Provider Network Solutions
State of Florida
·9 days agoState of Florida
·9 days agoMedical case manager - 67073597
Location
onsite, Miami, FL, United States
Salary
$36k – $72k/yr
Commitment
Full Time
Level
Junior (<2 years)
Required skills
Job Description
Medical Case Manager
Requisition No: 882744
Agency: Agency for Persons with Disabilities
Working Title: Medical Case Manager - 67073597
Pay Plan: Career Service
Position Number: 67073597
Salary: $35,899.44 to $72,491.64 Annually
Posting Closing Date: 09/30/2026
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Position Summary
This is a professional Career Service 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 be 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
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.
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 upon your retirement date.
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.
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).
All applicants should complete the online application process. If you need assistance applying for this position, please call the People First service center at 1-877-562-7287.
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.
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