Psychiatric Program Evaluation Analyst

Arizona Department of Administration•Phoenix, AZ

3d•Onsite

About The Position

This position assists children and their families in navigating the behavioral health (BH) system so the children served by the Subsidy Program receive needed behavioral health services. In addition, this position leads in providing training on navigating the behavioral health system and assists subsidy parents with the formal appeals process established by the Arizona Department of Behavioral Health Services.

Requirements

Knowledge of Arizona Health Care Cost Containment System (AHCCCS)/Medicaid Health Plan operations and requirements, including requirement of the federal Early Periodic Screening Diagnostic & Treatment (EPSDT) program
Knowledge of Adoption/Guardianship Subsidy Program including Arizona Revised Statute, state and federal policies
Knowledge of Health Care Administration as is relates to children in foster care, adoption, and guardianship
Knowledge of Arizona Department of Behavioral Health Services (ADBHS) policies and procedures and Behavioral Health Services available under Medicaid
Skills in verbal and written communication
Skills in establishing and maintaining interpersonal, community and group relationships
Skills in interpreting a variety of data to include medical information
Skills in leading and mentoring
Skills in project management
Ability to think critically and problem solve
Ability to recognize patient-related problems based on review of documents
Ability to multi-task and stay organized
Ability to input and track data accurately and timely
Must be able to secure and maintain clearance from DCS Central Registry.
This position does require driving or the use of a vehicle as 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

Bachelor's Degree in Social Work, Psychology or related field
2+ years experience in Arizona's Behavioral Health System
Knowledge of Medicaid behavioral health service array and the Child Family Team (CFT) process is preferred.

Responsibilities

Assists in training and enhancing the knowledge of subsidy specialists as well as field specialist on the subsidy program. Ensuring that specialists have the skills necessary to provide accurate and quality customer service to the families served by the program. Work with Learning & Development to create, edit, and update job guides and user manuals applicable to the subsidy program.
Provides customer service when answering/making phone calls for subsidy children needing behavioral health services. Provides technical and resource assistance to DCS Subsidy Specialist, Subsidy Supervisor, Adoptive and Guardianship Parent(s) state wide on how to obtain behavioral health services and expected standards of behavioral health service delivery. Networks with parents and community groups on Behavioral Health services and Adoption and Guardianship subsidy procedures.
Assists Subsidy Specialist and Subsidy Supervisors with recognizing quality of care issues regarding behavioral health services and assist in taking any necessary action. These actions could include issue resolution with BH providers, clinical discussion with Integrated Health Plans to determine the appropriate intensity and level of BH services, and assisting Adoptive and Guardianship Subsidy Parent(s) with the appeal process through BH.
Collaborates with internal DCS staff and external stake holders (integrated health plans) in order to trouble shoot issues that arise involving behavioral health services for subsidy children such as delay in services, denial of 15 medically necessary behavioral health services, or difficulties with filling psychotropic medications due to non-clinical reasons.
Confers with professionals in multiple state agencies, to ensure children can receive required services timely, participate as a community liaison as it relates to the DCS Subsidy Program. Assist families to develop appeals actions in cases where required BH services are not being provided or where any inadequate level of services are being provided.
Coordinates the Complaint/Grievance process through Subsidy. Receives complaints/grievances from adoptive/guardianship parent(s), and sends them to the Adoptions Manager to resolve. Coordinates with Attorney General (AAG) and Office of Administrative Hearings (OAH) on subsidy appeals. Gathers information for the appeal, consulting with the AAG, and testifies at the OAH hearing as required.
Other duties as assigned as related to the position.