and providing services for youth, elderly, or families. Two years of supervisory experience is desirable. In addition, the position in Infant-Toddler Programs requires one of the following licenses from the State of California: Licensed Clinical Social Worker (LCSW), licensed psychologist, or Marriage and Family Therapist (MFT). Licenses/Certificates/Special Requirements Position incumbents may be required to work other than normal office hours. This position requires the ability to travel independently within and outside of the City limits to fulfill assigned duties and responsibilities. Physical and Environmental Demands Rare = 66% Sitting: Constant Walking: Occasional Standing: Occasional Bending (neck): Frequent Bending (waist): Rare Squatting: Rare Climbing: Rare Kneeling: Rare Crawling: Never Jumping: Never Balancing: Never Twisting (neck): Occasional Twisting (waist): Never Grasp - light (dominant hand): Occasional Grasp - light (non-dominant): Occasional Grasp - firm (dominant hand): Rare Grasp - firm (non-dominant): Rare Fine manipulation (dominant): Occasional Fine manipulation (non-dominant): Occasional Reach - at/below shoulder: Occasional Reach - above shoulder level: Rare Push/pull: Up to 10 lbs. Rare - setting up conference rooms 11 to 25 lbs. Rare - setting up conference rooms 26 to 50 lbs. Rare - setting up conference rooms 51 to 75 lbs. Never 76 to 100 lbs. Never Over 100 lbs. Never Lifting: Up to 10 lbs. Occasional 11 to 25 lbs. Rare 26 to 50 lbs. Rare 51 to 75 lbs. Never 76 to 100 lbs. Never Over 100 lbs. Never Carrying: Up to 10 lbs. Occasional 11 to 25 lbs. Rare 26 to 50 lbs. Rare 51 to 75 lbs. Never 76 to 100 lbs. Never Over 100 lbs. Never Coordination: Eye-hand: Required Eye-hand-foot: Required Driving: Required Vision: Acuity, near: Required Acuity, far: Required Depth perception: Required Accommodation: Required Color vision: Required Field of vision: Required Talking: Face-to-face contact: Required Verbal contact w/others: Required Public: Required Hearing: Normal conversation: Required Telephone communication: Required Earplugs required: Not required Work environment: Works outdoors only when traveling to home visits and to meetings. Works indoors using computer monitor, works around others, works alone, works with others. Class Code: 7540 FLSA: Non-exempt EEOC Code: 3 Barg. Unit: CFEA Probation: 12 months Rev.: 11/15 The City of Fremont offers a comprehensive benefit package including general and holiday leave as well as medical, dental, vision, life, and long/short-term disability insurance. To view a summary of the benefits the City offers, please visit: City of Fremont Benefits Summary Closing Date/Time: Continuous
Apr 18, 2024
Full Time
Description The City of Fremont's Human Services Department is recruiting for Senior Program Coordinator VIEW OUR RECRUITMENT BROCHURE The Department The Human Services Department (HSD) delivers and supports services by forging long-term community partnerships; engaging with and building the capacity of the community to do its own problem- solving; and leveraging financial and volunteer resources. The Department’s nationally and internationally recognized programs support thousands of residents throughout their life course, from infants to elders. The department offers a hybrid working environment which is friendly, supportive, collegial and, where staff of many disciplines come together to problem solve, compassionately assist those in need, learn together and share successes. The Aging and Family Services Division (AFS) of HSD specifically supports older residents and their caregivers to live active, healthy lives in the Tri-City community. With input from local, older adults (age 55 years+) as our guide, the AFS team strives to provide a continuum of supportive services that range from health promotion activities to home-based end of life care. AFS has a Senior InfoLine (phone and email) that is answered in 4 languages (Farsi, English, Spanish and Chinese) that is often an entry point. As an older adult or their caregiver’s situation changes, they seamlessly have access to a continuum of programs that include counseling and emotional support; care coordination and resource assistance; specialized family caregiver support and education. Many of these supportive services are provided in the resident’s home. We also provide regular expert clinical consultation, supervision, opportunities for self-reflection, and team building, fostering a culture of empathy, inclusivity, humility, and respect. First Review of Applications The first review of applications is May 6, 2024, at 12:00 p.m. (PT). This recruitment may close without notice after this date so interested applicants are encouraged to apply immediately. A resume and supplemental questionnaire (part of the online application) must be submitted with the completed City application. To be considered for this outstanding employment opportunity, please complete an application online by clicking "Apply" just above this box. Selection Process The process may include individual and/or panel