Pas Assessor

AHCCCS
- Arizona Health Care Cost Containment System_
- Accountability, Community, Innovation, Leadership, Passion, Quality, Respect, Courage, Teamwork_
- The Arizona Health Care Cost Containment System (AHCCCS), Arizona’s Medicaid agency, is driven by its mission to deliver comprehensive, cost-effective health care to Arizonans in need. AHCCCS is a nationally acclaimed model among Medicaid programs and a recipient of multiple awards for excellence in workplace effectiveness and flexibility._
- AHCCCS employees are passionate about their work, committed to high performance, and dedicated to serving the citizens of Arizona. Among government agencies, AHCCCS is recognized for high employee engagement and satisfaction, supportive leadership, and flexible work environments, including remote work opportunities. With career paths for seasoned professionals in a variety of fields, entry-level positions, and internship opportunities, AHCCCS offers meaningful career opportunities in a competitive industry. _
- Come join our dynamic and dedicated team._

**Medical Eligibility Specialist**

**Division of Member and Provider Services**

Job Location:
**Flagstaff ALTCS Office**
2717 North Fourth Street, Suite 130
Flagstaff, Arizona 86004

**This position is eligible for full-time remote work (including virtual office arrangement).**

**Must reside in the State of Arizona.**

Posting Details:
**Salary**: $51,340

Grade: 20

Closing Date: 4/22/2024

Job Summary:
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.
- 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**:

- Medical, functional and psycho-social problems of the elderly physically disabled and developmentally disabled children and adults.
- Medical terminology and procedures.
- Available community resources, crisis intervention, counseling, advocacy, community relationships, and referral methods.

**Skills**:

- Demonstrated knowledge of available community resources, crisis intervention, counseling, advocacy, community relationships, and referral methods.
- Fundamental principles of medical nursing services, alternatives to long term care, length of stay, pharmacology and equipment use.
- Experience with caseload management; schedules and timetables; effectively prioritizing; analyzing, assessing and evaluating service provisions and quality of care.

**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 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 requi