Arizona Health Care Cost Containment System
Location
Phoenix, AZ | United States
Job description
Job Location:
Phoenix
801 East Jefferson Street
Phoenix, AZ 85034
Tucson
7202 East Rosewood Street, Suite 125
Tucson, AZ 85710
Flagstaff
2717 North Fourth Street, Suite 130
Flagstaff, Arizona 86004
Yuma
1800 East Palo Verde Street
Yuma, Arizona 85364
Kingman
2400 Airway Avenue
Kingman, Arizona 86409
Posting Details:
Job Summary:
The Division of Member and Provider Services is looking for a highly motivated individual to join our team as a Medical Eligibility Specialist (PAS Assessor). This position is to determine medical eligibility for customers applying for the Arizona Long Term Care Services (ALTCS) program. Comprehensive Pre-Admission Screenings (PAS) are completed during a face-to-face interview using a designated PAS instrument. Work independently and drive either a state vehicle or their personal vehicle to home and institutional settings to complete interviews and/or obtain documentation. Record actions taken on cases, maintains an electronic case file and updates the Health-e-Arizona Plus. A PAS Assessor may also be required to conduct financial eligibility interviews, complete applications and other forms and obtain verification of eligibility factors to determine the customer's initial and ongoing financial eligibility and share of cost.
Job Duties:
Major duties and responsibilities include but are not limited to:
* Drives a state or personal vehicle to conduct comprehensive interactive pre-admission screenings (initial and reassessments) utilizing HEAplus on all age groups in both institutional and community settings. Explains benefits, eligibility requirements and rights and responsibilities to customers.
* Manage and monitor PAS caseload and timeliness, schedule interviews, enter interview notes and score PAS, document follow-up actions with case notes, complete and close PAS assessments within application timeframes utilizing HEAplus.
* Obtains and reviews medical records and other relevant records; gathers data to support eligibility findings; interacts with informants such as family members and caregivers of customers, physicians and other professionals to identify and evaluate medical and psychosocial conditions.
* Interact with other state agencies such as Adult Protective Services (APS), Division of developmental Disabilities (DDD) and Department of Child Safety (DCS).
* Contact applicants with the outcome of the PAS assessment and provide appropriate community resources for customers determined not eligible.
* Attends staff meetings and participates in exchange of professional information in support of the program. Works on special projects, completes financial eligibility interviews.
Knowledge, Skills & Abilities (KSAs):
Knowledge:Abilities:
* Strong ability to establish and maintain effective working relationships with professional staff, caregivers, customers’ families, children and adults and with representatives of courts and various other agencies in the community.
* Ability to communicate effectively, both orally and in writing, reading, understanding and applying rules, regulations and policies.
* Ability to Elicit information and gain insight into customers and families; using a personal computer/laptop and computer programs to document information.
* Ability to solve mathematic problems accurately.
Qualifications:
Minimum:
* 3 years of experience providing social service case management that includes individual planning and delivery of health care services; OR Graduation from an accredited school of nursing, with an active Arizona RN license; OR a Bachelors or Master's degree with a major in Social Work, Rehabilitation, Counseling, Education, Sociology, Psychology, Nursing or other closely related field and 2 years of experience providing social service case management.
* Chinle office only: Bilingual (fluent) in Navajo.
* AZ Driver's License.
Preferred:
* Bilingual (Spanish) a plus but not required (All offices other than Chinle).
Pre-Employment Requirements:
* Successfully complete the Electronic Employment Eligibility Verification Program (E-Verify), applicable to all newly hired State employees.
* Successfully pass fingerprint background check, prior employment verifications and reference checks; employment is contingent upon completion of the above-mentioned process and the agency’s ability to reasonably accommodate any restrictions.
* Travel may be required for State business. Employees who drive on state business must complete any required driver training (see Arizona Administrative Code R2-10-207.12.) AND have an acceptable driving record for the last 39 months including no DUI, suspension or revocations and less than 8 points on your license. If an Out of State Driver License was held within the last 39 months, a copy of your MVR (Motor Vehicle Record) is required prior to driving for State Business. Employees may be required to use their own transportation as well as maintaining valid motor vehicle insurance and current Arizona vehicle registration; however, mileage will be reimbursed.
Benefits:
Among the many benefits of a career with the State of Arizona, there are:
* 10 paid holidays per year
* Paid Vacation and Sick time off (13 and 12 days per year respectively) - start earning it your 1st day (prorated for part-time employees)
* Paid Parental Leave-Up to 12 weeks per year paid leave for newborn or newly-placed foster/adopted child (pilot program).
* Other Leaves - Bereavement, civic duty, and military.
* A top-ranked retirement program with lifetime pension benefits
* A robust and affordable insurance plan, including medical, dental, life, and disability insurance
* Participation eligibility in the Public Service Loan Forgiveness Program (must meet qualifications)
* RideShare and Public Transit Subsidy
* A variety of learning and career development opportunities
Learn more about the Paid Parental Leave pilot program here. For a complete list of benefits provided by The State of Arizona, please visit our benefits page
Retirement:
Lifetime Pension Benefit Program.
* Administered through the Arizona State Retirement System (ASRS)
* Defined benefit plan that provides for life-long income upon retirement.
* Required participation for Long-Term Disability (LTD) and ASRS Retirement plan.
* Pre-taxed payroll contributions begin after a 27-week waiting period (prior contributions may waive the waiting period).
Deferred Retirement Compensation Program.
* Voluntary participation.
* Program administered through Nationwide.
* Tax-deferred retirement investments through payroll deductions.
Contact Us:
Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by emailing [email protected].
Requests should be made as early as possible to allow time to arrange the accommodation. The State of Arizona is an Equal Opportunity/Reasonable Accommodation Employer.
Job tags
Salary
$51.34k
