Chinle Medical Eligibility Assessor

Arizona Department of Administration

3d•Remote

About The Position

AHCCCS is nationally recognized for its outstanding workplace effectiveness and flexibility, consistently setting the benchmark for excellence among Medicaid programs. AHCCCS employees are deeply committed to serving Arizona’s citizens, ensuring access to quality healthcare for vulnerable populations. At AHCCCS, your work doesn’t just support a system—it transforms lives across Arizona. ✓ Supportive Culture: High employee engagement, strong leadership, and flexible work options including remote roles. ✓ Diverse Career Paths: Whether you're an experienced professional, a recent graduate, or exploring internships, AHCCCS offers meaningful roles in a competitive industry. ✓ Innovation in Public Service: Join a team that values performance, creativity, and continuous improvement in delivering healthcare solutions. As a Medical Eligibility Assessor, you’ll:

Requirements

Meet one of the following: 2 years in medical case management, RN licensure, or a relevant degree.
Bilingual (fluent) in Navajo
Valid Driver’s License
Pass a Fingerprint Background Screening
Complete E-Verify employment eligibility
Attend required training at start of employment

Nice To Haves

Background in medical case management
Licensure as a Registered Nurse
Professional experience working with the elderly or disabled

Responsibilities

Conduct Pre-Admission Screenings (PAS) determining medical eligibility for Arizona Long Term Services (ALTCS)
Review medical records
Record and update actions taken on case files
Directly interact with customers
Travel to various off-site locations
Perform comprehensive interactive Pre-Admission Screenings for all age groups in various settings.
Determine Medicaid eligibility based on medical records, health conditions, and treatment history.
Ensure compliance with Medicaid guidelines, state, and federal laws.
Prepare and submit medical assessment results accurately and on time.
Provide community resources for customers not eligible.
Recognize improvement opportunities in medical assessments.
Stay current on Medicaid rules and regulations.