Medicaid Care Coordination Specialist

State-of-Nevad; Reno (NV); On-site; USD 65,000 - 90,000; Full time

Job summary

Nevada Health Authority is seeking a Health Care Coordinator 2 in Reno to assess Medicaid members and determine service needs and program eligibility across all Medicaid programs. The role requires travels up to 50% of the workday and involves coordinating care plans, reviewing records, and guiding recipients to appropriate medical care.

The position emphasizes ongoing case management, program evaluation, and policy-compliant service provision, with licensure as a Social Worker or equivalent

Qualifications

• Licensure as a Social Worker or applicable professional licensure.
• One year of professional case management in health or social field.
• Care coordination experience or Health Care Coordinator I in Nevada.
• Ability to assess needs, plan care, and refer clients.
• Willingness to travel up to 50%.

Responsibilities

• Assess Medicaid members to determine service needs and eligibility across programs.
• Conduct home and community-based visits and coordinate care plans.
• Review medical records and authorize services as appropriate.
• Monitor quality and cost of services and maintain case files.
• Provide guidance to recipients to access medical care and treatment.

Skills

Case management

Home visits

Assessment tools

Communication

Travel coordination

Documentation

Budget/resource use

Education

Social Worker licensure or equivalent professional licensure

Job description

Nevada Health Authority is seeking a Health Care Coordinator 2 in Reno to assess Medicaid members and determine service needs and program eligibility across all Medicaid programs. The role requires travels up to 50% of the workday and involves coordinating care plans, reviewing records, and guiding recipients to appropriate medical care.

The position emphasizes ongoing case management, program evaluation, and policy-compliant service provision, with licensure as a Social Worker or equivalent