OPS MEDICAL CASE MANAGER - 67090403

My Florida CFO; Daytona Beach (FL); On-site; USD 36,000 - 51,000; Full time

Job summary

Agency for Persons with Disabilities in Florida is seeking a Medical Case Manager (OPS). The professional will provide medical case management and consult across the region, including clinical oversight, training on Medication Administration, and coordination of admissions reviews.

Travel to community locations is required to support waiver services. Responsibilities include reviewing cases, preparing reports, and collaborating with nursing and clinical teams to ensure quality care and adherence

Qualifications

• Bachelor of Science in Nursing preferred.
• Valid Driver’s License and willingness to travel.
• Minimum 2 years of Registered Nursing experience.

Responsibilities

• Provides medical case management and consultation throughout the region.
• Oversees clinical reviews and medication administration training.
• Reviews eligibility and admissions for ICF/IID facilities with travel to locations.
• Coordinates with nursing/clinical teams for health and safety of clients.
• Attends CMAT meetings and reports on health-related quality controls.

Skills

Registered Nursing experience

Travel readiness

Driver's license

Education

Bachelor of Science in Nursing

Tools

Excel

Outlook

PowerPoint

Teams

Job description

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The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website .

Requisition No:884621

Agency: Agency for Persons with Disabilities

MEDICAL CASE MANAGER - Other Personal Services (OPS)

OPS MEDICAL CASE MANAGER

67090403

OPEN COMPETITIVE OPPORTUNITY

This position is not a Telework position and is required to report to the APD office in the area it serves.

THE BENEFITS OF WORKING FOR THE STATE OF FLORIDA

Working for the State of Florida is more than a paycheck. The State’s total compensation package for eligible employees features a highly competitive set of employee benefits, including:

• State Group Insurance coverage options, including health, life, dental, vision, and other supplemental insurance options.
• Retirement plan options, (For more information, please click www.myfrs.com ).

The Agency seeks team members who contribute to a culture that develops individuals and strengthens teams through transparency and a commitment to professional growth. Team members are expected to provide exceptional customer service, demonstrate humility, recognize and share credit with others, remain self-motivated, and exercise sound judgment and awareness in team interactions and group dynamics.

This position with APD will serve staff and management across the Agency. Your work will impact the workplace culture, our community, and the population we serve as we continuously strive to achieve the Agency’s mission.

SALARY RANGE

$31.00 Hourly

POSITION SUMMARY

This is a professional position responsible for medical case management and consultation throughout the Region. The incumbent works in an interdisciplinary fashion within the construct of the regional structure. Primary duties include, but are not limited to, clinical oversight of medical case reviews, medication administration training and monitoring, ICF/IID admissions, eligibility reviews, and other health related quality controls which will require some travel to community locations. Works collaboratively with state office nursing/clinical team regarding the health and safety of Agency clients.

THE WORK YOU WILL DO

Serves as medical case manager to provide training for the provision of services outlined in the Medication Administration Rule FAC 65G-7, and monitors compliance. Responsibilities include but are not limited to coordination of approved Medication Administration trainers, monitoring compliance in licensed group/foster homes, and providing technical assistance to waiver support coordinators, supported living coaches, Adult Day Training (ADT), providers, and regional office staff. Attends local Children’s Medical Assessment Team (CMAT) meetings.

Serves as coordinator for consumer health-related service requests. Responsibilities may include but are not limited medical case management reports, Special Medical Home Care recommendation, Significant Additional Needs requests, Skilled Nursing Exception Letters, medical review and Incident Management System reporting for illness, injury, or accident.

Performs all ICF/IID facility admissions review to determine level of reimbursement and completes Facility Notification Regarding Day One Letter. Provides annual choice counseling for consumers residing in ICFs. Completes medical reviews for consumers transitioning out of the DDCs that require medical follow up, at 14 days and 90 days after transition.

Completes all reports of death per requirement, and mortality reports upon request. Conducts SAO’s annual monitoring and data reporting as appropriate.

Participates in Agency Hearings, meetings, and client staffing. Provides consultation for Medicaid exception denial requests and eligibility reviews as needed.

Performs additional duties as required.

MINIMUM QUALIFICATIONS

• Bachelor of Science in Nursing is preferred.
• Must have a valid Driver’s License or other efficient means of transportation to travel for work purposes and willing to travel.
• Minimum 2 years of Registered Nursing experience.

KNOWLEDGE, SKILLS, AND ABILITIES

Knowledge of:

• Individuals with development/intellectual disabilities preferred.
• Case management and medical record reviews.

Ability to:

• Create and maintain Excel Spreadsheets.

Demonstrate Skills in:

• Microsoft Office, including Outlook, PowerPoint, and Teams.
• Effective written and verbal communication skills.;

ADDITIONAL INFORMATION

PROFILE COMPLETION

To qualify for this position, applicants must complete all fields in the Candidate Profile, including their work history with the month and year.

Resumes and other documentation can be attached to provide additional information but will not replace the required completed Candidate Profile.

RETIREE NOTICE

If you are a retiree of the Florida Retirement System (FRS), please check with the FRS on how your current benefits will be affected if you are re‑employed with the State of Florida. Your current retirement benefits may be suspended or voided, and you will be required to repay all benefits received depending on your retirement date.

DIRECT DEPOSIT PROGRAM

As a condition of employment, a person appointed to a position in the State Personnel System is required to participate in the Direct Deposit Program. Rather than receiving a paper paycheck, your funds will be deposited directly into your account at your financial institution. This will be accomplished by Electronic Funds Transfer. Banks, savings and loan associations, and credit unions are eligible to accept such deposits. Retirement funds are also required to be in the Direct Deposit Program.

It is the policy of the Florida Agency for Persons with Disabilities that applicants for employment undergo Level 2 employment screening in accordance with the requirements of Chapter 435, Florida Statutes, as a condition of employment or being permitted to serve as a volunteer.

No applicant for a designated position will be employed or permitted to volunteer until the Level 2 screening results are received, reviewed, and approved by the Agency.

Level 2 background screening shall include, but not be limited to, fingerprinting for Statewide criminal and juvenile records checks through the Florida Department of Law Enforcement and Federal criminal records checks through the Federal Bureau of Investigation and may include local criminal records checks through local law enforcement agencies.

Pursuant to S. 110.1127(1), Florida Statutes, this position requires a background investigation, including fingerprinting.

APD only hires U.S. citizens and those lawfully authorized to work in the U.S. APD participates in the U.S. government’s employment eligibility verification program (E-Verify), which electronically confirms an employee’s eligibility to work in the U.S. after completing the employment eligibility verification form (I-9).

Candidates requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center (1-866-663-4735). Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation.

The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act.

For assistance, call the People First Service Center at [phone] Monday - Friday, 8:00 a.m. to 6:00 p.m., Eastern time. Pursuant to Florida Law, 110.211 F. S., the State of Florida is an EEO employer.