interviews, professional reference checks, fingerprint check for criminal history and other related components. Only those candidates who have the best combination of qualifications in relation to the requirements and duties of the position will continue in the selection process. Meeting the minimum qualifications does not guarantee an invitation to participate in the process. Reasonable Accommodation Human Resources will make reasonable efforts in the examination process to accommodate persons with disabilities. Please advise Human Resources of any special needs a minimum of 5 days in advance of the selection process by calling (510) 494-4660 or emailing humanresources@fremont.gov . Contact Us For additional information, please contact Human Resources Department at: humanresources@fremont.gov . The information contained herein is subject to change and does not constitute either an expressed or implied contract. _______________________________________________________________________________ Senior Program Coordinator Class Specification Definition Under general supervision, the Senior Program Coordinator plans, implements, manages and evaluates community programs in the Human Services Department. Class Characteristics This classification is characterized by having principal responsibility for development and delivery of programs in support of a variety of senior and family support services provided through the Human Services Department. Incumbents often carry a client caseload. Incumbents act as the primary community contact point for programs. Assignments and objectives are generally outlined; work is performed with a high degree of independence. This position is distinguished from the Program Coordinator by its responsibility for managing established programs that have been identified as a priority of the department, and for supervision and training of a significant number of staff assigned to the programs. Essential Functions Position exists in a variety of departments. Not all functions are essential in all departments depending on department needs. • Administers one or more established program areas. • Assumes direct responsibility for program design and implementation. • Authorizes modifications to existing programs and develops proposals for new programs. • Oversees day-to-day program operations. • Assigns and monitors the work of individuals who lead support groups and counsel with clients. • Completes intake evaluations, utilization reviews and client summaries. • Develops and presents training programs. • Conducts meetings with community groups, employers, service providers and/or members of the community. • Serves as liaison to citizen advisory bodies. • Prepares and monitors program budgets. • Researches potential grant opportunities and writes grant proposals. • Develops and implements program market strategies including print media and public events. • Coordinates programs with community service providers. • Performs outreach/public speaking activities to promote program(s) in the community. • Develops and maintains strong working relationships with City departments, hospitals, health care professionals, family services providers and the community-at-large. • Maintains program documentation. • Prepares written and statistical reports. • Supervises substantial numbers of service and/or clerical staff, interns and volunteers. • Participates in meetings as required. In addition to the above, incumbents assigned to the Infant-Toddler Program perform the following essential functions: • Receives and reviews requests for services. • Conducts intake evaluations to determine type and severity of problems. • Determines counseling objectives. • Establishes diagnostic and treatment plans. • Interviews clients, relatives and other involved persons to evaluate clients' needs and assess clients' condition. • Observes client behavior and modifies treatment plan to incorporate new information and changing perceptions. • Coordinates plan with staff, other agencies, institutions, private practitioners and law enforcement personnel. • Performs individual, family and group counseling to enhance mental and emotional health, level of social functioning and independent living for children, adolescents, adults and older adults using a variety of therapeutic and counseling techniques. • Refers clients to available therapeutic, social service, educational and medical resources when appropriate. • Conducts crisis intervention as necessary. • Provides case management services to clients. • Opens cases and establishes and maintains case files. • Explains treatment facility procedures and clients' rights and responsibilities. • Prepares correspondence and reports on client histories, treatment progress and other matters related to case treatment. Marginal Functions • Other duties as assigned. Minimum Qualifications Knowledge, Skills and Abilities Knowledge of: The techniques and methodology of educational and social service program design, development, and administration; manual and automated record keeping