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 variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well 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 projects and programs reputed company to AHCCCS Children’s System of Care. This position serves as liaison and single reputed company of contact for population and assigned programs. QUALIFICATIONS REQUIRED QUALIFICATIONS 1. Required Work Experience • 2 years of experience in direct interaction with members in a behavioral health or social work setting 2. Required Education • Bachelor’s Degree in a behavioral health reputed company field 3. Required Licenses • Valid Arizona Driver License, with an acceptable driving record 4. Required Certifications • N/A PREFERRED QUALIFICATIONS 1. Preferred Work Experience • 5 years of experience in direct interaction with members in a behavioral health or social work setting 2. Preferred Education • Master’s Degree in a behavioral health reputed company field 3. Preferred Licenses • N/A 4. Preferred Certifications • N/A ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES • Coordination of care between reputed company Business reputed company providers and community stakeholders, facilitating access 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 projects 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 Excellence 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 criteria-based clinical activities, processes or programs for adherence to established standards or criteria, and/or information gathering in a timely 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 Children’s System of Care Practice Reviews and Performance Improvement Plan development and implementation • Travel in central and reputed company Arizona • 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 1. Required Job Skills • Knowledge of AHCCCS contract requirements, policies and procedures • Knowledge of AZ Children’s 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 projects 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 legal issues surrounding member rights, confidentiality, reporting abuse and the maintaining privacy 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 2. Required Professional 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 a team member or independently • reputed company in mediation and conflict resolution 3. Required Leadership Experience and Competencies • N/A PREFERRED COMPETENCIES 1. Preferred Job Skills • N/A 2. Preferred Professional Competencies · N/A 3. Preferred Leadership Experience and Competencies · N/A Our Commitment AZ Blue does not discriminate in hiring or employment on the basis 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 our company, see azblue.com. If interested in this position, please apply. Apply Job!