HUMAN SERVICES COUNSELOR III - 64084441

State of Florida•Jacksonville Beach, FL
•$43,281 - $47,610•Onsite

About The Position

This is a highly responsible position that assists the HIV/AIDS population in obtaining the necessary services to ascertain optimal medical care is provided. This position conducts financial eligibility determinations to newly diagnosed and currently active HIV+ customers at CCC, satellite clinics and a correctional facility throughout the community and surrounding counties to ensure continuity of care according to Chapter 64D-F.A.C, Florida HIV/AIDS eligibility procedures manual, the Bureau of HIV/AIDS, HIV/AIDS Patient Care programs and the Florida Department of Health. This position provides primary HSC coverage for the Ryan Part C Grant. This position is responsible for the administrative oversight and monitoring of ADAP programmatic guidelines. This position reports directly to the Human Service Program Supervisor. Enroll newly diagnosed and currently active HIV + clients at CCC or other designated sites, completing a twelve-month enrollment for Ryan White Services and/or ADAP. Complete financial eligibility consistent with Florida HIV/AIDS Eligibility Procedure Guidelines and Ryan White Patient Care program guidelines. Document financial eligibilities in CareWare software systems as well as HMS. Document ADAP in HMS as well as Provide software systems. Verification of insurance, income, residency in accordance with DOH policy and Ryan White Eligibility manual. 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 with public health clients to determine financial eligibility for the Family Planning Waiver Program and other health and related services. Interviews pregnant women to determine eligibility for presumptive Medicaid benefits using manual procedures and a computerized Florida System. Establishes liaisons with economic services staff to facilitate referrals, track dispositions, and assist clients in complying with the Medicaid application process. Assess clients for psycho-social needs such as Food stamps, housing, transportation, legal, mental health and substance abuse and refer as appropriate. Maintain knowledge of Medicare plan 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 of HIV medication and labs. Collaborate with community-based organizations and pharmacy personnel to ensure continuity of care. Perform other related duties as assigned.

Requirements

  • Knowledge of administrative and clerical procedures and system such as word processing managing files and records, stenography and transcription, designing forms, and other office procedures and terminology.
  • Customer and personal service - knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.
  • Mathematics - using mathematics to solve problems.
  • Computer -knowledge of computer software including applications.
  • English Language - knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
  • Active listening -Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
  • Reading comprehension -Understanding written sentences and paragraphs in work related documents.
  • Speaking -talking to others to convey information effectively.
  • Social perceptiveness - Being aware of others' reactions and understanding why they react as they do.
  • Time management -Managing one's own time and the time of others.
  • Writing - Communicating effectively in writing as appropriate for the needs of the audience.
  • Service orientation -Actively looking for ways to help people.
  • Critical thinking -Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
  • Oral Comprehension -The ability to listen to and understand information and ideas presented through spoken words and sentences.
  • Oral expression -The ability to communicate information and ideas in speaking so others will understand.
  • Speech clarity -The ability to speak clearly so others can understand you.
  • Written comprehension -The ability to read and understand information and ideas presented in writing.
  • Speech recognition -The ability to identify and understand the speech of another person.
  • Written expression -The ability to communicate information and ideas in writing so others will understand.
  • Category flexibility -The ability to generate or use different sets of rules for combining or grouping things in different ways.
  • Deductive reasoning -The ability to apply general rules to specific problems to produce answers that make sense.
  • Information ordering -The ability to arrange things or actions in a certain order or pattern according to a specific rule or set of rules (e.g., patterns of numbers, letters, words, pictures, mathematical operations).
  • 3 years or more of experience working in a medical office or medical setting.
  • One year or more of experience working with the Ryan White or ADAP program.
  • Must be available to work 40 hours per week Monday through Friday, and able to work 2-days a week 10 am to 7 pm.
  • 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.

Responsibilities

  • Enroll newly diagnosed and currently active HIV + clients at CCC or other designated sites, completing a twelve-month enrollment for Ryan White Services and/or ADAP.
  • Complete financial eligibility consistent with Florida HIV/AIDS Eligibility Procedure Guidelines and Ryan White Patient Care program guidelines.
  • Document financial eligibilities in CareWare software systems as well as HMS.
  • Document ADAP in HMS as well as Provide software systems.
  • Verification of insurance, income, residency in accordance with DOH policy and Ryan White Eligibility manual.
  • 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 with public health clients to determine financial eligibility for the Family Planning Waiver Program and other health and related services.
  • Interviews pregnant women to determine eligibility for presumptive Medicaid benefits using manual procedures and a computerized Florida System.
  • Establishes liaisons with economic services staff to facilitate referrals, track dispositions, and assist clients in complying with the Medicaid application process.
  • Assess clients for psycho-social needs such as Food stamps, housing, transportation, legal, mental health and substance abuse and refer as appropriate.
  • Maintain knowledge of Medicare plan 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 of HIV medication and labs.
  • Collaborate with community-based organizations and pharmacy personnel to ensure continuity of care.
  • Perform other related duties as assigned.

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
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