systems; needs assessment and program evaluation practices and techniques; local and/or regional resources available to meet the needs of the targeted population; the principles and practices of program administration and budgeting; cost center budgeting; practices and techniques used to hire and train staff and volunteers; practices of supervision; program marketing and public relations techniques; the preparation of written and verbal reports. Ability to: Conduct needs assessments, surveys and focus groups in order to plan for community's needs; develop, plan, organize, and implement programs; gather data and report customer satisfaction feedback; determine and implement the appropriate course of action in emergency or stressful situations; develop and maintain effective working relationships with other staff, agencies, service providers, and institutions; participate in the development and implementation of operational policies and procedures; assist staff, interns and volunteers in establishing effective relationships with clients from a variety of socioeconomic and ethnic backgrounds and age groups; evaluate staff effectiveness and prepare performance appraisals; work independently; prepare concise narrative and statistical reports and evaluations, using appropriate word processing and spreadsheet technology; communicate effectively both verbally and in writing. In addition to the above, incumbents assigned to the Infant-Toddler Program must have the knowledge, skills and abilities to provide mental health treatment and clinical case management. Incumbents must possess the physical and mental capacity to work under the conditions described in this document and to perform the duties required by their assigned position. Education/Experience Any combination of education and/or experience that has provided the knowledge and skills necessary to satisfactory job performance would be qualifying. A typical way to obtain the required knowledge and skills would be: Education and/or experience equivalent to graduation from an accredited college or university with a Master's degree in recreation, social services, or a related field and two (2) years of experience in developing programs and providing services for youth, elderly, or families. Two years of supervisory experience is desirable. In addition, the position in Infant-Toddler Programs requires one of the following licenses from the State of California: Licensed Clinical Social Worker (LCSW), licensed psychologist, or Marriage and Family Therapist (MFT). Licenses/Certificates/Special Requirements Position incumbents may be required to work other than normal office hours. This position requires the ability to travel independently within and outside of the City limits to fulfill assigned duties and responsibilities. Physical and Environmental Demands Rare = 66% Sitting: Constant Walking: Occasional Standing: Occasional Bending (neck): Frequent Bending (waist): Rare Squatting: Rare Climbing: Rare Kneeling: Rare Crawling: Never Jumping: Never Balancing: Never Twisting (neck): Occasional Twisting (waist): Never Grasp - light (dominant hand): Occasional Grasp - light (non-dominant): Occasional Grasp - firm (dominant hand): Rare Grasp - firm (non-dominant): Rare Fine manipulation (dominant): Occasional Fine manipulation (non-dominant): Occasional Reach - at/below shoulder: Occasional Reach - above shoulder level: Rare Push/pull: Up to 10 lbs. Rare - setting up conference rooms 11 to 25 lbs. Rare - setting up conference rooms 26 to 50 lbs. Rare - setting up conference rooms 51 to 75 lbs. Never 76 to 100 lbs. Never Over 100 lbs. Never Lifting: Up to 10 lbs. Occasional 11 to 25 lbs. Rare 26 to 50 lbs. Rare 51 to 75 lbs. Never 76 to 100 lbs. Never Over 100 lbs. Never Carrying: Up to 10 lbs. Occasional 11 to 25 lbs. Rare 26 to 50 lbs. Rare 51 to 75 lbs. Never 76 to 100 lbs. Never Over 100 lbs. Never Coordination: Eye-hand: Required Eye-hand-foot: Required Driving: Required Vision: Acuity, near: Required Acuity, far: Required Depth perception: Required Accommodation: Required Color vision: Required Field of vision: Required Talking: Face-to-face contact: Required Verbal contact w/others: Required Public: Required Hearing: Normal conversation: Required Telephone communication: Required Earplugs required: Not required Work environment: Works outdoors only when traveling to home visits and to meetings. Works indoors using computer monitor, works around others, works alone, works with others. Class Code: 7540 FLSA: Non-exempt EEOC Code: 3 Barg. Unit: CFEA Probation: 12 months Rev.: 11/15 The City of Fremont offers a comprehensive benefit package including general and holiday leave as well as medical, dental, vision, life, and long/short-term disability insurance. To view a summary of the benefits the City offers, please visit: City of Fremont Benefits Summary Closing Date/Time: Continuous
State of Nevada
Gardnerville, Nevada, United States
