HUMAN SERVICES PROGRAM SPECIALIST - 64082672

State of Florida•Gainesville, FL

6d•$37,460 - $40,000•Hybrid

About The Position

This position involves planning, coordinating, implementing, billing, and monitoring case management services for HIV positive clients through the Alachua County Health Department for Area 3/13. The role requires performing Medical Case Management functions for Ryan White (RW) according to state and federal regulations, documenting services in CareWare, and maintaining client data. The specialist will also coordinate services with vendors and healthcare providers, complete weekly EARS reports, attend meetings and training, and perform other duties as assigned, including emergency duty. Confidentiality of client information is paramount, and staff must adhere to security policies. The position requires travel up to 50%.

Requirements

Knowledge or experience related to Microsoft Systems and balancing budgets.
Ability to communicate effectively and professionally, both verbally and in writing.
Ability to effectively manage workload and work well independently.
High school diploma/GED
Minimum of 1 year experience with data entry in electronic medical records system and professional front office setting.
A valid driver's license.
Ability to learn and communicate effectively, orally and in writing, in English.

Nice To Haves

Experience maintaining & tracking inventory

Responsibilities

Plan, coordinate, implement, bill and monitor case management services for HIV positive clients.
Perform Medical Case Management functions for Ryan White (RW) as specified by current rules and regulations.
Document performed medical case management functions in CareWare, such as writing progress notes, Comprehensive Needs Assessment, Comprehensive Care Plan and Acuity.
Complete Comprehensive Needs Assessments on an annual basis or as needed.
Update Comprehensive Care Plans every 6 months with client involvement.
Complete Acuity scale assessment on an annual basis or as needed.
Maintain paper charts with service authorizations, dental treatment plan, signed release of information, change of information form, lab results, medical records and any correspondence concerning the client’s care.
Serve as back up to other Medical Case Managers.
Maintain accurate and current client data and information related to the specific programs on the computer using States approved programs such as HMS, ACCESS, Microsoft Office Word and Excel, CareWare and the Ryan White Portal.
Conduct face to face visits on each client at a minimum of once a year.
Attend clinic as scheduled if assigned to a clinic.
Assist clinic personnel (physicians/nurses) with activities to maintain clinic flow (faxing, making phone calls, etc).
Ensure that non-case managed clients in clinic are aware of Ryan White services.
Ensure that required HRSA data is entered into CareWare, including client medications, CD4 values, Viral Load values, and documentation of HIV medical care.
Coordinate services between approved vendors, health care providers, clients and/or clients advocates.
Receive prescriptions written by medical care providers.
Ensure that funds are available with case manager quarterly budget.
Authorize services with approved vendors.
Submit appropriate paperwork for all vendor services authorized to billing clerk by established deadlines.
Complete EARS weekly.
Attend and participate in staff meetings and training programs.
Perform other work as requested by supervisor.
Perform other duties as assigned, including emergency duty (working during and beyond normal work hours or days in the event of emergency operations, including Special Needs Shelters, Red Cross Shelters or other emergency functions).
Maintain confidential information such as social security numbers, medical information and other confidential data in a secure manner.
Respect the confidentiality of related issues by not discussing with unauthorized staff.
Take confidential information into the field to perform job responsibilities, adhering to Field Policy for Confidential Information.
Ensure discussions held between staff cannot be overheard by unauthorized staff.
Report suspected breaches of security to supervisor immediately.