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Quality Management Nursing Consultant in various locations
The Division of Fee for Service Management (DFSM) is looking for a highly motivated individual to join our team as a Public Health Consultant.
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Behavioral Health Prior Authorization Utilization Review Consultant in various locations
The Division of Fee for Service Management (DFSM) is looking for a highly motivated individual to join our team as a Public Health Consultant.
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Health Program Manager 2 in PHOENIX
This position coordinates and performs care management duties in relation to the Department's System of Care program (SOC); a statewide, integrated (physical health and behavioral health) health care management system within the Department of Child Safety Comprehensive Health Plan (DCS CHP). This position also identifies and initiates opportunities to enhance quality in providers and provider network in pursuit of the Arizona Twelve Principles for children involved with AZ Department of Child Safety.
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Claims Clinical Documentation Reviewer in PHOENIX
Claims Clinical Documentation Reviewer reports to the Prepayment Program Manager, and is responsible for reviewing clinical and/or supportive documentation, submitted by provider organizations, in support of billed medical, behavioral health, NEMT and other related Medicaid services by applying knowledge of healthcare State, Federal, and AHCCCS laws, policies, and practices.
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Records Management Specialist in PHOENIX
Centralized Records Coordinator - Performs statewide research in systems regarding child maltreatment records. Processes statewide and nationwide requests from the public, media, court personnel, and legal requests to aide in criminal prosecution and in making rulings for civil child custody matters. Conducts Department of Child Safety (DCS) out-of-state and law enforcement information requests for individuals whom a DCS report has been made. Ensures the safety of children in their jurisdictions when the family (parent, guardian, or custodian), at one time, were residents of Arizona including, but not limited to adult(s) (alleged perpetrators) and child/children (alleged victims) researches and as well as other state agencies for the release of confidential DCS report history. Redaction Specialist - determines if a person is statutorily entitled to a DCS report history and/or case records and if so, redacts the reports/records in conformance with statute and policy. Conducts a systems research in Guardian and various county court websites.
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