Health Program Manager 2

Arizona Department of Administration • Casa Grande, AZ

7d • Onsite

About The Position

The System of Care Coordinator coordinates and performs care management for the Department of Child Safety’s System of Care program, 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 providers and the provider network in support of the Arizona Twelve Principles for children involved with the Arizona Department of Child Safety.

The role provides care management for children involved with DCS who have complex physical and health care needs, including technical assistance and advocacy across health care delivery systems and DCS processes. It works with the managed care organization partner and other system stakeholders to improve child-specific and system-level health care outcomes. The position is based at the Comprehensive Health Plan in Casa Grande, Arizona, and participates in rotational activities outside regular work hours, including handling incoming calls from members, providers, caregivers, and DCS staff.

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, 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 job 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 federal, state, and local regulations, practice guidelines, and standards of practice.
• Skills in assessing, determining, and evaluating appropriate dispositions and making independent judgments using critical thinking and expertise.
• Professional behavior that promotes cooperation and team building.
• Effective, professional communication with providers and caregivers across technological, written, and verbal modalities.
• Ability to manage caseloads independently with minimal direction, anticipate and organize workflow, manage a high-volume caseload, adapt to rapidly changing priorities, and follow through on responsibilities.

Responsibilities

• Perform care management for DCS-involved children with complex physical and health care needs, including technical assistance and advocacy for health care delivery systems and DCS processes.
• Document care management efforts.
• Serve as a field accountability partner to the DCS CHP managed care organization partner on child-specific and system-related functions, 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.
• Participate in data-driven performance management to advise quality and network activities.
• Participate in activities beyond regular work hours on a rotational basis and handle incoming telephonic inquiries from members, providers, caregivers, and DCS staff during off hours.
• Perform other duties related to the position as assigned.

Benefits

• Affordable medical, dental, life, and short-term disability insurance plans
• Retirement and long-term disability plans
• 10 paid holidays per year
• Vacation accrual of 4.00 hours bi-weekly for the first three years
• Sick time accrual of 3.42 hours bi-weekly
• Deferred compensation plan
• Wellness plans
• Paid Parental Leave pilot program
• Arizona State Retirement System participation; enrollment eligibility becomes effective after 27 weeks of employment

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level