Health Program Manager 2

Arizona Department of Administration•Phoenix, AZ
•Onsite

About The Position

The Health Program Manager 2 coordinates and performs care management for the Department of Child Safety’s System of Care (SOC), a statewide integrated physical and behavioral health care management system within the DCS Comprehensive Health Plan. The position also identifies and initiates opportunities to improve quality among providers and within the provider network in support of the Arizona Twelve Principles for children involved with DCS. The position is based at the Comprehensive Health Plan, 3003 N Central Ave, Phoenix, Arizona. It requires work beyond regular hours on a rotational basis to respond to incoming telephone inquiries from members, providers, caregivers, and DCS staff. The role requires a bachelor’s degree in counseling, social work, psychology, or a related field, along with at least two years of qualifying health care advocacy experience.

Requirements

  • Bachelor’s degree in counseling, social work, psychology, or a related field.
  • At least two years of health care advocacy through the child and family team process, developmental or physical health providers or systems (including managed care), or the child welfare system.
  • Ability to secure and maintain clearance from the DCS Central Registry.
  • Valid Arizona driver’s license; use of a vehicle is an essential function for conducting State business.
  • Successfully complete the Electronic Employment Eligibility Verification Program (E-Verify).
  • Knowledge of applicable laws and regulations, government programs and insurance benefits, including AHCCCS Medical Policy and Contractors Operations Manuals, and practice guidelines and standards of practice.
  • Ability to assess and evaluate appropriate dispositions and make independent judgments using critical thinking and expertise.
  • Professional behavior that promotes cooperation and team building.
  • Effective, professional communication with providers and caregivers using technological, written, and verbal modalities.
  • Ability to manage caseloads independently with minimal direction, organize workflow, handle high caseload volume and changing priorities, and follow through on responsibilities.

Responsibilities

  • Perform care management for children involved with DCS who have complex physical and health care needs, including technical assistance and advocacy related to physical and behavioral health care delivery systems and DCS processes such as courts and caregivers; document efforts.
  • Serve as a field accountability partner to the DCS CHP managed care organization partner on child-specific and system-related activities to improve health care outcomes, including Child and Family Team fidelity, care coordination, and performance management.
  • Develop and maintain professional relationships with system stakeholders to identify child-specific and system-oriented improvements to health care for children served by DCS.
  • Maintain current knowledge of AHCCCS, DCS, and DCS CHP policies and procedures, and participate in data-driven performance management to inform quality and network activities.
  • Participate in activities beyond regular work hours on a rotational basis and handle off-hours telephone inquiries from members, providers, caregivers, and DCS staff.
  • Perform other duties related to the position as assigned.

Benefits

  • Affordable medical, dental, life, and short-term disability insurance plans.
  • Top-ranked retirement and long-term disability plans.
  • 10 paid holidays per year.
  • Vacation accrued at 4 hours bi-weekly for the first 3 years.
  • Sick time accrued at 3 hours and 42 minutes bi-weekly.
  • Deferred compensation plan.
  • Wellness plans.
  • Paid Parental Leave pilot program.
  • Participation in the Arizona State Retirement System (ASRS); enrollment eligibility becomes effective after 27 weeks of employment.
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