This position is an Arizona-licensed physician with Board Certification in Pediatric and Adolescent Psychiatry within the Department of Child Safety Comprehensive Health Plan (DCS CHP). This position provides direct clinical guidance and oversight for the behavioral health aspects of child welfare and health plan programming. It includes direct involvement and leadership for the development of performance improvement projects, Practice Protocols and implementation and outcome monitoring for behavioral health initiatives. This position exists to ensure a strong interface exists between quality of care, clinical best practices, and the utilization of data to drive systems improvement.
- Provides direct clinical oversight and ensures compliance with federal child welfare and healthcare mandates, as well as AHCCCS mandates. Writes required deliverables to demonstrate compliance, such as developing medical policies, procedures, utilization standards, quality management measures and thresholds, peer review activities, mortality review outcome indicators, and corrective action plans to assure quality health care for children and youth in DCS out of home care.
- Provides clinical input and direction for difficult medical case management or care coordination of Department of Child Safety (DCS) involved children/youth. Acts as a resource for the following Comprehensive Health Plan teams: System of Care, Utilization Management, Integrated Care Management, Pharmacy, Grievance and Appeals and Quality Management.
- Engages as a the behavioral health subject matter expert on child welfare matters with clinical influence/implications that may not be directly related to health plan operations: such as requests for proposals, DCS service arrays, contracts, training and education as examples.
- Conducts clinical reviews (prior-authorization and concurrent) on DCS-funded youth in behavioral health residential treatment programs; and reviews any associated quality of care concerns
- Manages staff through daily direction. Assigns tasks and oversees the completion and quality of staff work products.
- Provides technical expertise and written opinions for the DCS Assistant Attorneys General, and legislative bodies as necessary, regarding matters that may impact behavioral health service delivery for youth in out-of-home care
- Arizona Vision and 12 Principles, the Jason K Settlement Agreement and DBHS focus on a family-centered, individualized, culturally-sensitive system of care.
- A wide array of covered behavioral health services and provider types available for the delivery of cost-effective behavioral health care for children and youth in the child welfare system or those youth who are dually adjudicated.
- Multiple behavioral health practices and programs, leadership and organizational principles, oversight and regulatory methodologies, managed care delivery systems, state government and management practices, state legislative laws, regulations and rules related to behavioral health care and child welfare, and principles of quality/performance improvement, utilization management, and medical management.
- The principles of managed care.
- Federal requirements that shape the child welfare system's health requirements as well as the healthcare arena [Centers for Medicare & Medicaid Services (CMS) and AHCCCS].
- Managing detailed, complex concepts and problems and making rapid decisions.
- Organizing and prioritizing numerous responsibilities.
- Effectively managing time and meeting deadlines; proficiency in Word and Excel preferred.
- Leading to inspire and motivate others, stimulating cooperation, building teams and speaking to large groups of people.
- Managing, analytical/decision making, problem solving/trouble shooting and verbal and written presentation and communication.
- Effectively negotiating and facilitating compromise.
- Technical writing.
- Envision an integrated, statewide behavioral health managed care program that maximizes the use of Title XIX funds for all medically necessary behavioral health services and DCS placements statewide within Arizona's systems of care.
- Problem-solve on a patient-specific or systems level.
- Work with other disciplines throughout the child welfare system, including the office of the Assistant Attorney General.
- Navigate CMDP and DCS information systems.
Experience working within Arizona's systems of care
Must be Board Eligible/Board Certified in Child and Adolescent Psychiatry and must have a current license to practice medicine in the State of Arizona.
Requires possession of and ability to retain a current, valid state-issued driver's license appropriate to the assignment. Employees who drive on state business are subject to driver's license record checks, must maintain acceptable driving records and must complete any required drivers training ( See Arizona Administrative Code R2-10-207.12).
As an employee of the Department of Child Safety you will be entitled to a comprehensive benefits package that can become effective as soon as two weeks after starting!
- Paid sick leave.
- Paid vacation that includes ten (10) holidays per year.
- Competitive health and dental insurance plans.
- Life insurance and long-term disability insurance.
We also offer optional employee benefits that include:
- Vision coverage.
- Short-term disability insurance.
- Deferred compensation plans.
- Supplemental life insurance.
- Employee wellness plans
For a complete list of benefits provided by The State of Arizona, please visit our benefits page
Positions in this classification participate in the Arizona State Retirement System (ASRS).
Enrollment eligibility will become effective after 27 weeks of employment.
Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by contacting 602-255-2903.
Requests should be made as early as possible to allow time to arrange the accommodation. Arizona State Government is an AA/EOE/ADA Reasonable Accommodation Employer.
ARIZONA MANAGEMENT SYSTEM (AMS)
All Arizona state employees operate within the Arizona Management System (AMS), an intentional, results-driven approach for doing the work of state government whereby every employee reflects on performance, reduces waste, and commits to continuous improvement with sustainable progress. Through AMS, every state employee seeks to understand customer needs, identify problems, improve processes, and measure results.
State employees are highly engaged, collaborative and embrace a culture of public service.
Arizona State Government is an AA/EOE/ADA Reasonable Accommodation Employer.