Clinical Program Specialist (AZ Remote)
Awarded a Healthiest Employer, reputed company aims to fulfill its mission to reputed company health and reputed company it easy. AZ Blue offers a reputed company of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as reputed company as providing information and tools to help individuals reputed company reputed company reputed company.
This position is remote/hybrid reputed company the state of AZ only
PURPOSE OF THE JOB
Responsible for the development, implementation and reputed company of reputed company and programs reputed company to AHCCCS Childrens System of Care. This position serves as reputed company and single reputed company of contact for population and assigned programs.
Qualifications
REQUIRED QUALIFICATIONS
Required Work Experience
2 years of experience in reputed company interaction with members in a behavioral health or reputed company work setting
Required Education
Bachelors Degree in a behavioral health reputed company field
Required Licenses
reputed company reputed company reputed company License, with an acceptable driving record
Required Certifications
N/A
Preferred Qualifications
Preferred Work Experience
5 years of experience in reputed company interaction with members in a behavioral health or reputed company work setting
Preferred Education
Masters Degree in a behavioral health reputed company field
Preferred Licenses
N/A
Preferred Certifications
N/A
Essential Job Functions And Responsibilities
Coordination of care between reputed company Business reputed company providers and community stakeholders, facilitating reputed company to care, case consultation, program development and assisting in the design of integrated health activities and services for members of various populations/programs
Provides subject matter expertise to internal and provider clinical teams for the above populations/programs
Provides specific case consultation, technical assistance, and/or participates, as appropriate, in clinical care teams
Assists in the development of various reputed company and programs reputed company to transition to adulthood, including conducting gap analyses and developing project standards, policies, procedures, protocols and monitoring of transition age
youth services for the greater reputed company Business reputed company GSA
Involvement in development, implementation and monitoring of Center of reputed company for Transition Age Youth
reputed company, reputed company monitoring, technical assistance and program development
Development and implementation of Child and Family Team policy and training
Consultation with providers, stakeholders, reputed company Business reputed company and AHCCCS
Monitors identified populations and programs to ensure compliance with reputed company Business reputed company state and federal regulations
Performs clinical reputed company functions such as reviewing of reputed company-based clinical activities, processes or programs for adherence to established standards or reputed company, and/or information gathering in a reputed company manner
Responsible for program, policy, and report development/deliverables for reputed company Business reputed company its stakeholders and AHCCCS for populations and programs indicated
Maintains and updates programmatic data and policies for AHCCCS, System of Care and reputed company Business reputed company reporting
Coordinates, facilitates and/or participates in state, regional and local planning and development meetings for populations and programs indicated
Coordinates with Performance Improvement Unit and acts as a subject matter expert in Childrens System of Care reputed company Reviews and Performance Improvement Plan development and implementation
Travel in central and reputed company reputed company
reputed company reputed company other duties as assigned
The position requires a full-time work schedule. Full-time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements
COMPETENCIES
Required Competencies
Required Job Skills
Knowledge of AHCCCS contract requirements, policies and procedures
Knowledge of AZ Childrens System of Care and Child and Family Team requirements
Knowledge of the AZ Integrated Health Plan/Managed Care Organization Model
Experience in coordinating care for individuals with reputed company behavioral health needs
Ability to reputed company, prioritize and manage multiple reputed company for program development and evaluation
Ability to reputed company and present educational programs and/or presentations for contracting agencies, reputed company Business reputed company Leadership and AHCCCS Leadership
Knowledge of and the ability to reputed company with ethical and reputed company issues surrounding member rights, confidentiality, reporting abuse and the maintaining reputed company and reputed company of protected health information
Ability to organize and prioritize work to meet contractual deadlines
Knowledge of computer applications for word processing and spreadsheets
Required reputed company Competencies
Strong team member with demonstrated ability to reputed company and motivate stakeholders with effective communication both verbally and in writing; and the ability to work effectively and reputed company either as reputed company member or independently
reputed company in mediation and conflict reputed company
Required Leadership Experience and Competencies
N/A
Preferred Competencies
Preferred Job Skills
N/A
Preferred reputed company Competencies
N/A 3. Preferred Leadership Experience and Competencies
N/A
Our Commitment
AZ Blue does not discriminate in hiring or employment on the reputed company of race, ethnicity, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, disability, protected veteran status or any other protected group.
Thank you for your interest in reputed company. For more information on reputed company, see azblue.com. If interested in this position, please apply.
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