Job Description

07/17/2018
HEALTHCARE PROFESSIONALS 22
PHOENIX 55,000.00-60,000.00

Arizona Health Care Cost Containment System

Accountability, Community, Innovation, Leadership, Passion, Quality, Respect, Teamwork

Integrated Services Specialist

     

Apply by: 6/25/2018

Arizona Health Care Cost Containment System (AHCCCS), Arizona’s Medicaid Agency, is driven by the passion to deliver comprehensive and cost effective health care to Arizonans in need. AHCCCS is nationally acclaimed as a model for other Medicaid programs and recipient of multiple awards for excellence in workplace effectiveness and flexibility.

All Arizona state employees operate within the Arizona Management System (AMS), an intentional, results-driven approach for doing the work of state government whereby every employee reflects on performance, reduces waste, and commits to continuous improvement with sustainable progress. Through AMS, every state employee seeks to understand customer needs, identify problems, improve processes, and measure results. State employees are highly engaged, collaborative and embrace a culture of public service. Visit our careers page to learn more about AHCCCS. Use your skills to benefit others; join the AHCCCS Team!

JOB SUMMARY:

The Division of Fee for Service Management (DFSM) is looking for a highly motivated individual to join our team as an  Integrated Services Specialist. This position is responsible for infrastructure development for the American Indian Health care delivery system, and programmatic functions within DFSM. Major duties and responsibilities include but are not limited to:

* Possesses knowledge and experience in the American Indian health care delivery system, Court Ordered Evaluation (COE) and Court Ordered Treatment (COT) processes, inpatient treatment, the SMI determination process, care coordination, tribal processes, and contractual commitments.

* Provides technical assistance to internal staff, health plans, providers and other external customers related to systems navigation, clinical issues and programmatic implementation of integrated care services.

*  Serves as DFSM’s subject matter expert for COE/COT and supports internal monitoring efforts related to COE/COT.    

* Provides monitoring and oversight, including but not limited to, readiness and operational review efforts, related to TRBHAs.

* Assists with drafting and revision of policies and procedures as they relate to behavioral health.

* May travel to remote areas of the state.

KNOWLEDGE, SKILLS AND ABILITIES (KSAs):

* Knowledge of utilization review, quality management, and medical and behavioral health care management and delivery systems.

* Knowledge of State and Tribal COE/COT regulations, rules and processes.

* Knowledge of AHCCCS and Medicaid program design, implementation, policies and procedures, and relevant federal and state statutes, regulations and rules governing same.

* Knowledge of modes of delivery for acute, sub-acute and residential treatment, utilization of inpatient stays and outpatient services.

* Strong ability to collaborate with others for a mutually beneficial outcome, and strong interpersonal skills to work with people of diverse cultures and socioeconomic backgrounds.

* Ability to interpret clinical information and assess implications for treatment, assess variables which impact health and functioning, and to read, interpret and apply complex rules and regulations.

* Excellent research, analytical and communication skills, both verbal and written.

SELECTIVE PREFERENCE(S):

* Ideal candidate will have 3 - 5 years of experience in the behavioral health field, an advanced degree in social work, health care or related fields, and experience in tribal health care delivery systems, working with tribal facilities and with COE/COT processes.

                            

BENEFITS   

At AHCCCS, we promote the importance of work/life balance by offering workplace flexibility and a variety of learning and career development opportunities. Among the many benefits of a career with the State of Arizona, there are 10 paid holidays per year, accrual of sick and annual leave, affordable medical benefits and participation in the Arizona State Retirement Plan. Click here to learn more about benefits.

 

Arizona State Government is an EOE/ADA Reasonable Accommodation Employer. Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by calling (602) 417-4497. Requests should be made as early as possible to allow sufficient time to arrange the accommodation. AHCCCS is an Equal Employment Opportunity Employer. All newly hired employees will be subject to E-Verify Employment Eligibility Verification.

Click the APPLY NOW button to submit your application.

For technical assistance, email [email protected] or call 602-542-4700.

Application Instructions

Please apply for this position by following the link provided below. A new window will open on your screen and you will be directed to the Arizona Health Care Cost Containment System (AHCCCS) employment website.

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