Health Program Manager 2

This position coordinates and performs care management duties in relation to the Department's System of Care program (SOC); a statewide, integrated (physical health and behavioral health) health care management system within the Department of Child Safety Comprehensive Health Plan (DCS CHP). This position also identifies and initiates opportunities to enhance quality in providers and provider network in pursuit of the Arizona Twelve Principles for children involved with AZ Department of Child Safety.

• Performs Care Management activities for children involved DCS with complex physical and health care presentations which includes technical assistance and advocacy for systems of physical and behavioral health care delivery and DCS processes (i.e. Courts, Caregivers). Documents efforts.
  
• Serves as a field accountability partner to DCS CHP's managed care organization (MCO) partner in child-specific and system related functions to improve health care outcomes for children in care including, but not limited to, Child and Family Team (CFT) fidelity, care coordination and other performance management activities.
  
• Develops and maintains professional relationships among system stakeholders with efforts focused toward identifying child-specific and system oriented enhancements to improve health care to children served by DCS.
• Maintains up-to-date knowledge of Arizona Health Care Cost Containment System (AHCCCS), DCS and DCS CHP policies and procedures and participates in data-driven performance management to advise quality and network activities.
  
• Participates in activities beyond regular work hours on a rotational basis; handle incoming telephonic inquiries from members, providers, caregivers and DCS staff during off hours.
  
• Other duties as assigned as related to the position.

Knowledge of:

• Applicable laws and regulations, government (Medicare, Medicaid, Supplemental Security Income (SSI), and Social Security Disability Insurance (SSDI) and insurance benefits including AHCCCS Medical Policy and Contractors Operations Manuals
• New regulations on federal, state and local levels as well as practice guidelines and standards of practice
  

Skills in:

• Assessing, determining, and evaluating appropriate disposition and making independent judgments based on critical thinking skills and expertise
  
• Professional behavior, promoting cooperation and team building
• Communicating effectively and professionally using all modalities i.e. technology, written letter, and verbal with both providers and caregivers in a way that is both clear and concise
  

Ability to:

• Maintain and manage caseloads working independently with minimal direction
  
• Anticipate and organize work flow
  
• Work with a high volume caseload, deal effectively with rapidly changing priorities
• Follow through on responsibilities

N/A

Bachelors degree in counseling, social work, psychology, or related field and at least two years of health care advocacy through the child and family team process, developmental or physical health providers or systems including managed care or child welfare system required.

The ability to secure and maintain clearance from the DCS Central Registry.

A valid Arizona driver’s license is required. and the use of a vehicle is an essential function of the job to conduct State business. The following requirements apply: Driver’s License Requirements.

All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify).

The State of Arizona provides an excellent comprehensive benefits package including:

• Affordable medical, dental, life, and short-term disability insurance plans
  
• Top-ranked retirement and long-term disability plans
  
• 10 paid holidays per year
  
• Vacation time accrued at 4:00 hours bi-weekly for the first 3 years
  
• Sick time accrued at 3:42 hours bi-weekly
  
• Deferred compensation plan
  
• Wellness plans
  

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

Positions in this classification participate in the Arizona State Retirement System (ASRS). Enrollment eligibility will become effective after 27 weeks of employment.

Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by contacting 602-255-3141 or by email at ADA@AZDCS.GOV.   Requests should be made as early as possible to allow time to arrange the accommodation.  Should you have any further questions regarding the interview process you can reach out to a member of our recruitment team at 602-255-2903 or by email at recruiting@azdcs.gov.  The State of Arizona is an Equal Opportunity/Reasonable Accommodation Employer.