Announcement Number: 47775 Open to all qualified persons. Posted 06/13/2024 Recruiter: ANA MARIA ORNELLAS Phone: (775)684-0151 Email: aornellas@admin.nv.gov Applications accepted until 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 function at the advanced journey level and either; 1) Perform the full range of duties described above and function as a team leader for assigned programs as a permanent assignment. Incumbents coordinate reviews and services, assist in training, and review complex cases with lower level Health Care Coordinators. In addition to ongoing leadworker responsibility, incumbents may serve as the primary assistant to the supervisor; develop policies and procedures; assist in the maintenance of the State plan; develop forms and provide technical assistance with the assigned programs; or 2) Serve as the statewide technical expert and provide guidance on a statewide basis to the staff of an agency such as the Division of Aging Services. Incumbents provide clarification of a condition, medication, procedure or related circumstance in case management situation; anticipate training needs, and develop and present training modules for staff; develop, implement and monitor staff compliance with State laws regarding the agency's function in the community and communicable diseases; and assist staff in developing resources and preventive health care information for the clientele served. This opening is for a Health Care Coordinator 3-Nurse within the Division of Health Care Financing and Policy (DHCFP) Long Term Services and Supports (LTSS) unit, and may be located in Carson City or Reno NV. The Health Care Coordinator (HCC) Nurse position serves as the clinical expert for the LTSS unit. This includes evaluating medical records to determine medical necessity for a variety of LTSS Medicaid services, including appropriateness for out of state placements. The HCC Nurse also is the dedicated clinical reviewer for eligibility determinations for the Behaviorally Complex Care Program in Nursing Facilities and participates in the Fair Hearing process related to clinical decisions. In addition to medical necessity assessments, the HCC Nurse position serves as a consultant to policy and procedure updates for Home Health, Private Duty Nursing, Hospice, Nursing Facilities and Intermediate Care Facility for Individuals with Intellectual and Developmental Disabilities. 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*** 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 two years of professional experience providing case management services in a social or health related field; OR one year of experience as a Health Care Coordinator II - Nurse in Nevada State service; OR licensure and an equivalent combination of education and experience. Special Requirements A State of Nevada/FBI background check will be required of the selected applicant. 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 Help us reach qualified candidates! Refer a friend by clicking here: Email Direct Inquiries or Correspondence to: Division of Human Resource Management Northern Nevada 515 East Musser Street, First Floor Carson City, Nevada 89701-4204
Jun 14, 2024
Full Time
Announcement Number: 47775 Open to all qualified persons. Posted 06/13/2024 Recruiter: ANA MARIA ORNELLAS Phone: (775)684-0151 Email: aornellas@admin.nv.gov Applications accepted until 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 function at the advanced journey level and either; 1) Perform the full range of duties described above and function as a team leader for assigned programs as a permanent assignment. Incumbents coordinate reviews and services, assist in training, and review complex cases with lower level Health Care Coordinators. In addition to ongoing leadworker responsibility, incumbents may serve as the primary assistant to the supervisor; develop policies and procedures; assist in the maintenance of the State plan; develop forms and provide technical assistance with the assigned programs; or 2) Serve as the statewide technical expert and provide guidance on a statewide basis to the staff of an agency such as the Division of Aging Services. Incumbents provide clarification of a condition, medication, procedure or related circumstance in case management situation; anticipate training needs, and develop and present training modules for staff; develop, implement and monitor staff compliance with State laws regarding the agency's function in the community and communicable diseases; and assist staff in developing resources and preventive health care information for the clientele served. This opening is for a Health Care Coordinator 3-Nurse within the Division of Health Care Financing and Policy (DHCFP) Long Term Services and Supports (LTSS) unit, and may be located in Carson City or Reno NV. The Health Care Coordinator (HCC) Nurse position serves as the clinical expert for the LTSS unit. This includes evaluating medical records to determine medical necessity for a variety of LTSS Medicaid services, including appropriateness for out of state placements. The HCC Nurse also is the dedicated clinical reviewer for eligibility determinations for the Behaviorally Complex Care Program in Nursing Facilities and participates in the Fair Hearing process related to clinical decisions. In addition to medical necessity assessments, the HCC Nurse position serves as a consultant to policy and procedure updates for Home Health, Private Duty Nursing, Hospice, Nursing Facilities and Intermediate Care Facility for Individuals with Intellectual and Developmental Disabilities. 