Job Description

Our Mission:  Provide the best value in health insurance and related health services to improve the quality of life for Arizonans.

Our Vision: 

Inspire health in Arizona as the trusted leader in delivering affordable, innovative healthcare solutions.

Our Benefits: Our benefits provide work-life balance and the flexibility you need to be your best. We offer comprehensive medical, dental, and vision coverage; a 401K savings plan; paid holidays and vacations; and much more!

Position Purpose:  The Integrated Care Manager is responsible for identifying and coordinating appropriate services for Health Choice Arizona (HCA) members with a Serious Mental Illness who have high inpatient psychiatric hospitalization utilization and/or rapid readmissions.

Responsibilities:

  • Coordinate discharge with member’s outpatient physical health and behavioral health teams as well as their inpatient team.
  • Outreach to member upon discharge from the hospital to provide support and assistance and ensure that discharge appointments are scheduled and SDOH needs are being addressed.
  • Effectively transition members from one level of care to another.
  • Reduce hospital admissions and unnecessary emergency department and crisis service use.
  • Develop and update members' Integrated Care Management Plan based on progress and outcomes
  • Participate in Interdisciplinary Care Team and Medical Management Clinical Rounds as scheduled
  • Participation in the design of integrated health activities and services; promoting HCA integrated programs with network providers and stakeholders, as requested
  • Developing relationships with treatment providers throughout Northern Arizona, including travel for site visits
  • Performing other duties of similar nature and level as assigned

Education / Experience / Other Requirements

Education:   

  • Master's degree in a Behavioral Health Field (preferred:  a current independent Arizona license in Social Work, Counseling, Marriage and Family Counseling, or Substance Abuse Counseling); or
  • Current Arizona licensed Registered Nurse (RN) and a minimum of two years' experience; or
  • An equivalent combination of education and experience sufficient to successfully perform the essential duties of this position

Years of Experience:  

  • Minimum: two years' experience in a behavioral health setting
  • Preferred: 5 years’ experience

Specialized Knowledge:  

  • Knowledge of the Arizona Behavioral Health System and its resources
  • Knowledge of the AHCCCS Medicaid system
  • Knowledge of the principles and benefits of integrated health care and population health, and / or willingness to learn
  • Experience managing complex and unique caseloads for persons with both physical and behavioral health needs

Skills & Abilities:

  • Skilled at using Microsoft Office applications, especially Excel
  • Ability to document activities accurately and timely in an electronic medical record system
  • Ability to maintain confidentiality, privacy and security of protected health information and proprietary information
  • Ability to communicate professionally in written and oral formats
  • Ability to deliver presentations to large groups
  • Ability to work effectively in a team model
  • Some travel required
  • Valid Arizona drivers' license

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

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