HUMAN SERVICES ANALYST - 64006339

State of Florida • Indian River Estates, FL

1d • $35,000 - $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 both in-office and through field visits. This position reports to the Operations Services Manager.

Requirements

• 1 year of customer service experience
• 1 year experience in patient registration and assessment
• 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.
• 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 medical care and support service referrals from providers and case managers on behalf of eligible Ryan White Part B clients via fax or hand delivery.
• Verifies eligibility, insurance, and whether the referral request is HIV-related.
• Coordinates the client’s attendance for appointments with the referring provider, other care coordinators, and assigned case manager.
• Processes referrals within 30 business days from the date of receipt and documents barriers for unmet care coordination timelines.
• Enters data on referrals into electronic reporting databases (e.g., CAREWare, HMS) within 3 business days or before the referral process.
• Serves as receptionist for the main case management office in St. Lucie County, handling telephone and in-person inquiries.
• Provides requested information to clients and service providers, including eligibility verifications.
• Responsible for mail, fax, and office supply distribution.
• Processes new and re-enrolling client intake requests into Ryan White program services.
• Screens for insurance, Medicaid, and Medicare eligibility using systems like Availity and Change Healthcare.
• Screens clients to determine if they have access to or can obtain private health insurance and/or VA benefits.
• Processes enrollment and eligibility requests within 14 business days from the date of referral or pre-enrollment screening.
• Documents barriers for unmet enrollment timelines.
• Enters enrollment and eligibility case notes in CAREWare, HMS, and other mandated data systems within 3 business days or before direct client encounters or actions taken on behalf of the client.
• Networks with other departments (e.g., Ryan White case management, HOPWA, prevention, DIS, TOPWA, HUG Me) to ensure smooth service transitions and continuity of care.
• Participates in conference calls and planning meetings regarding Ryan White Patient Care and other departmental meetings.
• Completes mandatory DOH and Ryan White training (in-person and via webinars).
• Completes EARS/CSR, timesheets, and program reports within required timeframes.
• Submits required documents such as cell phone verifications, travel documentation, invoices, and other reports within required timeframes.
• Performs other duties as assigned.
• Maintains client confidentiality and security in accordance with DOHP 50-10-10 Information Security & Privacy Policy.

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: Mid Level
• Education Level: No Education Listed