[Hiring] Chinle Medical Eligibility Assessor @Arizona Department of Administration

Role Description

As a Medical Eligibility Assessor, you’ll:

• Conduct Pre-Admission Screenings (PAS) determining medical eligibility for Arizona Long Term Services (ALTCS)
• Review medical records
• Record and update actions taken on case files
• Directly interact with customers
• Travel to various off-site locations

Qualifications

• Meet one of the following: 2 years in medical case management, RN licensure, or a relevant degree
• Bilingual (fluent) in Navajo
• Valid Driver’s License
• Pass a Fingerprint Background Screening
• Complete E-Verify employment eligibility
• Attend required training at start of employment

Requirements

• Perform comprehensive interactive Pre-Admission Screenings for all age groups in various settings
• Determine Medicaid eligibility based on medical records, health conditions, and treatment history
• Ensure compliance with Medicaid guidelines, state, and federal laws
• Prepare and submit medical assessment results accurately and on time
• Provide community resources for customers not eligible
• Recognize improvement opportunities in medical assessments
• Stay current on Medicaid rules and regulations

Benefits

• Comprehensive medical, dental, and life insurance options
• Supportive retirement plan through Arizona State Retirement System (ASRS)
• 10 paid holidays and generous vacation/sick leave
• Up to 12 weeks of paid parental leave (pilot program)
• Tuition reimbursement, wellness plans, and professional development
• Flexible schedules to support work-life balance