HUMAN SERVICES PROGRAM SPECIALIST - 64081085

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Job posting category OPEN  Human Services Program Specialist 64081085

Your Specific Responsibilities:

Must have knowledge, skill, and ability to use Microsoft Office Programs.

Must have valid driver’s license and access to reliable transportation.

Experience working in Electronic Medical Records.

Strong communication and customer service skills.

Ability to handle confidential information.

POSITION DESCRIPTION:

This position is a Ryan White Eligibility and ADAP Specialist for Area 3.

This is a Career Service position that works directly with new and existing eligible for Ryan White Services and support across the 15 counties in Area 3/13.

This position:

•           Performs eligibility services for the Florida Ryan White and AIDS Drug Assistance Program (ADAP). This is a highly sensitive position where easy access to HIV/AIDS services are essential, and information security is maintained following the need-to-know information security guidelines. The most current FL HIV AIDS Ryan White Part B Eligibility Procedure Manual, FL DOH Patient Care Program Administrative Guidelines, and the FL DOH ADAP guidelines and HRSA (federal) are utilized to perform duties. This is an area-wide position in the Ryan White Program which consists of 15 counties and may warrant occasional travel to other CHDs. The Human Services Program Specialist (HSPS) position for the Ryan White Eligibility and ADAP is under the supervision of the Regional HIV Patient Care and Treatment Access Coordinator at the FL DOH – Alachua. Duties include but are not limited to:

•           Enroll newly diagnosed and currently active HIV + clients in DOH Area 3, completing an annual enrollment for Ryan White Services and ADAP. Complete financial eligibility consistent with Florida HIV/AIDS Eligibility Procedure Guidelines and Ryan White Patient Care program guidelines. Document financial eligibilities in the FL Ryan White Patient Care Eligibility Portal, CareWare software systems, as well as HMS. Document ADAP in Provide Enterprise (PE) software systems and HMS. Verification of insurance, income, residency in accordance with DOH policy and Ryan White Eligibility manual is required. Conduct ADAP eligibility in accordance with ADAP eligibility manual and ensure appropriate documentation is uploaded in Provide software system. Upload most recent prescriptions, labs, insurance and other information as applicable in Provide software system as changes occur. Interviews pregnant women to determine eligibility for presumptive Medicaid benefits using manual procedures and a computerized Florida System. Assess clients for psycho-social needs such as Food stamps, housing, transportation, legal, mental health and substance abuse and refer as appropriate. Establishes liaisons with economic services staff to facilitate referrals, track dispositions, and assist clients in complying with the Medicaid application process. Serve as back up for Area 3 Staff and travel throughout Area 3/13 as needed.

•           Ensures eligibility and clinical data is entered timely and accurately following program guidelines. Enters viral loads and CD4 counts every 4-6 months into PE module to ensure viral suppression. Participates in ADAP monthly telephone conference calls.

•           Maintain knowledge of Medicare Part C & D programs, Affordable Care Act and private insurance programs. Maintain an understanding of adequate coverage based on ADAP standards, insurance terminology as well as an understanding labs.. Reviews applications for completeness and accuracy; advocating on behalf of clients with health insurance plan representatives, accountable care organizations, Medicare, Medicaid, The Centers for Medicare and Medicaid Services (CMS), and the Federal Insurance Marketplace; and disputes with health plans and other benefit programs. Processes disenrollments. Maintains expertise and knowledge in other benefit programs, including Medicare, Medicaid, SSI, SSDI, and other federal and state categorical assistance programs. Conveys information to case managers, field staff and medical providers.

•           Collaborate with community-based organizations and pharmacy personnel to ensure continuity of care.

•           Complete EARS Weekly; attend and participate in staff meetings and trainings.

•           Performs all other related duties as requested.

 Required Knowledge, Skills, and Abilities:

Knowledge, skills, and abilities, including utilization of equipment, required for the position:

•           Knowledge of Microsoft Systems

•           Experience working in Electronic Medical Records

•           Strong Organization, Communication and Customer Service skills

Qualifications:

Minimum- Experience working in Electronic Medical Records

Experience of Microsoft Systems

Florida Department of Health Mission, Vision, and Values: 

Mission:

To protect, promote & improve the health of all people in Florida through integrated state, county & community efforts.

Vision:

To be the Healthiest State in the Nation.

Values:

I nnovation: We search for creative solutions and manage resources wisely.

C ollaboration: We use teamwork to achieve common goals & solve problems.

A ccountability: We perform with integrity & respect.

R esponsiveness: We achieve our mission by serving our customers & engaging our partners.

E xcellence: We promote quality outcomes through learning & continuous performance improvement.

Where You Will Work:

DOH-Alachua 224 SE 24th Street, Gainesville FL 32641 travel possible 25% of the time.

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 employees features a highly competitive set of employee benefits including:

• 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;
• And more!

For a more complete list of benefits, including monthly costs, visit www.mybenefits.myflorida.com.

Please be advised:

Your responses to qualifying questions for this position must be verifiable by documentation provided through the electronic application process.  

This position requires a security background check and/or drug screening and participation in direct deposit. Any misrepresentations or omissions will disqualify you from employment consideration. Note: You will be required to provide your Social Security Number (SSN) in order to conduct this background check Successful completion of a drug test is a condition of employment for safety-sensitive positions.

Male applicants born on or after October 1, 1962, will not be eligible for hire or promotion unless they are registered with the Selective Services System (SSS) before their 26th birthday, or have a Letter of Registration Exemption from the SSS. For more information, please visit the SSS website: http://www.sss.gov 

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 canceled, suspended or deemed ineligible depending upon the date of your retirement. 

The successful candidate will be required to complete the Form I-9 and that information will be verified using the E-Verify system.  E-Verify is operated by the Department of Homeland Security in partnership with the Social Security Administration to verify employment eligibility.   

Incumbents may be required to perform emergency duty before, during, and/or beyond normal work hours or days.

All Florida Department of Health positions require the incumbent to be able to learn and communicate effectively, orally and in writing, in English. Applicants who do not meet this requirement will not be considered.  

The State of Florida is an Equal Opportunity Employer/Affirmative Action Employer and does not tolerate discrimination or violence in the workplace. 

Applicants requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center (1-877-562-7287). 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. 

Florida has the third largest population of veterans in the nation with more than 1.5 million service men and women.  The Florida Department of Health (department) is committed to serving members of the United States Armed Forces, veterans and their families by encouraging them to apply for vacancies that fit their area of knowledge and/or expertise.  Through the Department's VALOR program, which expedites licensing for military veterans, the Department also waives initial licensing and application fees for military veterans who apply for a health care professional license within 60 months of an honorable discharge. These initiatives help ensure that the transition from military service into the workforce is as smooth as possible and reflects our appreciation for the dedication devoted to protecting our country.    

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.

VETERANS’ PREFERENCE.  Pursuant to Chapter 295, Florida Statutes, candidates eligible for Veterans’ Preference will receive preference in employment for Career Service vacancies and are encouraged to apply.  Certain service members may be eligible to receive waivers for postsecondary educational requirements.  Candidates claiming Veterans’ Preference must attach supporting documentation with each submission that includes character of service (for example, DD Form 214 Member Copy #4) along with any other documentation as required by Rule 55A-7, Florida Administrative Code.  Veterans’ Preference documentation requirements are available by clicking here.  All documentation is due by the close of the vacancy announcement.