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*** 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 two years of professional experience providing case management services in a social or health related field; OR one year of experience as a Health Care Coordinator II - Nurse in Nevada State service; OR licensure and an equivalent combination of education and experience. Special Requirements A State of Nevada/FBI background check will be required of the selected applicant. 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 Help us reach qualified candidates! Refer a friend by clicking here: Email Direct Inquiries or Correspondence to: Division of Human Resource Management Northern Nevada 515 East Musser Street, First Floor Carson City, Nevada 89701-4204
Announcement Number: 47775 Open to all qualified persons. Posted 06/13/2024 Recruiter: ANA MARIA ORNELLAS Phone: (775)684-0151 Email: aornellas@admin.nv.gov Applications accepted until 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 function at the advanced journey level and either; 1) Perform the full range of duties described above and function as a team leader for assigned programs as a permanent assignment. Incumbents coordinate reviews and services, assist in training, and review complex cases with lower level Health Care Coordinators. In addition to ongoing leadworker responsibility, incumbents may serve as the primary assistant to the supervisor; develop policies and procedures; assist in the maintenance of the State plan; develop forms and provide technical assistance with the assigned programs; or 2) Serve as the statewide technical expert and provide guidance on a statewide basis to the staff of an agency such as the Division of Aging Services. Incumbents provide clarification of a condition, medication, procedure or related circumstance in case management situation; anticipate training needs, and develop and present training modules for staff; develop, implement and monitor staff compliance with State laws regarding the agency's function in the community and communicable diseases; and assist staff in developing resources and preventive health care information for the clientele served. This opening is for a Health Care Coordinator 3-Nurse within the Division of Health Care Financing and Policy (DHCFP) Long Term Services and Supports (LTSS) unit, and may be located in Carson City or Reno NV. The Health Care Coordinator (HCC) Nurse position serves as the clinical expert for the LTSS unit. This includes evaluating medical records to determine medical necessity for a variety of LTSS Medicaid services, including appropriateness for out of state placements. The HCC Nurse also is the dedicated clinical reviewer for eligibility determinations for the Behaviorally Complex Care Program in Nursing Facilities and participates in the Fair Hearing process related to clinical decisions. In addition to medical necessity assessments, the HCC Nurse position serves as a consultant to policy and procedure updates for Home Health, Private Duty Nursing, Hospice, Nursing Facilities and Intermediate Care Facility for Individuals with Intellectual and Developmental Disabilities. 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*** 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 two years of professional experience providing case management services in a social or health related field; OR one year of experience as a Health Care Coordinator II - Nurse in Nevada State service; OR licensure and an equivalent combination of education and experience. Special Requirements A State of Nevada/FBI background check will be required of the selected applicant. 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 Help us reach qualified candidates! Refer a friend by clicking here: Email Direct Inquiries or Correspondence to: Division of Human Resource Management Northern Nevada 515 East Musser Street, First Floor Carson City, Nevada 89701-4204
Jun 14, 2024
Full Time
