HUMAN SERVICES ANALYST - 64006339

State of Florida • Indian River Estates, FL

9d • $34,760 - $37,000 • Hybrid

About The Position

This position will service the AREA 15 (Indian River, Martin, Okeechobee, and St. Lucie Counties) Ryan White Patient Care Programs as a Medical Support Services Specialist (MSS). The incumbent will be the Key point of Contact for all specialty care and support service referrals on behalf of a client made by subcontracted providers and case managers. Responsibilities include telephone and in-person reception and direction of clients, new and re-enrollment client intake, eligibility determinations, and eligibility verification. In instances of extended absences, vacancies, or need for general coverage, the position will serve as a back-up to medical case managers, assisting with completion of needs assessments, plans of care, client linkage, and referral to necessary services. Services are provided in-office and through field visits. This position reports to the Operations Services Manager.

Requirements

• Knowledge of techniques for effectively dealing with people.
• Knowledge of techniques for effective communication.
• Ability to prepare correspondence and administrative reports.
• Ability to work independently or with minimal supervision.
• Ability to plan, organize, and coordinate work assignments.
• Ability to communicate effectively verbally and in writing.
• Ability to prioritize individual workload.
• Must be very detailed oriented and capable of thinking independently while exercising good judgment.
• Required to make independent judgments without supervision.
• Must be able to perform under stress when confronted with emergency, critical, or unusual situations.
• Must be capable of dealing with periodic cyclical workload pressures and levels of responsibility.
• Incumbent may be required to work before, during, and/or beyond normal work hours or days in the event of an emergency. Emergency duty required of the incumbent includes working in special needs or Red Cross shelters, or performing other emergency duties including, but not limited to, responses to or threats involving any disaster or threat of disaster, man-made or natural.
• 1 year of customer service experience
• 1 year experience in patient registration and assessment
• All Florida Department of Health positions require the incumbent to be able to learn and communicate effectively, orally and in writing, in English.

Nice To Haves

• Bilingual

Responsibilities

• Receives via fax or hand delivery, medical care and support service referrals from providers and case managers on behalf of eligible Ryan White Part B clients.
• Verifies eligibility, insurance, and whether referral request is HIV related.
• Coordinates the client’s attendance for appointment with referring provider, other care coordinators, and assigned case manager.
• Processes referrals within 30 business days from date of receipt.
• Documents barriers for unmet care coordination timeline.
• Enters data on referral within electronic reporting databases including CAREWare, HMS, and other data systems where mandated within 3 business days or before referral process.
• Serves as receptionist to the main case management office located in St. Lucie County, including telephone and in-person reception.
• Provides requested information to clients and service providers, including eligibility verifications.
• Responsible for mail, fax, and office supply distribution.
• Processes new and re-enrolling requests for client intake into Ryan White program services.
• Screens for insurance, Medicaid, and Medicare eligibility utilizing required information systems Availity, Change Healthcare, and others.
• Screens clients to determine if the client has access to or can obtain private health insurance and/or VA benefits.
• Processes requests for enrollment and eligibility within 14 business days from date of referral or pre-enrollment screening.
• Documents barriers for unmet enrollment time.
• Enters enrollment and eligibility case notes in CAREWare, HMS, and other data systems where mandated within 3 business days or before of direct client encounter or action taken on behalf of client.
• Networks with other departments including but not limited to Ryan White case management, HOPWA, prevention, DIS, TOPWA, HUG Me, and other participating providers to assure smooth transition of services and continuity of care.
• Participates in conference calls, planning meetings regarding Ryan White Patient Care, and other departmental meetings when necessary.
• Completes DOH and Ryan White mandatory training in person and via webinars.
• Completes EARS/CSR, timesheets, and program reports within required timeframes.
• Submits within required timeframes but not limited to cell phone verifications, travel documentation, invoices, and other required reports.
• Performs other duties as assigned.
• Maintains client confidentiality and security in accordance with DOHP50-10-10 Information Security & Privacy Policy Confidential Information.

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
• Flexible Spending Accounts
• Tuition waivers

What This Job Offers

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