Flagstaff Medical Eligibility Specialist

State of Arizona • Flagstaff, AZ

177d • $51,340 • Remote

About The Position

The purpose of this position is to determine medical eligibility for customers applying for the Arizona Long Term Care Services (ALTCS) program. Comprehensive Pre-Admission Screenings (PAS) are completed during a face-to-face interview using a designated PAS instrument. Work independently and drive either a state vehicle or their personal vehicle to home and institutional settings to complete interviews and/or obtain documentation. Record actions taken on cases, maintains an electronic case file and updates the Health-e-Arizona Plus. A Medical Eligibility Specialist (PAS Assessor) may also be required to conduct financial eligibility interviews, complete applications and other forms and obtain verification of eligibility factors to determine the customer's initial and ongoing financial eligibility and share of cost. Some offices require fluency in Navajo.

Requirements

• Minimum 3 years of experience providing social service case management that includes individual planning and delivery of health care services.
• Graduation from an accredited school of nursing, with an active Arizona RN license.
• A Bachelor's or Master's degree with a major in Social Work, Rehabilitation, Counseling, Education, Sociology, Psychology, Nursing or other closely related field and 2 years of experience providing social service case management.
• Fluency in Navajo (for Chinle office only).

Nice To Haves

• Bilingual (Spanish) a plus but not required (All offices other than Chinle).

Responsibilities

• Drives a state or personal vehicle to conduct comprehensive interactive pre-admission screenings (initial and reassessments) utilizing HEAplus on all age groups in both institutional and community settings.
• Explains benefits, eligibility requirements and rights and responsibilities to customers.
• Manage and monitor PAS caseload and timeliness, schedule interviews, enter interview notes and score PAS, document follow-up actions with case notes, complete and close PAS assessments within application timeframes utilizing HEAplus.
• Obtains and reviews medical records and other relevant records; gathers data to support eligibility findings.
• Interacts with informants such as family members and caregivers of customers, physicians and other professionals to identify and evaluate medical and psychosocial conditions.
• Interacts with other state agencies such as Adult Protective Services (APS), Division of Developmental Disabilities (DDD) and Department of Child Safety (DCS).
• Contacts applicants with the outcome of the PAS assessment and provides appropriate community resources for customers determined not eligible.
• Attends staff meetings and participates in exchange of professional information in support of the program.
• Works on special projects, completes financial eligibility interviews.

Benefits

• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Executive, Legislative, and Other General Government Support
• Education Level: Bachelor's degree