Tucson Medical Eligibility Specialist

Remote Jobs; Tucson (AZ); Remote; USD 43,000 - 52,000; Full time

Job summary

A leading healthcare organization in Tucson, Arizona, is seeking a skilled professional to conduct comprehensive pre-admission screenings for the Arizona Long Term Care Services. This role requires at least 3 years of experience in social service case management or a relevant degree. The ideal candidate will manage caseloads, work collaboratively with state agencies, and communicate effectively. This position offers a competitive salary and comprehensive benefits in a supportive work environment.

Benefits

Comprehensive benefits package

Flexible remote work options

Generous paid time off

Participation in Public Service Loan Forgiveness Program

Qualifications

• Minimum 3 years of experience in social service case management.
• Knowledge of issues affecting elderly and disabled populations.
• Ability to manage a caseload effectively.

Responsibilities

• Conduct comprehensive pre-admission screenings for ALTCS.
• Manage and monitor PAS caseload effectively.
• Collaborate with state agencies and community resources.

Skills

Social service case management experience

Effective communication skills

Knowledge of medical issues affecting populations

Bilingual (Navajo or Spanish)

Education

Bachelor's or Master's degree in a related field

Active Arizona RN license

Job description

Employer Industry: Government Healthcare Services

Why consider this job opportunity:

• Salary up to $51,340
• Opportunities for career advancement and growth within a supportive work environment
• Flexible remote work options available within Arizona
• Comprehensive benefits package including medical, dental, life, and disability insurance
• Generous paid time off including holidays, vacation, and sick leave
• Participation eligibility in the Public Service Loan Forgiveness Program

What to Expect (Job Responsibilities):

• Conduct comprehensive pre-admission screenings (PAS) for customers applying for Arizona Long Term Care Services (ALTCS)
• Manage and monitor PAS caseload, ensuring timely completion of assessments and documentation
• Obtain and review medical records and relevant data to support eligibility findings
• Collaborate with other state agencies and community resources to provide necessary support to customers
• Attend staff meetings and contribute to the exchange of professional information in support of the program

What is Required (Qualifications):

• Minimum of 3 years of experience in social service case management or a related field; OR graduation from an accredited nursing school with an active Arizona RN license; OR a Bachelor's or Master’s degree in a related field with 2 years of relevant experience
• Knowledge of medical, functional, and psychosocial issues affecting elderly and disabled populations
• Effective communication skills, both orally and in writing
• Ability to manage a caseload and maintain timely documentation
• Valid Arizona Driver License

How to Stand Out (Preferred Qualifications):

• Bilingual (fluent) in Navajo for specific office locations
• Bilingual (Spanish) is a plus but not required for all offices

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