MEDICAL RECORDS REVIEW CONSULTANT

Arizona Department of Administration•Phoenix, AZ

13d•$110,000 - $140,000•Hybrid

About The Position

The Department of Economic Security (DES), Division of Developmental Disabilities (DDD), is seeking an experienced and highly motivated individual to join our team as a Medical Records Review Consultant. DDD provides individuals with developmental disabilities, and their families, services and supports that are flexible, high quality, and member driven. These services provide individuals with opportunities to exercise their rights and responsibilities of independent decision-making and engagement in the community. Applicants for this position cannot be licensed or certified by the DDD Office of Licensing Certification and Regulation, cannot have a principal interest in or have a spouse or close family with principal interest in a DDD Qualified Vendor Agreement, and cannot be employed or subcontracted by a DDD Qualified Vendor. This position may offer the ability to work remotely, within Arizona, based upon the department's business needs and continual meeting of expected performance measures. The State of Arizona strives for a work culture that affords employees flexibility, autonomy, and trust. Across our many agencies, boards, and commissions, many State employees participate in the State’s Remote Work Program and are able to work remotely in their homes, in offices, and in hoteling spaces. All work, including remote work, should be performed within Arizona unless an exception is properly authorized in advance.

Requirements

Current evidence based practice, principles, techniques, and trends in psychology or social work with additional expertise in the area of developmental disabilities
Methods of psychological assessment and testing modalities, their indications and interpretation
Functional analysis of behavior and appropriate evidence based behavioral interventions
Current APA Diagnostic and Statistical Manual of Mental Disorders (DSM) criteria
Components of a Comprehensive Psychological Examination and the Psychological Reports
Reviewing psychological evaluations for content, validity, and relevance
Generate conclusions and decisions from comprehensive report review in a timely manner
Comprehensive psychological evaluation to include testing and to report these results in an appropriate manner
Providing critical and accurate review of comprehensive psychological evaluations, testing modalities, and other relevant reports and preparing timely administrative reports
Review and interpret psychological assessment and testing modalities
Serve as a Subject Matter Expert (SME) within the organization and with contracted agencies and/or providers
Provide effective training to enhance staff knowledge and skill level
Licensed psychologist in good standing with the Arizona Board of Psychologist Examiners
The candidate must possess two (2) years post doctoral clinical experience
Experience working with the Developmental Disability/Intellectual Disability (DD/ID) population preferred OR a master's degree in psychology or social work (LMSW or LCSW) and formal training in the ethical administration, scoring, and interpretation of clinical assessments
Two (2) years post master's clinical experience
Employee shall have a valid Level One fingerprint clearance card issued pursuant to Arizona Revised Statute 41-1968 in order to work with children and vulnerable adults.
Candidates for this position shall be subject to a search of both the Department of Child Safety Central Registry pursuant to A.R.S. 8-804 and the Adult Protective Services Registry pursuant to A.R.S. 46-459.
Successfully pass background and reference check; employment is contingent upon completion of the above-mentioned process and the Agency’s ability to reasonably accommodate any restrictions.
All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify).

Nice To Haves

Membership in Applied Behavioral Analysis (ASA) is desirable

Responsibilities

Performs clinical review, primarily of assessments designed for evaluating members or potential members regarding daily activities, mobility, social and cognitive abilities and responsibilities.
Participates in hearings for members who are applying for eligibility, being assessed for Home and Community Based Services (HCBS) through the HCBS Needs Tool (HNT) or being redetermined for eligibility at the Division of Developmental Disabilities (DDD/ Division).
Conducts comprehensive record review (PEDI-CAT, medical, psychological, educational and other relevant documents) for the purpose of DDD eligibility, redetermination and HCBS and advises Support Coordinators (SC) and planning teams regarding potential services.
Prepares for Administrative Review (AR) Hearings, appears in Court, testify as an expert witness and acts as a DDD liaison with Psychologists and other Behavioral Health providers in the community and participates in Extraordinary Care Reviews (ECR).
Acts as a Subject Matter Expert (SME) in eligibility and HCBS for DDD, DDD diagnosis and diagnostic criteria and Long Term Services and Supports (LTSS) in accordance with the American Psychiatric Association (APA), AZ Administrative Code and Statute, Arizona Health Care Cost Containment System (AHCCCS) policy and DDD policy and procedure.

Benefits

Affordable medical, dental, life, and short-term disability insurance plans
Participation in the Arizona State Retirement System (ASRS) and long-term disability plans
10 paid holidays per year
Paid vacation and sick time
Paid Parental Leave-Up to 12 weeks per year paid leave for newborn or newly-placed foster/adopted child.
Deferred compensation plan
Wellness plans
Tuition Reimbursement
Stipend Opportunities
Infant at Work Program
Rideshare and Public Transit Subsidy
Career Advancement & Employee Development Opportunities