HEALTH CARE COORDINATOR 2

Announcement Number: 47075 Open to all qualified persons. Posted 04/15/2024 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 Medicaid program operations and auditing providers to ensure compliance with program policies and regulations.

Incumbents possess a degree of knowledge and proficiency sufficient to perform work independently with little or no additional training. This opening is for a Health Care Coordinator 2 within the Division of Health Care Financing and Policy (DHCFP) District Office, in Reno NV. Health Care Coordinators 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 Serious Occurrence Follow-up cases. To include assisting Medicaid recipients in accessing their healthcare and assessing their needs to prevent further serious occurrences. As a licensed Social Worker, employee may be assigned or brought in for consultation on cases where the Medicaid recipient has multiple or complex medical needs, requires out-of-state care not available in Nevada, requires a treatment or procedure that will require extensive follow-up, requires a transition in or out of state to a step-down facility, may require multiple specialists for treatment, requires a specialized or compound medication, or when arranging specialty care transport or transportation to and from facilities/hospitals.

This position performs outreach to the general public, providers, community agencies, groups and organizations regarding Medicaid functions, policies, and services in the rural and urban communities covered by the Northern Nevada District Office. They may attend meetings in the community and speak to groups and individuals; attend health fairs and respond to inquiries and concerns from clients and the general public. This position will assist walk-ins in the District Office lobbies to provide the recipient information regarding benefits and to troubleshoot complicated access to care issues. 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 Social Worker or professional licensure or certification in a medical specialty applicable to the assignment, 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 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 or certification as a social worker, nurse or in a medical specialty issued by the appropriate licensing board in the State of Nevada is required at the time of appointment. Incumbents must maintain professional licensure or certification in their specialty 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.
The following additional questions are part of this Recruitment

1) Do you have a professional licensure or certification as a social worker, nurse or in a medical specialty issued by the appropriate licensing board in the State of Nevada?
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
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Email Direct Inquiries or Correspondence to: Division of Human Resource Management
Northern Nevada
515 East Musser Street,
First Floor
Carson City, Nevada 89701-4204

Reno, Nevada United States View Map