Announcement Number: 47775 Open to all qualified persons. Posted 06/13/2024 Recruiter: ANA MARIA ORNELLAS Phone: (775)684-0151 Email: aornellas@admin.nv.gov Applications accepted until 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 function at the advanced journey level and either; 1) Perform the full range of duties described above and function as a team leader for assigned programs as a permanent assignment. Incumbents coordinate reviews and services, assist in training, and review complex cases with lower level Health Care Coordinators. In addition to ongoing leadworker responsibility, incumbents may serve as the primary assistant to the supervisor; develop policies and procedures; assist in the maintenance of the State plan; develop forms and provide technical assistance with the assigned programs; or 2) Serve as the statewide technical expert and provide guidance on a statewide basis to the staff of an agency such as the Division of Aging Services. Incumbents provide clarification of a condition, medication, procedure or related circumstance in case management situation; anticipate training needs, and develop and present training modules for staff; develop, implement and monitor staff compliance with State laws regarding the agency's function in the community and communicable diseases; and assist staff in developing resources and preventive health care information for the clientele served. This opening is for a Health Care Coordinator 3-Nurse within the Division of Health Care Financing and Policy (DHCFP) Long Term Services and Supports (LTSS) unit, and may be located in Carson City or Reno NV. The Health Care Coordinator (HCC) Nurse position serves as the clinical expert for the LTSS unit. This includes evaluating medical records to determine medical necessity for a variety of LTSS Medicaid services, including appropriateness for out of state placements. The HCC Nurse also is the dedicated clinical reviewer for eligibility determinations for the Behaviorally Complex Care Program in Nursing Facilities and participates in the Fair Hearing process related to clinical decisions. In addition to medical necessity assessments, the HCC Nurse position serves as a consultant to policy and procedure updates for Home Health, Private Duty Nursing, Hospice, Nursing Facilities and Intermediate Care Facility for Individuals with Intellectual and Developmental Disabilities. 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*** 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 two years of professional experience providing case management services in a social or health related field; OR one year of experience as a Health Care Coordinator II - Nurse in Nevada State service; OR licensure and an equivalent combination of education and experience. Special Requirements A State of Nevada/FBI background check will be required of the selected applicant. 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 Help us reach qualified candidates! Refer a friend by clicking here: Email Direct Inquiries or Correspondence to: Division of Human Resource Management Northern Nevada 515 East Musser Street, First Floor Carson City, Nevada 89701-4204
Announcement Number: 47775 Open to all qualified persons. Posted 06/13/2024 Recruiter: ANA MARIA ORNELLAS Phone: (775)684-0151 Email: aornellas@admin.nv.gov Applications accepted until 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 function at the advanced journey level and either; 1) Perform the full range of duties described above and function as a team leader for assigned programs as a permanent assignment. Incumbents coordinate reviews and services, assist in training, and review complex cases with lower level Health Care Coordinators. In addition to ongoing leadworker responsibility, incumbents may serve as the primary assistant to the supervisor; develop policies and procedures; assist in the maintenance of the State plan; develop forms and provide technical assistance with the assigned programs; or 2) Serve as the statewide technical expert and provide guidance on a statewide basis to the staff of an agency such as the Division of Aging Services. Incumbents provide clarification of a condition, medication, procedure or related circumstance in case management situation; anticipate training needs, and develop and present training modules for staff; develop, implement and monitor staff compliance with State laws regarding the agency's function in the community and communicable diseases; and assist staff in developing resources and preventive health care information for the clientele served. This opening is for a Health Care Coordinator 3-Nurse within the Division of Health Care Financing and Policy (DHCFP) Long Term Services and Supports (LTSS) unit, and may be located in Carson City or Reno NV. The Health Care Coordinator (HCC) Nurse position serves as the clinical expert for the LTSS unit. This includes evaluating medical records to determine medical necessity for a variety of LTSS Medicaid services, including appropriateness for out of state placements. The HCC Nurse also is the dedicated clinical reviewer for eligibility determinations for the Behaviorally Complex Care Program in Nursing Facilities and participates in the Fair Hearing process related to clinical decisions. In addition to medical necessity assessments, the HCC Nurse position serves as a consultant to policy and procedure updates for Home Health, Private Duty Nursing, Hospice, Nursing Facilities and Intermediate Care Facility for Individuals with Intellectual and Developmental Disabilities. 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*** 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 two years of professional experience providing case management services in a social or health related field; OR one year of experience as a Health Care Coordinator II - Nurse in Nevada State service; OR licensure and an equivalent combination of education and experience. Special Requirements A State of Nevada/FBI background check will be required of the selected applicant. 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 Help us reach qualified candidates! Refer a friend by clicking here: Email Direct Inquiries or Correspondence to: Division of Human Resource Management Northern Nevada 515 East Musser Street, First Floor Carson City, Nevada 89701-4204
