Health Program Manager 2

Arizona Department of Administration•Phoenix, AZ

2d•$61,314•Onsite

About The Position

The Arizona Department of Child Safety (DCS) is a social and human services agency whose mission is to successfully partner with families, caregivers, and the community to strengthen families, ensure safety, and achieve permanency for all Arizona’s children through prevention, services, and support. This position coordinates and performs care management duties in relation to the Department's System of Care program (SOC); a statewide, integrated (physical health and behavioral health) health care management system within the Department of Child Safety Comprehensive Health Plan (DCS CHP). This position also identifies and initiates opportunities to enhance quality in providers and provider network in pursuit of the Arizona Twelve Principles for children involved with AZ Department of Child Safety.

Requirements

Knowledge of applicable laws and regulations, government (Medicare, Medicaid, Supplemental Security Income (SSI), and Social Security Disability Insurance (SSDI) and insurance benefits including AHCCCS Medical Policy and Contractors Operations Manuals
Knowledge of new regulations on federal, state and local levels as well as practice guidelines and standards of practice
Skills in assessing, determining, and evaluating appropriate disposition and making independent judgments based on critical thinking skills and expertise
Skills in professional behavior, promoting cooperation and team building
Skills in communicating effectively and professionally using all modalities i.e. technology, written letter, and verbal with both providers and caregivers in a way that is both clear and concise
Ability to maintain and manage caseloads working independently with minimal direction
Ability to anticipate and organize work flow
Ability to work with a high volume caseload, deal effectively with rapidly changing priorities
Ability to follow through on responsibilities
Bachelors degree in counseling, social work, psychology, or related field and 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 child welfare system required.
The ability to secure and maintain clearance from the DCS Central Registry.
A valid Arizona driver’s license is required. and the use of a vehicle is an essential function of the job to conduct State business.
All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify).

Nice To Haves

Responsibilities

Performs Care Management activities for children involved DCS with complex physical and health care presentations which includes technical assistance and advocacy for systems of physical and behavioral health care delivery and DCS processes (i.e. Courts, Caregivers). Documents efforts.
Serves as a field accountability partner to DCS CHP's managed care organization (MCO) partner in child-specific and system related functions to improve health care outcomes for children in care including, but not limited to, Child and Family Team (CFT) fidelity, care coordination and other performance management activities.
Develops and maintains professional relationships among system stakeholders with efforts focused toward identifying child-specific and system oriented enhancements to improve health care to children served by DCS.
Maintains up-to-date knowledge of Arizona Health Care Cost Containment System (AHCCCS), DCS and DCS CHP policies and procedures and participates in data-driven performance management to advise quality and network activities.
Participates in activities beyond regular work hours on a rotational basis; handle incoming telephonic inquiries from members, providers, caregivers and DCS staff during off hours.
Other duties as assigned as related to the position.