AHCCCS

Arizona Health Care Cost Containment System
Accountability, Community, Innovation, Leadership, Passion, Quality, Respect, Courage, Teamwork

The Arizona Health Care Cost Containment System (AHCCCS), Arizona’s Medicaid agency, is driven by its mission to deliver comprehensive, cost-effective health care to Arizonans in need. AHCCCS is a nationally acclaimed model among Medicaid programs and a recipient of multiple awards for excellence in workplace effectiveness and flexibility.

AHCCCS employees are passionate about their work, committed to high performance, and dedicated to serving the citizens of Arizona. Among government agencies, AHCCCS is recognized for high employee engagement and satisfaction, supportive leadership, and flexible work environments, including remote work opportunities. With career paths for seasoned professionals in a variety of fields, entry-level positions, and internship opportunities, AHCCCS offers meaningful career opportunities in a competitive industry.

Come join our dynamic and dedicated team.

PASRR Program Supervisor

Division of Managed Care (DMC)

Job Location:

Address: 801 E. Jefferson Street, Phoenix, AZ 85034

All AHCCCS Employees must reside within the state of Arizona.

Posting Details:

Salary: $62,000 - $67,000

Grade: 22

Position will remain open until filled.

Job Summary:

Under the leadership of the Case Management (CM) Manager, this position will provide oversight of the Pre-Admission Screening and Resident Review (PASRR) Program. This position will ensure that the PASRR Program is operated in alignment with Federal and State rules and regulations. The position will supervise two PASRR staff positions, overseeing the PASRR Level I and Level II reviews and provider/MCO/stakeholder training efforts related to PASRR. This position will review program data, identify risks/trends/opportunities, and implement/oversee processes that ensure timely and accurate evaluations of individuals that are being admitted into institutional settings across the state as well as update internal/external policies/procedures as necessary to promote compliance.
The position will actively participate in CM Unit initiatives and programs and provide support to ensure the development of a fully integrated CM Unit within the ALTCS team and the Division of Managed Care. This position will engage in broader program and delivery system efforts as needed, support case management and ALTCS delivery system efforts when appropriate, and will lead evaluation, development, and implementation of applicable Federal/state regulations and other AHCCCS initiatives with support from the CM Manager.

Major duties and responsibilities include but are not limited to:
• Prepares, implements, and evaluates implementation of operating procedures in accordance with Program rules and regulations, including but not limited to monitor compliance with State & Federal regulations pertaining to PASRR as well as audits of staff work related to Level I and Level II submission reviews/evaluations
• Lead development and monitoring of the program policies and procedures, including performance audits to ensure conformance with federal and state laws, and all legal mandates. Lead contract and policy updates pertaining to PASRR program as needed. Interpret and develop new/revise existing policies. Will attend meetings and seminars related to this position, as budget allows.
• Represent the PASRR team and CM Unit in internal and external meetings. Attend meeting with ISD to support PASRR Portal operations, improvements, and/or issue resolution. Lead content development and oversee training efforts related to PASRR (either from PASRR staff and/or use of a vendor when need arises/budget allows).
• Prepares and submits a variety of administrative and statistical reports for the monitoring and oversight on areas of interest related to the PASRR Program (e.g volume of submissions, accuracy evaluations, timeliness of reviews, Level II dispositions) Team Leader for MCO PASRR audits and focused reviews, to evaluate the effectiveness of submitted documentation and to improve processes and delivery of quality care.
• Manage and direct subordinate staff (work assignments, setting priorities, hiring, discipline, provide training, approving leave requests, and preparing evaluations). Review direct staff's position descriptions and update as needed. May serve in the absence of the CM Manager to support the broader team.
• Receive and review payment requests for Level I Screenings and Level II eva