State of Nevada Division of Human Resource Management Hiring for Ombudsman at Carson City, NV Full Time

3208 Goni Road, Building I-181

• Carson City, Nevada 89706

775-687-4210

• Fax 775-687-1574
• adsd.nv.gov

Joe Lombardo

Governor

Richard Whitley, MS

Director

DEPARTMENT OF

HEALTH AND HUMAN SERVICES

AGING AND DISABILITY SERVICES DIVISION

Helping people. It’s who we are and what we do.

Dena Schmidt

Administrator

Aging and Disability Services Division

Ombudsman

Annual salary $99,417

Aging and Disability Services Division (ADSD), the Office for Consumer Health Assistance (OCHA) is accepting resumes

for an Ombudsman position. This position may be filled in Las Vegas, Reno or Carson City, Nevada, based on the best

candidate. This is an unclassified position that is appointed by and serves at the pleasure of the Governor’s Consumer

Health Advocate. Bilingual candidates are encouraged to apply.

ADSD provides an atmosphere of innovative thinking, teamwork, and promotes a positive work environment. The mission

of the ADSD is to provide leadership and advocacy in the planning, development and delivery of a high quality,

comprehensive support service system across the lifespan to allow all of Nevada’s elders, children and adults with

disabilities or special health care needs, to live independent, meaningful, and dignified lives to the greatest extent possible.

The responsibility of ADSD is to ensure the provision of effective supports and services to meet the needs of individuals

and families.

The Office for Consumer Health Assistance (OCHA) – OCHA’s function is to provide the opportunity for all Nevadans to

access information regarding patient rights and responsibilities and to advocate for and educate consumers and injured

workers of the rights and responsibilities under various health care plans and policies. This education and advocacy are

provided to those who have insurance through an employer, individual health policies, Employee Retirement Income

Security Act of 1974 (ERISA), worker’s compensation, Medicare, Medicaid or are in enrolled in other public health

programs, and/or discount medical plans. Within OCHA is the Bureau for Hospital Patients (BHP) which mediates,

arbitrates, or resolves medical billing disputes between patients and hospitals/ providers.

DESCRIPTION: The primary responsibility of the Ombudsman is to provide advocacy and education to consumers

regarding their health care related concerns.

The Ombudsman assist consumers in understanding their rights and responsibilities under health care plans, including,

without limitation, the Public Employees’ Benefits Program, and policies of industrial insurance. This position assist

consumers with filing appeals for medical and dental services. The incumbent will assist consumers with filing quality of

care complaints against health care facilities and providers. This position provides information regarding access to health

care resources to the uninsured and underinsured. The incumbent will help guide injured workers through the Nevada

Workers’ Compensation process. The Ombudsman helps identify financial assistance programs to assist with medical

costs. This position assigns external review organizations concerning adverse determinations from a health insurance

carrier. The incumbent will perform arbitrations to resolve disputes between out-of-network providers of health care/

facilities and health plans involving claims of less than $5000 for medically necessary emergency services.

3208 Goni Road, Building I-181

• Carson City, Nevada 89706

775-687-4210

• Fax 775-687-1574
• adsd.nv.gov

The Ombudsman will build and maintain collaborative relationships with insurers, medical providers, social services, and

government agencies, maintain a current knowledge of trends, policies, resources, and laws pertaining to insurance

benefits, including insurance laws and regulations.

The incumbent will take such actions as are necessary to ensure public awareness of the existence and purpose of the

services provided by OCHA to include preparing and conducting outreach presentations.

Statewide travel may be required. Flexibility in working non-standard hours for outreach events is required.

EDUCATION AND EXPERIENCE: Bachelor’s degree from an accredited college or university in business administration,

health care administration, public health, social work, public relations, education, or a related field and three years of

professional experience that includes establishing and maintaining collaborative relationships with a variety of individuals

and groups, applying knowledge of health insurance laws and requirements and health care assistance programs (e.g.,

health insurance claims processing and benefits coordination; workers compensation claims processing; hospital billing

practices and charity policies; application processes and patient advocacy for general health care assistance programs

such as Medicare and Medicaid), creating and providing presentations to target groups, researching and writing

educational or marketing materials; OR an equivalent combination of education and experience.

Candidates should have experience in Word, Power Point, Excel, Outlook, and TEAMS.

Position Location: Reno, Las Vegas or Carson City, Nevada

SALARY AND Benefits: As a full-time position, compensation is approximately $99,417 annually. Excellent benefits

package including health, dental and vision insurance, Public Employees’ Retirement System (PERS) Plan, paid vacation,

11 paid holidays, and no state, county, city or social security tax. Other employee benefits such as life and disability

insurance, and deferred compensation plans are available.

For further information or to apply, please submit your resume or Curriculum Vitae with a letter of interest and three (3)

Professional References To

Bachera L. Washington

ADSD Human Resource Manager

[email protected]

In the Subject line, please reference: OCHA Ombudsman

Resumes will be accepted until recruitment needs are satisfied. ADSD is an equal Employment Opportunity/Affirmative

Action in recruitment of its employees and does not discriminate based on race, color, national origin, religion or belief,

age, sex, sexual orientation, pregnancy, genetic information (GINA), or gender identity and expression. ADSD is committed

to fostering an environment of both inclusiveness and diversity within our workforce.

Aging and Disability Services Division is dedicated to assist all of Nevada’s elders, children and adults with disabilities

or special health care needs, to live independent, meaningful, and dignified lives to the greatest extent possible!

Closing Date/Time: Until recruitment needs are satisfied