Jun 14, 2024
Full Time
Announcement Number: 47775 Open to all qualified persons. Posted 06/13/2024 Recruiter: ANA MARIA ORNELLAS Phone: (775)684-0151 Email: aornellas@admin.nv.gov Applications accepted until 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 function at the advanced journey level and either; 1) Perform the full range of duties described above and function as a team leader for assigned programs as a permanent assignment. Incumbents coordinate reviews and services, assist in training, and review complex cases with lower level Health Care Coordinators. In addition to ongoing leadworker responsibility, incumbents may serve as the primary assistant to the supervisor; develop policies and procedures; assist in the maintenance of the State plan; develop forms and provide technical assistance with the assigned programs; or 2) Serve as the statewide technical expert and provide guidance on a statewide basis to the staff of an agency such as the Division of Aging Services. Incumbents provide clarification of a condition, medication, procedure or related circumstance in case management situation; anticipate training needs, and develop and present training modules for staff; develop, implement and monitor staff compliance with State laws regarding the agency's function in the community and communicable diseases; and assist staff in developing resources and preventive health care information for the clientele served. This opening is for a Health Care Coordinator 3-Nurse within the Division of Health Care Financing and Policy (DHCFP) Long Term Services and Supports (LTSS) unit, and may be located in Carson City or Reno NV. The Health Care Coordinator (HCC) Nurse position serves as the clinical expert for the LTSS unit. This includes evaluating medical records to determine medical necessity for a variety of LTSS Medicaid services, including appropriateness for out of state placements. The HCC Nurse also is the dedicated clinical reviewer for eligibility determinations for the Behaviorally Complex Care Program in Nursing Facilities and participates in the Fair Hearing process related to clinical decisions. In addition to medical necessity assessments, the HCC Nurse position serves as a consultant to policy and procedure updates for Home Health, Private Duty Nursing, Hospice, Nursing Facilities and Intermediate Care Facility for Individuals with Intellectual and Developmental Disabilities. 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*** 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 two years of professional experience providing case management services in a social or health related field; OR one year of experience as a Health Care Coordinator II - Nurse in Nevada State service; OR licensure and an equivalent combination of education and experience. Special Requirements A State of Nevada/FBI background check will be required of the selected applicant. 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 Help us reach qualified candidates! Refer a friend by clicking here: Email Direct Inquiries or Correspondence to: Division of Human Resource Management Northern Nevada 515 East Musser Street, First Floor Carson City, Nevada 89701-4204
Announcement Number: 47775 Open to all qualified persons. Posted 06/13/2024 Recruiter: ANA MARIA ORNELLAS Phone: (775)684-0151 Email: aornellas@admin.nv.gov Applications accepted until 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 function at the advanced journey level and either; 1) Perform the full range of duties described above and function as a team leader for assigned programs as a permanent assignment. Incumbents coordinate reviews and services, assist in training, and review complex cases with lower level Health Care Coordinators. In addition to ongoing leadworker responsibility, incumbents may serve as the primary assistant to the supervisor; develop policies and procedures; assist in the maintenance of the State plan; develop forms and provide technical assistance with the assigned programs; or 2) Serve as the statewide technical expert and provide guidance on a statewide basis to the staff of an agency such as the Division of Aging Services. Incumbents provide clarification of a condition, medication, procedure or related circumstance in case management situation; anticipate training needs, and develop and present training modules for staff; develop, implement and monitor staff compliance with State laws regarding the agency's function in the community and communicable