Northern Region Medical Eligibility Assessor
About The Position
The Arizona Health Care Cost Containment System (AHCCCS), Arizona’s Medicaid Agency, is driven by its mission to deliver comprehensive, cost-effective health care to Arizonans in need. AHCCCS is nationally recognized for its outstanding workplace effectiveness and flexibility, consistently setting the benchmark for excellence among Medicaid programs. AHCCCS employees are deeply committed to serving Arizona's citizens, ensuring access to quality healthcare for vulnerable populations. As a Medical Eligibility Assessor, you will conduct Pre-Admission Screenings (PAS) determining medical eligibility for Arizona Long Term Services (ALTCS), review medical records, record and update actions taken on case files, directly interact with customers, and travel to various off-site locations.
Requirements
- Meet one of the following: 2 years in medical case management, RN licensure, or a relevant degree.
- Valid Driver’s License
- Pass a Fingerprint Background Screening
- Complete E-Verify employment eligibility
- Attend required training at start of employment
Nice To Haves
- Background in medical case management
- Licensure as a Registered Nurse
- Professional experience working with the elderly or disabled
Responsibilities
- Conduct Pre-Admission Screenings (PAS) determining medical eligibility for Arizona Long Term Services (ALTCS)
- Review medical records
- Record and update actions taken on case files
- Directly interact with customers
- Travel to various off-site locations
- Perform comprehensive interactive Pre-Admission Screenings for all age groups in various settings.
- Determine Medicaid eligibility based on medical records, health conditions, and treatment history.
- Ensure compliance with Medicaid guidelines, state, and federal laws.
- Prepare and submit medical assessment results accurately and on time.
- Provide community resources for customers not eligible.
- Recognize improvement opportunities in medical assessments.
- Stay current on Medicaid rules and regulations.
Benefits
- Comprehensive medical, dental, and life insurance options
- Supportive retirement plan through Arizona State Retirement System (ASRS)
- 10 paid holidays and generous vacation/sick leave
- Up to 12 weeks of paid parental leave (pilot program)
- Tuition reimbursement, wellness plans, and professional development
- Flexible schedules to support work-life balance
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
