Integrated Services Care Specialist
Phoenix, NM - USA
Job Summary
AHCCCSArizona Health Care Cost Containment System |
Integrated Services Care Specialist
Division of Fee For Service Management (DFSM)
| Job Location: |
Address: 150 North 18th Avenue Phoenix Arizona 85007
This position may offer the ability to work remotely within Arizona based upon the departments business needs and continual meeting of expected performance measures.
| Posting Details: |
Salary: $47999
Grade: 19
FLSA Status: Non-Exempt
First Review of Resumes: April 27 2026
| Job Summary: |
This position provides support for the DFSM Continuation of Operations Plan (COOP) development and implementation conducting support and follow up to care coordination tracking and reporting of Care Coordination data. This position will serve as the lead for care coordination projects including maintenance of SharePoint and HIE data platform users. As part of the Case Management System Units (CMSU) Care Coordination functions the position will work to develop CSMU infrastructure for care coordination including developing and maintaining desk levels process flows. and data flows. This position will also work with care coordination partners including Regional Behavioral Health Authorities Tribal Regional Behavioral Health Authorities and IHS/638 facilities. Under the direction of the CMSU Integrated Services Administrator the position will work closely with CMSU care coordination team and support staff. This position will be in-office to address member and provider communication outreach and support the unit during site visits based on the unit and divisional needs.
Major duties and responsibilities include but are not limited to:
Provides support to the CMSU Care Coordination functions including documentation for High Needs/High Cost clinical staffing member eligibility member rolls. and maintaining care coordination eligibility.
Responds to partner inquiries related to care coordination processes and other miscellaneous issues.
Develop and implement CSMU infrastructure related to care coordination including desk levels process and data flows serve as lead for care coordination platforms including the HIE and SharePoint.
Cross train CSMU staff in care coordination functions and provide back up to CSMU transportation If needed.
Develop and implement COOP protocols and processes
The State of Arizona strives for a work culture that affords employees flexibility autonomy and trust. Across our many agencies boards and commissions many State employees participate in the States Remote Work Program and are able to work remotely in their homes in offices and in hoteling spaces. All work including remote work should be performed within Arizona unless an exception is properly authorized in advance.
| Knowledge Skills & Abilities (KSAs): |
Knowledge of:
Behavioral Healthcare Delivery Systems
Familiarity with Native American Tribes/ programs
Member psychosocial and medical needs
Medicaid Medicare Federal Regulations State Statute and Rule and policies applicable to AHCCCS programs
ICD and HCPC codes
Specific geography of Arizona and New Mexico and surrounding states
AHCCCS and DFSM Policies and Procedures
Familiarity of authorization and utilization review
Medical technology computer data retrieval and input
Skill in:
Problem solving skills
Excellent verbal/written communication skills
Organizational skills to coordinate monitor and report
Analytical skills to identify and correlate specific patterns initiate investigations submit findings and recommendations
Strong interpersonal skills in working with people of diverse cultures and socioeconomic backgrounds
Documentation and reporting of data and trends
Intermediate computer skills (i.e. Microsoft Office Suite Word Excel and Google)
Ability to:
Strong ability to collaborate with others for mutually beneficial outcome
Plan organize prioritize work and multitask in a fast paced environment
Understand clinical information
Read interpret and apply complex rules and regulations
Independent decision making yet knowing when to elevate the decision
Support unit in-office based on business needs
Ability to work Virtual Office (VO) Telecommute or both
| Selective Preference(s): |
Minimum Qualifications: Two years of experience in a healthcare support role.
Preferred Qualifications: Experience in Behavioral Health prior experience working with Tribal entities.
| Pre-Employment Requirements: |
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 R.12.)
If this position requires driving or the use of a vehicle as an essential function of the job to conduct State business then the following requirements apply:Drivers License Requirements.
All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify).
| Benefits: |
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. Learn more about the Paid Parental Leave pilot program here.
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
By providing the option of a full-time or part-time remote work schedule employees enjoy improved work/life balance report higher job satisfaction and are more productive. Remote work is a management option and not an employee entitlement or right. An agency may terminate a remote work agreement at its discretion.
Learn more about the Paid Parental Leave programhere. For a complete list of benefits provided by The State of Arizona please visit our benefits page
| Retirement: |
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.
| Contact Us: |
Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by emailing
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.
Required Experience:
IC
About Company
The Arizona Department of Revenue is consistently striving towards recruiting individuals who are committed to providing quality services to the citizens of Arizona and are passionate about creating solutions to the ever-evolving decisions faced within state government.