Title: Clinical Care Specialist

• 525632

• PHOENIX
• REMOTE OPTIONS

• AHCCCS

• Full-time

The Division of Fee For Service Management is looking for a highly motivated individual to join our team as Clinical Care Specialist. Under the direction of the DFSM Quality Manager, this position serves as the coordinator for DFSM Quality activity, deliverable tracking and develops infrastructure for Quality activities. Including developing and maintaining desk levels, process and data flows, coordinating internal and external meetings and follow up, developing spreadsheets, reports, tracking deadlines, receipts, reviews and responses associated with Quality deliverables, maintaining confidential files and tracks and maintains the units' leave schedules.

This position will be hybrid with some in-office meetings and on-site investigations and reviews as needed.

Major duties and responsibilities include but are not limited to:
* Provide support to the Quality team including tracking receipt, review and response of cases to ensure timely tracking and processing. Responds to requests regarding the status of the Quality Unit's cases. Maintains documentation of communications and recommendations, monitors the timeliness of submissions for the unit in accordance with policy/DLPs. Coordinates amongst the DFSM Quality team, DHCS Quality, OIG, OGC and other stakeholders, including TRBHAs.
* Develops desk levels, spreadsheets, reports, and draft communications for the unit as requested. Maintain hard and/or electronic copies of files including but not limited to desk levels and process/data flow charts. Completes and maintains documentation of archived records/files. Sends external correspondence, tracks timelines for requests and responses.
* Schedule and provide unit support for internal and external meetings by preparing and distributing meeting materials and taking meeting minutes, coordinate follow-up from discussions and track resulting deliverables and agreements. May be required to be in office two to three days a week to support teams performing provider on-site visits with appropriate documents and materials.
* Works closely with other units, divisions, internal and external customers to facilitate quality related initiatives as directed by the Quality Manager responding to inquiries as appropriate.
* Perform research and data gathering as requested.

Knowledge of:
* AHCCCS and/or Medicaid Program.
* Maintenance and organization of filing systems and office procedures.
* Google Suite & MS Office Suite (Calendaring, Email, spreadsheets, and word processing docs).

Skill in:
* In performing detailed work with speed and accuracy.
* Time management.
* Dealing with internal/external customers in a professional manner.
* Developing and maintaining professional working relationships.
* Prioritizing workload.
* Effective written and oral communication.
* Initiating problem solving.
* Ensure accuracy of details.

Ability to:
* Communicate effectively both orally and in written form.
* Exceptional organizational.
* Problem solve.
* Exercise discretion.
* Maintain high standards of confidentiality.
* Use good judgment in handling complex situations.
* Conduct research, data gathering, summarization and reporting.
* Learn project management functions.
* Ability to work Virtual Office (VO), Telecommute or both.

Minimum Qualifications:
* Arizona Drivers License
* Two years of experience in a healthcare support role.

Preferred Qualifications:
* Experience in Behavioral Health, prior experience working with Tribal entities.

* 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 agencys 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.

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

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.

Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by emailing careers@azahcccs.gov.
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.