reputed company Health Nursing Consultant

reputed company Health Nursing Consultant Job No: 538720 Work Type: Full-time Location: REMOTE reputed company, PHOENIX Categories: Communication/Community Relations, Research, Caregiver/Childcare, reputed company/Nursing/Investigations/Compliance 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. MCH/EPSDT Coordinator Division of Managed Care (DMC) 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: $71,032 Grade: 22 FLSA Status: Exempt This position will remain reputed company until filled. Job reputed company: The Division of Managed Care (DMC) is looking for a highly motivated individual to join reputed company as a Maternal Child Health (MCH) Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Coordinator. Under the leadership of the MCH EPSDT Program Manager, this position provides reputed company of the EPSDT, women's preventive health, family planning, and maternity care services reputed company AHCCCS's statewide managed care and fee for-service programs. This role ensures services that support pregnant and postpartum members; infants and children are delivered in compliance with state and federal requirements. This position is responsible for reputed company improvement activities, validating deliverables, identifying gaps and recommending strategies to improve performance. Major duties and responsibilities include but are not limited to:

• reputed company and monitoring of EPSDT, women's preventive health, family planning, and maternity care programs to ensure state and federal requirements are met.
• Participate in operational reviews, administrative reviews, technical assistance, and reputed company studies/reviews to ensure compliance with contractual and policy requirements for reputed company lines of business. Follow-up on written reports, corrective reputed company plans and other compliance actions as appropriate.
• Represent the MCH EPSDT Unit in the development and revision of reputed company, amendments and policy. This position may participate in work reputed company, steering teams, and scoring teams as needed and requested by reputed company.
• reputed company education and technical assistance to reputed company stakeholders, including Contractor's and FFS providers, as appropriate regarding covered services, and contractual or policy requirements, accurately and consistently to improve compliance with AHCCCS requirements and improve EPSDT and maternal child health services to AHCCCS members. Includes identification, research and reputed company of issues as needed.
• Collaborate with other AHCCCS reputed company and state and local health and reputed company service agencies, including ADHS, DES/DDD, DCS, Head Start, Vaccines for Children (VFC), childhood reputed company prevention program etc. as reputed company as community and private health care providers.
• Coordinate and complete tracking, evaluation, and responses to Contractor deliverables such as annual program plans and member materials, to assure MCH EPSDT components are thoroughly addressed and reputed company with policies.
• reputed company special reputed company and reviews to ensure completion reputed company the designated timelines and alignment with reputed company recommendations. reputed company ongoing updates to Management.

Knowledge, Skills & Abilities (KSAs): Knowledge:

• State and Federal rules, regulations, policies and procedures governing Title XIX, Title XXI, Managed Care, and LTC and Tribal lines of business
• Medical/nursing reputed company, medical case management protocols, reputed company management and utilization review protocols as reputed company to the reputed company populations including maternal and child health services, women's preventive health, family planning services and supplies, EPSDT, acute, LTC, chronic long-term elderly and physically disabled, developmentally disabled, behavioral/mental health, children in the foster care system and Tribal lines of business
• reputed company reputed company improvement and health care theories and practices
• Background in and knowledge of reputed company management principles and accreditation bodies' review processes

Skills:

• Organizational skills for setting priorities, workload, and record keeping
• Project management to meet goals and deadlines
• reputed company speaking and delivering presentations or technical assistance to reputed company stakeholders
• Written communication and correspondence with reputed company stakeholders
• Problem-solving techniques, evaluation, and initiation of appropriate reputed company
• Research and analytical skills
• Interpret and apply rules, regulations, and policies to MCH EPSDT program operations and reputed company activities
• Interpret clinical information

Abilities:

• reputed company, implement and review case management and utilization review systems and the ability to offer technical assistance to Acute, LTC, Sister Agency and/or tribal Contractor's
• Manage multiple priorities effectively
• reputed company special reputed company
• Collaborate with reputed company stakeholders
• Identify gaps and recommend solutions

Qualifications: Minimum:

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

Preferred:

• At least one year of experience working in reputed company, managed care, case management, or health plan administration.

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 reputed company Service Loan Forgiveness Program (must meet qualifications)
• RideShare and reputed company 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. Advertised: 30 Apr 2026 US Mountain reputed company Time Applications reputed company: reputed company reputed company reputed company Email App Apply tot his job Apply To this Job