SENIOR HUMAN SERVICES PROGRAM SPECIALIST (RENDING RECLASSIFICATION)

State of Florida • Tallahassee, FL

2d • Onsite

About The Position

This position is position is pending reclassification to Senior Human Services Program Specialist
This advertisement may be used to fill multiple positions
This position provides quality customer services on behalf of Florida Department of Health and Children’s Medical Services with any needs that come through the Clinical Eligibility CMS Toll-Free Line.  This position is responsible for processing referrals, redeterminations, and attestations, ensuring appropriate documentation of activities and quality assurance reviews.

Requirements

• Knowledge of organizational procedures, policies, practices, rules, and regulations.
• Ability to plan, organize and coordinate work assignments.
• Ability to meet deadlines and prioritize tasks effectively.
• Ability to communicate effectively verbally and in writing to express facts and ideas in a succinct and organized manner and make clear and convincing oral presentations.
• Ability to establish and maintain effective working relationships with others.
• Knowledge of medical terminology.
• Working knowledge of Microsoft Word, Excel, and other software.
• Thorough knowledge of modern office business equipment, practices and procedures.
• Knowledge of organizational procedures, policies, practices, rules and regulations.
• Great Interpersonal skills.
• Must be able to multi-task.
• Knowledge of computer software including applications.
• Must be an active listener and ask questions as appropriate.
• Currently employed with the Florida Department of Health.
• Must hold an active Nurse License in the State of Florida in accordanc with F.S. Reference: 464.
• Valid Florida Driver’s license.

Nice To Haves

• 1-3 years clinical assessments experience.
• 1-3 years of experience working with families of children with special healthcare needs.
• Experience with Client Relations Database System
• Experience conducting assessments for a healthcare program

Responsibilities

• Conducts clinical reviews for clinical eligibility screening services for enrolled or potential enrolled children for the State’s health plan for children with special health care needs and Florida Kid Care Title XXI.
• Evaluates the health status of the patient through parent-based screening or attestation with the client and family.
• Explain and interpret the client’s special needs as reported by parent/caregiver
• Provides clinical education and quality improvement activities to ensure needs of child and family are met.
• Documents in accordance with established guidelines while using the current electronic medical record program.
• Provides resources for other state and local health related agencies to maximize support to client parents/guardians.
• Serves as a community resource professional in the specialized medical field of pediatrics.
• Attend meetings and conferences directly related to roles and responsibilities.
• Meets the continuing education requirements mandated by the Florida Board of Nursing.

Benefits

• Annual and Sick Leave benefits.
• Nine paid holidays and one Personal Holiday each year
• State Group Insurance coverage options, including health, life, dental, vision, and other supplemental insurance options
• Retirement plan options, including employer contributions (For more information, please click www.myfrs.com)
• Flexible Spending Accounts
• Tuition waivers

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed