MEDICAL CASE MANAGER - 67073538

State of Florida • Orlando, FL

10d • Remote

About The Position

This is a professional Career Service position responsible for medical case management and consultation throughout the Region. The incumbent works in an interdisciplinary fashion within the construct of the regional structure. Primary duties include, but are not limited to, clinical oversight of medical case reviews, medication administration training and monitoring, ICF/IID admissions, eligibility reviews, and other health related quality controls which will require some travel to community locations. Works collaboratively with state office nursing/clinical team regarding the health and safety of Agency clients.

This position with APD will serve staff and management across the Agency. Your work will impact the workplace culture, our community, and the population we serve as we continuously strive to achieve the Agency’s mission.

Requirements

• Must have a valid Driver’s License or other efficient means of transportation to travel for work purposes and willing to travel.
• Minimum 2 years of Registered Nursing experience.
• Registered Nurse licensure in accordance with Chapter 464, Florida Statute.
• Create and maintain Excel Spreadsheets.
• Demonstrate Skills in Microsoft Office, including Outlook, PowerPoint, and Teams.
• Effective written and verbal communication skills.

Nice To Haves

• Bachelor of Science in Nursing is preferred.
• Knowledge of Individuals with development/intellectual disabilities preferred.
• Knowledge of Case management and medical record reviews.

Responsibilities

• Serves as medical case manager to provide training for the provision of services outlined in the Medication Administration Rule FAC 65G-7, and monitors compliance.
• Serves as coordinator for consumer health-related service requests.
• Performs all ICF/IID facility admissions review to determine level of reimbursement and completes Facility Notification Regarding Day One Letter.
• Completes all reports of death per requirement, and mortality reports upon request.
• Participates in Agency Hearings, meetings, and client staffing.
• Provides consultation for Medicaid exception denial requests and eligibility reviews as needed.
• Performs additional duties as required.

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.
• Paid Maternity and Parental Leave.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level