Job Description

Tribal ALTCS Case Management Coordinator

  • 525105
  • PHOENIX
  • REMOTE OPTIONS
  • VARIOUS-STATEWIDE
  • AHCCCS
  • Full-time

AHCCCS

Arizona Health Care Cost Containment System
Accountability, Community, Innovation, Leadership, Passion, Quality, Respect, Courage, Teamwork

The Arizona Health Care Cost Containment System (AHCCCS), Arizona’s Medicaid agency, is driven by its mission to deliver comprehensive, cost-effective health care to Arizonans in need. AHCCCS is a nationally acclaimed model among Medicaid programs and a recipient of multiple awards for excellence in workplace effectiveness and flexibility.

AHCCCS employees are passionate about their work, committed to high performance, and dedicated to serving the citizens of Arizona. Among government agencies, AHCCCS is recognized for high employee engagement and satisfaction, supportive leadership, and flexible work environments, including remote work opportunities. With career paths for seasoned professionals in a variety of fields, entry-level positions, and internship opportunities, AHCCCS offers meaningful career opportunities in a competitive industry.

Come join our dynamic and dedicated team.

Tribal ALTCS Case Management Coordinator

Division of Fee for Service Management

Job Location:

Address: 801 E. Jefferson Street, Phoenix, AZ 85034

Posting Details:

Salary: $54,285 

Grade: 20

Closing Date: Open Until Filled

Job Summary:

This position will case manage a collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates the options and services required to meet the Arizona Long Term Care System (ALTCS) member's necessary medical, behavioral health and related social service needs.

This position has the potential to work from a Virtual Office (VO) setting or may telecommute based on the needs of the unit and at the discretion of leadership.

Major duties and responsibilities include but are not limited to:
* Monitors and evaluates ALTCS/Tribal Contractors for program compliance, includes all or some of the following as needed: comprehensive chart reviews, meetings/interviews with Contractor, contact with member for satisfaction surveys, analysis of data, writing the draft report of the Case Management Service Review findings and recommendations for corrective action, and follow-up review and approval of submitted Corrective Action Plans.
* Independently monitors one or more specialized programs such as Over-Institutional Cost, ALTCS Transitional and Pre Admission Screening, Out-of-State Placements and ALTCS/Tribal Contractor Change Requests.
* Train and technical assistance to Contractors and other personnel as needed.
* Attends staff meetings and training sessions

Knowledge, Skills & Abilities (KSAs):

Knowledge:
* Medicaid and Medicare Federal Regulations, State Statute and Rule and policies applicable to the ALTCS and other AHCCCS programs
* Common medical and psycho-social needs of individuals eligible for ALTCS
* How specific agencies function and inter-relate (Re: AHCCCS, Center of Medicare and Medicaid Services, Arizona Department of Health Services, Department of Economic Security, Etc)
* Processes for Corrective Action Plan development, implementation, and evaluation
* ALTCS and AHCCCS program design and implementation, including case management function and responsibilities, provider network and funding sources
* AHCCCS' computer Systems: Pre-Paid Medicaid Management Information System (PMMIS), AHCCCS Customer Eligibility (ACE), including Case Management Medical and Financial eligibility, Provider and Recipient Subsystems
* Community resources relative to providers of services to AHCCCS and ALTCS clients, basic knowledge of Third Party Liability process
* Native American Tribes/programs and ALTCS policy relative to Intergovernmental Agreements (IGA)

Skills:
* Considerable skill in reviewing case documentation in order to evaluate the appropriateness of placements and service for ALTCS members
* Strong interpersonal skills in working with people of diverse cultures and socioeconomic backgrounds and those in crisis
* Effective written communication, including writing of reports and general correspondence
* Effective presentation skills in order to provide technical assistance and training to contractors and staff
* Time management and initiative with ability to work with little or no supervision
* Organization and prioritization of multiple tasks and ability to re-prioritize as necessary

Abilities:
* Assess members from a holistic perspective and psycho-social emphasis, recognizing medical, environmental and emotional conditions or barriers that interfere with the member's ability to function at his/her highest level of independence
* Collect, review and analyze data, identify trends and develop plans and methods for program improvement
* Recognize cause and effect in identified areas of non-compliance and recommend solutions
* Communicate program compliance findings in objective, non-threatening way to contractors and providers
* Read and interpret and apply complex rule and regulations.
* Ability to work Virtual Office or telecommute or both

Qualifications:

Arizona Drivers License

Minimum:
* Two years of professional experience assessing the medical, social, and behavioral health needs of a member/patient and experience in coordinating and monitoring the delivery of appropriate services to meet the needs of members/patients.

Preferred:
* Experience working with elderly and/pr members/patients with physical or developmental disabilities.

Pre-Employment Requirements:

* Successfully complete the Electronic Employment Eligibility Verification Program (E-Verify), applicable to all newly hired State employees.
* Successfully pass fingerprint background check, prior employment verifications and reference checks; employment is contingent upon completion of the above-mentioned process and the agency’s ability to reasonably accommodate any restrictions.
* Travel may be required for State business. Employees who drive on state business must complete any required driver training (see Arizona Administrative Code R2-10-207.12.) AND have an acceptable driving record for the last 39 months including no DUI, suspension or revocations and less than 8 points on your license. If an Out of State Driver License was held within the last 39 months, a copy of your MVR (Motor Vehicle Record) is required prior to driving for State Business. Employees may be required to use their own transportation as well as maintaining valid motor vehicle insurance and current Arizona vehicle registration; however, mileage will be reimbursed.

If this position requires driving or the use of a vehicle as an essential function of the job to conduct State business, then the following requirements apply: Driver’s License Requirements.

All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify).

Benefits:

Among the many benefits of a career with the State of Arizona, there are:
* 10 paid holidays per year
* Paid Vacation and Sick time off (13 and 12 days per year respectively) - start earning it your 1st day (prorated for part-time employees)
* Paid Parental Leave-Up to 12 weeks per year paid leave for newborn or newly-placed foster/adopted child (pilot program).
* Other Leaves - Bereavement, civic duty, and military.
* A top-ranked retirement program with lifetime pension benefits
* A robust and affordable insurance plan, including medical, dental, life, and disability insurance
* Participation eligibility in the Public Service Loan Forgiveness Program (must meet qualifications)
* RideShare and Public Transit Subsidy
* A variety of learning and career development opportunities

By providing the option of a full-time or part-time remote work schedule, employees enjoy improved work/life balance, report higher job satisfaction, and are more productive. Remote work is a management option and not an employee entitlement or right. An agency may terminate a remote work agreement at its discretion.

Learn more about the Paid Parental Leave pilot program here. For a complete list of benefits provided by The State of Arizona, please visit our benefits page

Retirement:

Lifetime Pension Benefit Program
* Administered through the Arizona State Retirement System (ASRS)
* Defined benefit plan that provides for life-long income upon retirement.
* Required participation for Long-Term Disability (LTD) and ASRS Retirement plan.
* Pre-taxed payroll contributions begin after a 27-week waiting period (prior contributions may waive the waiting period).

Deferred Retirement Compensation Program
* Voluntary participation.
* Program administered through Nationwide.
* Tax-deferred retirement investments through payroll deductions.

Contact Us:

Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by emailing careers@azahcccs.gov.
Requests should be made as early as possible to allow time to arrange the accommodation. The State of Arizona is an Equal Opportunity/Reasonable Accommodation Employer.

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

Apply Online