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COMPLIANCE COORDINATOR - RN

APPROXIMATE ANNUAL SALARY - $73,309.68 to $109,640.88 PAY GRADE: 38

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.

JOB INFORMATION

Work Type: Permanent, full time vacancies as they may occur Statewide.

Department: Business and Industry (http://business.nv.gov/)

Division: Industrial Relations

Job Class Code: 10.248

RECRUITMENT INFORMATION

Announcement Number: 51930

Open to all qualified persons.

Posted 07/17/2025

Close Date: 07/24/2025

Recruiter:

DARRELL MORLAN

Phone: (775)684-0126

Email: [email protected]

Applications accepted for another 4 Days 1 Hrs 43 Mins

The Position

Under direction, the Compliance Coordinator - RN provides medical expertise for the Division of Industrial Relations, Workers' Compensation Section. Incumbents monitor compliance and detect violations of State laws and/or regulations by medical providers, insurance carriers, Third Party Administrators (TPAs), medical billing vendors, employers, and in Permanent Partial Disability (PPD) reports; supervise lower-level Compliance/Audit Investigators; and oversee the Medical Unit in their assigned regions.

The Compliance Coordinator - Registered Nurse (RN) position, which may be based in either Carson City or Las Vegas depending on the most qualified candidate, plays a vital role within the Division of Industrial Relations, Workers' Compensation Section. This statewide leadership position oversees subordinate Medical Unit staff and provides expert medical guidance while ensuring regulatory compliance across a broad spectrum of stakeholders, including medical providers, insurers, third-party administrators, employers, and medical billing vendors. The Compliance Coordinator monitors and investigates violations of State law-particularly those pertaining to Permanent Partial Disability (PPD) reports-and administers the development, updating, and maintenance of both Treating and Rating Panels of Physicians and Chiropractic Physicians in alignment with statutory requirements. Responsibilities include verifying the completeness and accuracy of medical documentation, confirming authorized services match those billed and provided, conducting stakeholder interviews, documenting findings, recommending administrative actions such as fines, and preparing medical documentation and testimony for hearings and appeals. The role also involves revising the Medical Fee Schedule annually, training internal and external stakeholders, auditing provider compliance, and recommending disciplinary actions including warnings, suspension, or removal from provider panels. Additionally, the Compliance Coordinator organizes quarterly Quality Assurance Panel meetings, ensures timely completion of Medical Unit legislative projects, identifies errors in PPD reports and facilitates PPD Review Panel meetings, and resolves medical billing disputes through formal written determinations, among other assigned duties.***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-10\_0/

To Qualify:

In order to be qualified, you must meet the following requirements:

Education and Experience (Minimum Qualifications)

Current license to practice as a Registered Nurse and three years of professional nursing experience, two years of which included professional experience in workers' compensation, occupational health, or case management; OR one year of experience as a Compliance Specialist - Registered Nurse in Nevada State service; OR an equivalent combination of education and experience.

Special Notes

Travel within the state may be required.

A Bachelor's degree in nursing is equivalent to a diploma or Associate's degree in nursing and one year of experience.

Special Requirements

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.

The following additional questions are part of this Recruitment

1) Describe your experience in workers' compensation, occupational health, or case management.

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

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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 89701-4204TDD for the Hearing Impaired (800) 326-6868 Division of Human Resource Management Southern Nevada 7251 Amigo St, Suite 120 Las Vegas, NV 89119TDD for the Hearing Impaired (800) 326-6868

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.

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