diseases; and assist staff in developing resources and preventive health care information for the clientele served. This opening is for a Health Care Coordinator 3-Nurse within the Division of Health Care Financing and Policy (DHCFP) Long Term Services and Supports (LTSS) unit, and may be located in Carson City or Reno NV. The Health Care Coordinator (HCC) Nurse position serves as the clinical expert for the LTSS unit. This includes evaluating medical records to determine medical necessity for a variety of LTSS Medicaid services, including appropriateness for out of state placements. The HCC Nurse also is the dedicated clinical reviewer for eligibility determinations for the Behaviorally Complex Care Program in Nursing Facilities and participates in the Fair Hearing process related to clinical decisions. In addition to medical necessity assessments, the HCC Nurse position serves as a consultant to policy and procedure updates for Home Health, Private Duty Nursing, Hospice, Nursing Facilities and Intermediate Care Facility for Individuals with Intellectual and Developmental Disabilities. 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*** 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 two years of professional experience providing case management services in a social or health related field; OR one year of experience as a Health Care Coordinator II - Nurse in Nevada State service; OR licensure and an equivalent combination of education and experience. Special Requirements A State of Nevada/FBI background check will be required of the selected applicant. 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 Help us reach qualified candidates! Refer a friend by clicking here: Email Direct Inquiries or Correspondence to: Division of Human Resource Management Northern Nevada 515 East Musser Street, First Floor Carson City, Nevada 89701-4204
Jun 14, 2024
Full Time
Announcement Number: 47775 Open to all qualified persons. Posted 06/13/2024 Recruiter: ANA MARIA ORNELLAS Phone: (775)684-0151 Email: aornellas@admin.nv.gov Applications accepted until 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 function at the advanced journey level and either; 1) Perform the full range of duties described above and function as a team leader for assigned programs as a permanent assignment. Incumbents coordinate reviews and services, assist in training, and review complex cases with lower level Health Care Coordinators. In addition to ongoing leadworker responsibility, incumbents may serve as the primary assistant to the supervisor; develop policies and procedures; assist in the maintenance of the State plan; develop forms and provide technical assistance with the assigned programs; or 2) Serve as the statewide technical expert and provide guidance on a statewide basis to the staff of an agency such as the Division of Aging Services. Incumbents provide clarification of a condition, medication, procedure or related circumstance in case management situation; anticipate training needs, and develop and present training modules for staff; develop, implement and monitor staff compliance with State laws regarding the agency's function in the community and communicable diseases; and assist staff in developing resources and preventive health care information for the clientele served. This opening is for a Health Care Coordinator 3-Nurse within the Division of Health Care Financing and Policy (DHCFP) Long Term Services and Supports (LTSS) unit, and may be located in Carson City or Reno NV. The Health Care Coordinator (HCC) Nurse position serves as the clinical expert for the LTSS unit. This includes evaluating medical records to determine medical necessity for a variety of LTSS Medicaid services, including appropriateness for out of state placements. The HCC Nurse also is the dedicated clinical reviewer for eligibility determinations for the Behaviorally Complex Care Program in Nursing Facilities and participates in the Fair Hearing process related to clinical decisions. In addition to medical necessity assessments, the HCC Nurse position serves as a consultant to policy and procedure updates for Home Health, Private Duty Nursing, Hospice, Nursing Facilities and Intermediate Care Facility for Individuals with Intellectual and Developmental Disabilities. 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*** 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 two years of professional experience providing case management services in a social or health related field; OR one year of experience as a Health Care Coordinator II - Nurse in Nevada State service; OR licensure and an equivalent combination of education and experience. Special Requirements A State of Nevada/FBI background check will be required of the selected applicant. 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 Help us reach qualified candidates! Refer a friend by clicking here: Email Direct Inquiries or Correspondence to: Division of Human Resource Management Northern Nevada 515 East Musser Street, First Floor Carson City, Nevada 89701-4204