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.
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Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed