RN Specialist: Eligibility & Care Access

Florida; Orlando (FL); Sur place; USD 60 000 - 90 000; Plein temps

Résumé du poste

The Florida Department of Health and Children's Medical Services is seeking a Clinical Eligibility Screener to support the CMS Toll-Free Line. You will perform phone-based screenings to assess eligibility for Florida KidCare, provide enrollment information, and document interactions in the EMR system.

You must communicate clearly, manage multiple tasks in a fast-paced environment, and meet continuing education requirements set by the Florida Board of Nursing.

Qualifications

• 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.
• Must have ability to read, comprehend, and communicate effectively verbally, using confident articulation, and in writing, to express facts clearly and concisely.
• Ability to establish and maintain effective working relationships with others.
• Knowledge in medical terminology.
• Working knowledge of Microsoft Applications.
• Knowledge of computer software including applications.
• Thorough knowledge of modern office business equipment.

Responsabilités

• Conducts phone-based screenings to determine clinical eligibility for services for enrolled or potentially enrolled children.
• Evaluating patient health status, and interpreting special needs as reported by parents, caregivers, or physician attestation.
• Provides plan enrollment information to client and family.
• Documents in accordance with established guidelines while using the current electronic medical record program.
• Offer resources from state and local health agencies to support client families for plan enrollment.
• Attends meetings and conferences related to roles and responsibilities.
• Delivering high-quality support to clients and their families, ensuring they receive the necessary care and resources.
• Meets the continuing education requirements mandated by the Florida Board of Nursing.

Connaissances

Communication skills

Microsoft Office

Medical terminology

Reading and writing clearly

Organizational skills

Time management

Problem-solving

Interpersonal skills

Outils

EMR software

Microsoft Office

Medical records software

Description du poste

The Florida Department of Health and Children's Medical Services is seeking a Clinical Eligibility Screener to support the CMS Toll-Free Line. You will perform phone-based screenings to assess eligibility for Florida KidCare, provide enrollment information, and document interactions in the EMR system.

You must communicate clearly, manage multiple tasks in a fast-paced environment, and meet continuing education requirements set by the Florida Board of Nursing.