HUMAN SERVICES PROGRAM SPECIALIST - 64082672

State of Florida•Gainesville, FL

26d•$37,460 - $40,000•Onsite

About The Position

The Human Services Program Specialist plans, coordinates, implements, bills, and monitors case management services for HIV-positive clients through the Alachua County Health Department for Area 3/13. The role provides Ryan White medical case management in accordance with applicable State of Florida, Medicaid, and other governing rules and regulations. It documents services and client information in CareWare and maintains paper and electronic records, including assessments, care plans, authorizations, medical information, and correspondence. The specialist coordinates services among approved vendors, health care providers, clients, and client advocates; tracks case manager budgets; authorizes vendor services; and submits required billing paperwork. The position also supports clinic operations, completes weekly EARS, attends staff meetings and training, and provides backup to other Medical Case Managers. Emergency duty may be required, including work during and beyond normal hours or days and assignments at special-needs or Red Cross shelters. The role requires secure handling of confidential information and reporting suspected security breaches.

Requirements

High school diploma or GED.
At least one year of experience with data entry in an electronic medical records system and in a professional front-office setting.
Valid driver's license.
Knowledge of or experience with Microsoft systems and balancing budgets.
Ability to communicate effectively and professionally, verbally and in writing.
Ability to manage workload effectively and work well independently.
Ability to learn and communicate effectively in English, orally and in writing.
Ability to perform emergency duty before, during, and/or beyond normal work hours or days when required.

Nice To Haves

Experience maintaining and tracking inventory.

Responsibilities

Plan, coordinate, implement, bill, and monitor HIV case management services for clients in Area 3/13 through the Alachua County Health Department.
Perform Ryan White medical case management in accordance with current rules and regulations.
Document case management services in CareWare, including progress notes, comprehensive needs assessments, comprehensive care plans, and acuity assessments.
Maintain client paper charts containing required authorizations, treatment plans, releases, forms, laboratory results, medical records, and correspondence.
Serve as backup to other Medical Case Managers.
Maintain accurate and current client data in state-approved systems, including HMS, ACCESS, Microsoft Word and Excel, CareWare, and the Ryan White Portal.
Conduct face-to-face visits with each client at least annually and attend assigned clinics as scheduled.
Assist clinic personnel with clinic-flow activities such as faxing and making phone calls.
Inform non-case-managed clinic clients about Ryan White services and enter required HRSA data into CareWare, including medications, CD4 values, viral load values, and documentation of HIV medical care.
Coordinate services among approved vendors, health care providers, clients, and client advocates.
Receive prescriptions from medical care providers, ensure funds are available within the case manager's quarterly budget, and authorize services with approved vendors.
Submit paperwork for authorized vendor services to the billing clerk by established deadlines.
Complete EARS weekly and attend and participate in staff meetings and training programs.
Perform other work as requested by the supervisor and other assigned duties, including emergency duty.
During emergency operations, work during or beyond normal work hours or days and perform functions such as Special Needs Shelter or Red Cross Shelter duties.
Protect confidential information, follow applicable information-security and field policies, prevent unauthorized access or overheard discussions, and immediately report suspected security breaches.