Health Program Manager 2

Arizona Department of Administration • Casa Grande, AZ

8d • Onsite

About The Position

The System of Care Coordinator coordinates and performs care management duties 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 identifies and initiates opportunities to improve provider and provider-network quality in support of the Arizona Twelve Principles for children involved with the Department of Child Safety.

The role requires a bachelor’s degree in counseling, social work, psychology, or a related field, plus at least two years of health care advocacy experience through the child and family team process, developmental or physical health providers or systems, managed care, or the child welfare system. The employee must be able to obtain and maintain DCS Central Registry clearance and hold a valid Arizona driver’s license; use of a vehicle is an essential job function. Newly hired State employees must successfully complete E-Verify. The position participates in rotational after-hours activities and handles 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 experience through the child and family team process, developmental or physical health providers or systems, managed care, or the child welfare system.
• Ability to obtain and maintain clearance from the DCS Central Registry.
• Valid Arizona driver’s license; use of a vehicle is an essential function of the job.
• Knowledge of applicable laws and regulations, government programs and insurance benefits, including AHCCCS Medical Policy and Contractors Operations Manuals.
• Knowledge of new federal, state, and local regulations, practice guidelines, and standards of practice.
• Skill in assessing, determining, and evaluating appropriate dispositions and making independent judgments using critical thinking and expertise.
• Professional behavior, cooperation, and team-building skills.
• Effective and professional communication with providers and caregivers across technology, written, and verbal channels.
• Ability to independently manage caseloads with minimal direction, organize workflow, handle high-volume caseloads and rapidly changing priorities, and follow through on responsibilities.
• Successful completion of the Electronic Employment Eligibility Verification Program (E-Verify) for newly hired State employees.

Responsibilities

• Perform care management for children involved with DCS who have complex physical and health care needs, including technical assistance and advocacy with physical and behavioral health care systems and DCS processes; document efforts.
• Serve as a field accountability partner to the DCS CHP managed care organization partner on child-specific and system-related functions 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-level 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 advise quality and network activities.
• Participate in rotational activities beyond regular work hours 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.
• Retirement and long-term disability plans; positions in this classification participate in the Arizona State Retirement System, with enrollment eligibility effective after 27 weeks of employment.
• 10 paid holidays per year.
• Vacation accrual of 4 hours bi-weekly for the first 3 years.
• Sick time accrual of 3 hours and 42 minutes bi-weekly.
• Deferred compensation plan.
• Wellness plans.
• Paid Parental Leave pilot program is referenced.

What This Job Offers

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