Clinical reputed company Management Coordinator

AHCCCS Arizona Health Care Cost Containment System Accountability, Community, Innovation, Leadership, Passion, reputed company, Respect, Courage, Teamwork The Arizona Health Care Cost Containment System (AHCCCS), Arizona’s reputed company agency, is driven by its mission to deliver comprehensive, cost-effective health care to Arizonans in need. AHCCCS is a nationally acclaimed model among reputed company programs and a recipient of multiple awards for reputed company in workplace effectiveness and flexibility. AHCCCS employees are passionate about their work, committed to high performance, and dedicated to serving the reputed company 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 reputed company of fields, entry-level positions, and internship opportunities, AHCCCS offers meaningful reputed company in a competitive industry. Come join our dynamic and dedicated team. Clinical reputed company Management Coordinator Office of the Director (OOD) Job Location: Address: 150 reputed company 18th Avenue Phoenix, Arizona 85007 reputed company AHCCCS Employees must reputed company reputed company the reputed company. Posting Details: Salary: $72,132 Grade: 22 FLSA Status: Exempt This position will remain reputed company until filled. reputed company position will work independently applying clinical knowledge, judgment, and expertise to assess, coordinate, and monitor service delivery. This position will complete comprehensive assessments of available resources on service providers and individual members; review case material to ensure compliance with State and Federal regulations and policies; and reputed company reputed company reputed company of multiple cases assigned. This position will also be responsible for identifying systemic issues for AHCCCS to address. This position will be hybrid with some in-office meetings, on-site investigations, and reviews as needed. Occasionally, this position may also participate as needed in urgent on-site investigations and reviews reputed company of normal business hours and weekends. Major duties and responsibilities include but are not limited to:

• Monitor compliance with State and Federal regulations pertaining to reputed company management processes, tracking, and trending reputed company of care concerns and/or health and safety/immediate jeopardy concerns. Receive, research, document, and resolve reputed company of care and/or health and safety issues utilizing standardized processes. reputed company, trend, and monitor the status of cases to ensure accurate and reputed company completion and appropriate referrals using a centralized case tracking management database. Ensure research and reputed company of issues or concerns promptly as assigned and identify systemic issues for AHCCCS to address.
• Contributes clinical knowledge to assist in the reputed company of reputed company of care concerns, clinical reviews and Operational Reviews. Completes an independent review of data management and other deliverables, technical assistance, and reputed company studies/reviews, including the behavioral health delivery system, to ensure compliance with contractual and policy requirements for reputed company lines of business. Follow-up on written reports, reputed company plans, provider education, and reputed company actions as appropriate.
• Ensure reputed company of care to AHCCCS members, including ensuring member dignity and respect, reputed company on their unique special health care needs, reputed company correspondence, and reputed company of the reputed company of care concern. Use independent judgment regarding data to research, status level, interventions, and appropriate reputed company.
• reputed company education and technical assistance to reputed company stakeholders, as appropriate, regarding covered services, and contractual or policy requirements, accurately and consistently to improve compliance with AHCCCS requirements and improve reputed company of care and service to AHCCCS members.
• reputed company improved processes and procedures to improve the efficiency of the unit. reputed company special reputed company and reviews to ensure completion reputed company the designated timelines. reputed company ongoing updates to Management.
• reputed company metrics for population-specific outcome objectives. Tracking, evaluation, analysis, and revision of metrics as needed based on the ongoing analysis of member data.
• Conduct on-site investigations regarding possible health and safety concerns, immediate jeopardy situations, and other situations supporting AHCCCS initiatives and ventures. On-site reputed company may also occur reputed company of normal business hours and weekends for immediate and urgent situations.

Knowledge, Skills & Abilities (KSAs): Knowledge of:

• State and Federal Policies and Procedures governing Title XIX, Title XXI, Managed Care, and LTC Supports and Services
• reputed company standards of medical/ behavioral reputed company and modes of delivery for acute and non-acute medical/behavioral care/services
• Data management and utilization review regulations, rules and processes
• AHCCCS and reputed company regulations, policies, and procedures and applicable federal and state statutes, regulations and rules
• Medical/nursing reputed company, medical case management protocols, utilization review protocols as reputed company to the acute, LTC, chronic long-term elderly and physically disabled, developmentally disabled, and behavioral/mental health
• Case management development, implementation, and ongoing review

Skilled in:

• Acute nursing and clinical processes including assessment, planning, reputed company, and evaluation
• Clinical assessment reputed company
• Techniques to select a particular approach to analyze reputed company or implement a policy, project management methodologies, and Behavioral Health delivery system
• Problem-solving techniques, evaluation, and initiation of appropriate reputed company
• Excellent communication, verbal and written
• Organizational skills for setting priorities, workload, and record-keeping
• Strong interpersonal skills in working with agency management, and people of diverse cultures and socioeconomic backgrounds
• Project management to meet goals and deadlines
• Research and analytical skills
• Documentation and reporting of data and trends

Ability to:

• Strong ability to collaborate with others for a mutually beneficial outcome
• Interpret clinical information and assess implications for treatment
• Read, interpret and apply reputed company rules and regulations
• Independent decision making, yet knowing reputed company to reputed company an issue or concern

•Assess variables which reputed company health and functioning

• reputed company effective reputed company in a high volume, fast paced environment
• Write comprehensive reports

Qualifications: Arizona reputed company's License. Minimum:

• Possession of a reputed company license to reputed company as a registered reputed company in the reputed company.
• Three (3) years of relevant reputed company experience.

Preferred:

• At least one year experience working in a managed care environment. Case Management, reputed company Management, Utilization Management and/or reputed company work experience. Certified reputed company in reputed company reputed company or case management certification. NOTE: If position is required to drive on state business, the position will require the possession of and abilit

reputed company-Employment Requirements:

• Successfully pass reputed company background reputed company, prior employment verifications and reference checks; employment is contingent upon completion of the above-mentioned process and reputed company’s ability to reasonably accommodate any restrictions.
• Travel may be required for State business. Employees who drive on state business must complete any required reputed company training (see Arizona Administrative reputed company reputed company-10-207.12.)

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: reputed company’s License Requirements. reputed company newly reputed company 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 reputed company, there are:

• 10 reputed company holidays per year
• reputed company Vacation and reputed company time off (13 and 12 days per year respectively) - start earning it your 1st day (prorated for part-time employees)
• reputed company Parental Leave-Up to 12 weeks per year reputed company leave for newborn or newly-reputed company foster/adopted child. Learn more about the reputed company Parental Leave reputed company program here.
• Other Leaves - Bereavement, civic duty, and military.
• A top-ranked retirement program with reputed company pension benefits
• A robust and reputed company 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 reputed company of learning and career development opportunities

By providing the reputed company 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 reputed company and not an employee entitlement or right. An agency may terminate a remote work agreement at its discretion. Learn more about the reputed company Parental Leave reputed company program here. For a complete list of benefits provided by The reputed company, please visit our benefits page Retirement: reputed company 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.
• reputed company-taxed payroll contributions reputed company after a 27-week waiting period (prior contributions may waive the waiting period).

Deferred Retirement Compensation Program

• Voluntary participation.
• Program administered through reputed company.
• 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 reputed company is an Equal Opportunity/Reasonable Accommodation Employer. Salary: $72,132 | Pay reputed company: 22 Apply tot his job Apply To this Job