Job Description

Location: Health Choice Management Co.
Posted Date: 5/26/2020

Position Purpose: The Integrated Care Manager is responsible for identifying and coordinating appropriate services for Health Choice Arizona (HCA) members with complex or special service needs. These include physical and behavioral health needs in HCA's Recover Wellness Integrated Care Management Program for members with Serious Mental Illness, and for members in other high risk populations. Responsibilities include: providing subject matter expertise and care management / care coordination to clinical teams identified as high risk, high cost, or who have specialized care needs including physical health needs.


  • Effectively transitioning members from one level of care to another.
  • Reducing hospital admissions and unnecessary emergency department and crisis service use.
  • Providing clinical teams with the proper tools so members can self-manage care in order to safely live, work, and integrate into the community
  • Identifying and transferring important clinical information and test results, such as discharge summaries, critical lab results, medications, emergency room visits, etc.
  • Updating the team on changes in member status such as eligibility, court-ordered treatment guardianship, DNR, transition to adulthood, SMI, incarceration, pregnancy, out-of-state treatment, all cause hospitalizations, etc.
  • Ensuring members are scheduled for prevention, EPSTD, disease management, and health promotion activities, consistent with need
  • Analyzing predicted and actual outcomes and cost-effectiveness of a member's interventions / services based on best practices
  • Developing, streamlining, monitoring, and adjusting members' Integrated Care Management Plans based on progress and outcomes to include:
    • Clinical interventions recommended to the treatment team
    • Strategies for successful transitions between levels of care / facilities / providers, discharge planning and coordination of care gaps
    • Delineation of responsibilities for involved providers across systems for monitoring referrals and follow-up specialty care
    • A schedule for routine health care services, medication monitoring, prevention, EPSDT, disease management, and health promotion activities
    • Strategies, such as health coaching and wellness, to facilitate behavior change to address underlying health needs and member self-management
    • A review of recent utilization information including inpatient admissions, emergency department visits, and prescription fills
    • Care team information to facilitate coordination of care: active providers, their roles, and their contact information
  • Participation in the design of integrated health activities and services; promoting HCA integrated programs with network providers and stakeholders, as requested
  • Participation in HCA committees, projects, and work teams
  • Developing relationships with treatment providers throughout Northern Arizona, including travel for site visits
  • Performing other duties of similar nature and level as assigned

Education / Experience / Other Requirements


  • Master's degree in a Behavioral Health Field (preferred: a current independent Arizona license in Social Work, Counseling, Marriage and Family Counseling, or Substance Abuse Counseling); or
  • Current Arizona licensed Registered Nurse (RN) and a minimum of two years' experience; or
  • An equivalent combination of education and experience sufficient to successfully perform the essential duties of this position

Years of Experience:

  • Minimum: two years' experience
  • Preferred: 5 years’ experience

Specialized Knowledge:

  • Knowledge of the Arizona Behavioral Health System and its resources
  • Knowledge of the AHCCCS Medicaid system
  • Knowledge of the principles and benefits of integrated health care and population health, and / or willingness to learn
  • Experience managing complex and unique caseloads for persons with both physical and behavioral health needs

Skills & Abilities:

  • Skilled at using Microsoft Office applications, especially Excel
  • Ability to document activities accurately and timely in an electronic medical record system
  • Ability to maintain confidentiality, privacy and security of protected health information and proprietary information
  • Ability to communicate professionally in written and oral formats
  • Ability to deliver presentations to large groups
  • Ability to work effectively in a team model
  • Some travel required
  • Valid Arizona drivers' license

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

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