MEDICAL RECORDS REVIEW CONSULTANT

| DEPARTMENT OF ECONOMIC SECURITY *Your Partner For A Stronger Arizona. DES works with families, community organizations, advocates and state and federal partners to realize our collective vision: A thriving Arizona.DES serves more than 3 million Arizonans. Our Mission is to strengthen individuals, families, and communities for a better quality of life.* | | --- | ### **MEDICAL RECORDS REVIEW CONSULTANT** | Job Location: | | --- | #### Division of Developmental Disabilities (DDD) 4000 North Central Avenue, Phoenix, Arizona 85012 | Posting Details: | | --- | #### Salary: $110,000 - $140,000 #### Grade: 29 #### Closing Date: July 23, 2026 | Job Summary: | | --- | Would you like to be part of an amazing team that helps Arizonans thrive? At the Department of Economic Security (DES), we strengthen individuals, families, and communities for a better quality of life. DES is looking for individuals that are committed to service, community, and teamwork. To learn more about DES please visit https://des.az.gov; or click on the link [here](https://www.youtube.com/watch?v=Nik5MiXqOV8) to view ‘Our DES’ video. Come join the DES Team! The Department of Economic Security, Division of Developmental Disabilities (DDD), is seeking an experienced and highly motivated individual to join our team as a Medical Records Review Consultant. DDD provides individuals with developmental disabilities, and their families, services and supports that are flexible, high quality, and member driven. These services provide individuals with opportunities to exercise their rights and responsibilities of independent decision-making and engagement in the community. Applicants for this position cannot be licensed or certified by the DDD Office of Licensing Certification and Regulation, cannot have a principal interest in or have a spouse or close family with principal interest in a DDD Qualified Vendor Agreement, and cannot be employed or subcontracted by a DDD Qualified Vendor. This position may offer the ability to work remotely, within Arizona, based upon the department's business needs and continual meeting of expected performance measures. The State of Arizona strives for a work culture that affords employees flexibility, autonomy, and trust. Across our many agencies, boards, and commissions, many State employees participate in the State’s Remote Work Program and are able to work remotely in their homes, in offices, and in hoteling spaces. All work, including remote work, should be performed within Arizona unless an exception is properly authorized in advance. | Job Duties: | | --- | Essential Duties and Responsibilities include but are not limited to: • Performs clinical review, primarily of assessments designed for evaluating members or potential members regarding daily activities, mobility, social and cognitive abilities and responsibilities. • Participates in hearings for members who are applying for eligibility, being assessed for Home and Community Based Services (HCBS) through the HCBS Needs Tool (HNT) or being redetermined for eligibility at the Division of Developmental Disabilities (DDD/ Division). • Conducts comprehensive record review (PEDI-CAT, medical, psychological, educational and other relevant documents) for the purpose of DDD eligibility, redetermination and HCBS and advises Support Coordinators (SC) and planning teams regarding potential services. • Prepares for Administrative Review (AR) Hearings, appears in Court, testify as an expert witness and acts as a DDD liaison with Psychologists and other Behavioral Health providers in the community and participates in Extraordinary Care Reviews (ECR). • Acts as a Subject Matter Expert (SME) in eligibility and HCBS for DDD, DDD diagnosis and diagnostic criteria and Long Term Services and Supports (LTSS) in accordance with the American Psychiatric Association (APA), AZ Administrative Code and Statute, Arizona Health Care Cost Containment System (AHCCCS) policy and DDD policy and procedure. | Knowledg…