Phoenix Medical Eligibility Assessor

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Introduction

The Phoenix Medical Eligibility Assessor position is offered by the State of Arizona, specifically through its Arizona Health Care Cost Containment System (AHCCCS). AHCCCS is Arizona’s Medicaid agency, designed to deliver cost-effective healthcare to residents requiring assistance. The role is positioned in Phoenix, Arizona, with flexibility for remote work options for residents within the state, enabling individuals to contribute to essential healthcare services while maintaining work-life balance.

Job Overview

This position serves a critical function in ensuring that individuals access healthcare services by conducting Pre-Admission Screenings (PAS). The selected candidate will have the responsibility of determining medical eligibility for the Arizona Long Term Care Services (ALTCS) program. The role includes reviewing medical records, interacting with customers, and traveling to off-site locations as necessary. Not only does this role support the Medicaid system, but it also makes a significant impact on vulnerable populations across Arizona.

Key Responsibilities

In this role, you will be tasked with various responsibilities that include:

• Conducting comprehensive Pre-Admission Screenings for different age groups.
• Determining Medicaid eligibility based on medical records and health conditions.
• Ensuring compliance with Medicaid guidelines, state, and federal laws.
• Preparing and submitting medical assessment results in an accurate and timely manner.
• Providing community resources for customers who aren’t eligible for Medicaid.
• Recognizing and acting upon improvement opportunities in the medical assessments process.
• Staying updated on the latest Medicaid rules and regulations.

Required Qualifications

To be eligible for this position, applicants must meet one of the following criteria:

• A minimum of 2 years of experience in medical case management.
• Valid Registered Nurse (RN) licensure or a relevant degree.
• A valid driver’s license for travel purposes.
• Ability to pass a fingerprint background screening.
• Completion of E-Verify employment eligibility.
• Attendance at required training sessions upon employment start.

Preferred Qualifications

Although not mandatory, the following qualifications can enhance a candidate's application:

• Experience in medical case management.
• Licensure as a Registered Nurse.
• Professional experience working with the elderly or disabled populations.

Skills and Competencies

The ideal candidate for this position will possess critical skills that are necessary to perform the job effectively. These include:

• Strong understanding of Medicaid eligibility requirements.
• Excellent communication skills for interacting with clients and other healthcare professionals.
• Organizational skills for maintaining accurate records and meeting deadlines.
• Ability to provide excellent customer service to diverse populations, especially vulnerable groups.
• Problem-solving skills to identify and implement improvements in the assessment process.

Salary and Benefits

The salary for the Phoenix Medical Eligibility Assessor position is approximately $51,340 annually, translating to around $24.68/hour. Along with a competitive salary, the position offers a comprehensive benefits package that includes:

• Medical, dental, and life insurance options.
• Supportive retirement plans through the Arizona State Retirement System (ASRS).
• Ten paid holidays per year and generous vacation/sick leave provisions.
• Up to 12 weeks of paid parental leave (pilot program).
• Tuition reimbursement, professional development opportunities, and wellness plans.
• Flexible working schedules supporting work-life balance.

Application Process

Those interested in applying for the Phoenix Medical Eligibility Assessor position are encouraged to act quickly, as applications are reviewed on a rolling basis. Candidates are urged to apply early to enhance their chances of being considered for the role. Questions regarding the position can be directed to AHCCCS Careers at 602-417-4000 or via email.

Conclusion

This position at the State of Arizona offers a unique opportunity to make a profound difference in the lives of residents by ensuring access to essential healthcare services. If you are skilled in analysis, passionate about helping others, and meet the qualifications, this role might be the next step in your career path.

This job offer was originally published on himalayas.app