PASRR Coordinator

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 Coordinator

Division of Managed Care Services (DMCS)

Job Location:

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

All AHCCCS Employees must reside within the state of Arizona.

Posting Details:

Salary: $52,000 - $55,000

Grade: 20

Position will remain open until filled.

Job Summary:

The purpose of this position is to implement the Pre-admission Screening and Resident Review (PAS RR) program for Arizona residents admitted to a skilled nursing facility. This position is responsible for coordinating, implementing, and evaluating the PASRR Program and related requirements. This position will provide ongoing training and support to providers who use the PASRR process through general technical assistance efforts as well as 1:1 training and/or corrective action efforts. This position is responsible supporting PASRR Level I and Level II reviews, including evaluating submissions for completeness/accuracy and providing feedback to providers and/or facilitating Level II reviews when needed. This position requires interpretation of Federal and State rules and regulations related to PASRR. This position also supports the Case Management Unit as needed.

Major duties and responsibilities include but are not limited to:
• Coordinate and monitor the processing of PASRR referrals and evaluations and back up the primary PASRR coordinator to ensure Level I and Level II submissions are addressed timely/accurately.
• Train and provide technical assistance to internal staff, MCOs and providers. Provide updates on changes to the PASRR processes, the PASRR Portal (in coordination with ISD), and any other PASRR-related changes. Lead technical assistance efforts with providers when trends or concerns are identified with inaccurate or incomplete information. Resolve discrepancies and provide general problem-solving efforts regarding the PASRR program (e.g. concerns, appeals, grievances). Track/trend data and support identification of issues/barriers/technical assistance needs.
• Maintain the PASRR mailbox and update the PASRR database to monitor and track clients. Provide support to providers by addressing inquiries and/or connecting providers with ISD or other appropriate resources. Resolve discrepancies and provide general problem-solving efforts regarding the PASRR program (e.g. concerns, appeals, grievances).
• Assist with development and monitoring of the program policies and procedures, including performance audits to ensure conformance with federal and state laws, and all legal mandates. Participate in contract and policy updates pertaining to PASRR program as appropriate.
• Interpret Federal and State rules and regulations.
• Maintain client records and referrals, ensuring complete documentation on each Level I and Level II that is reviewed.
• Attend meetings, seminars and conferences related to program.

Knowledge, Skills & Abilities (KSAs):

Knowledge:
• Federal and State laws and regulations
• Program planning and design
• Local, state and federal program resources
• Statewide hospitals and nursing facilities
• Medical and psychiatric terminology
• PASRR, department policy and procedures
• Applicable software application and usage
• Record maintenance and report development methodology

Skills:
• Program planning, development and monitoring
• Strong written communication
• Clear and efficient oral communication
• Presenting material to individuals with varying degrees of understanding
• Development of PowerPoint presentations
• Listening, interviewing and eliciting information to support program objectives
• Interpersonal skills to establish and maintain effective working relationships

Abilities:
• Review, evaluate, plan and organize health program activities and establish priorities
• Effectively problem solve issues as they arise
• Interact with difficult individuals and situations
• Communicate with all levels of professionals
• Provide technical assistance
• Hear concerns and address in real-time or level set expectations for a future response timeline

Qualifications:

Minimum:
• Two years of professional experience related to health programs appropriate to the assignment. Associates degree in a field appropriate to the assignment may substitute for one year of the required experience.

Preferred:
• Bachelor's degree a healthcare related field and/or 2-3 years of work experience related in Analytics, Auditing, Health Care, or Behavioral Health.

• Strong computer skills, understanding of State and Federal policies and procedures governing Medicaid and Medicare and knowledge of PASRR policies and procedures.

Pre-Employment Requirements:

• Successfully pass fingerprint background check, prior employment verifications and reference checks; employment is contingent upon completion of the above-mentioned process and the agency’s ability to reasonably accommodate any restrictions.

• Travel may be required for State business. Employees who drive on state business must complete any required driver training (see Arizona Administrative Code R2-10-207.12.)

If this position requires driving or the use of a vehicle as an essential function of the job to conduct State business, then the following requirements apply: Driver’s License Requirements.

All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify).

Benefits:

Among the many benefits of a career with the State of Arizona, there are:
• 10 paid holidays per year
• Paid Vacation and Sick time off (13 and 12 days per year respectively) - start earning it your 1st day (prorated for part-time employees)
• Paid Parental Leave-Up to 12 weeks per year paid leave for newborn or newly-placed foster/adopted child. Learn more about the Paid Parental Leave pilot program here.
• Other Leaves - Bereavement, civic duty, and military.
• A top-ranked retirement program with lifetime pension benefits
• A robust and affordable insurance plan, including medical, dental, life, and disability insurance
• Participation eligibility in the Public Service Loan Forgiveness Program (must meet qualifications)
• RideShare and Public Transit Subsidy
• A variety of learning and career development opportunities

By providing the option of a full-time or part-time remote work schedule, employees enjoy improved work/life balance, report higher job satisfaction, and are more productive. Remote work is a management option and not an employee entitlement or right. An agency may terminate a remote work agreement at its discretion.

Learn more about the Paid Parental Leave pilot program here. For a complete list of benefits provided by The State of Arizona, please visit our benefits page

Retirement:

Lifetime Pension Benefit Program
• Administered through the Arizona State Retirement System (ASRS)
• Defined benefit plan that provides for life-long income upon retirement.
• Required participation for Long-Term Disability (LTD) and ASRS Retirement plan.
• Pre-taxed payroll contributions begin after a 27-week waiting period (prior contributions may waive the waiting period).

Deferred Retirement Compensation Program
• Voluntary participation.
• Program administered through Nationwide.
• Tax-deferred retirement investments through payroll deductions.

Contact Us:

Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by emailing careers@azahcccs.gov.

Requests should be made as early as possible to allow time to arrange the accommodation. The State of Arizona is an Equal Opportunity/Reasonable Accommodation Employer.

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