MGR, Health Care Admin

University of Florida•Gainesville, FL

1d•Onsite

About The Position

The Clinical Programs Coordinator 4 is part of the North Central, Local Early Steps (LES) Program, funded through the Department of Pediatrics by the Florida Department of Health, Children’s Medical Services (CMS), Early Steps State Office (ESSO). The incumbent is a Service Coordinator (SC) Supervisor and is responsible for overseeing the Service Coordination piece of the program. He/she is the liaison to the Early Steps State Office for the service coordination aspect of the LES and, as such, is responsible for continuing education of SC staff on new policies and procedures and assuring compliance with state and federal requirements. The incumbent is responsible for Early Steps self-assessments, developing corrective actions, and developing continuous improvement plans. He/she works with the Assistant Director to ensure that program is functioning within the realm of evidenced based practices in accordance with state and federal regulations. The incumbent participates in state conference calls and meetings for coordinators and directors, as well as those for service coordinators. As needed, he/she may be asked to serve on state-level committees. The incumbent is responsible for providing case management support as needed. Responsible for supervising the Service Coordination Unit, currently 15.25 service coordinators; includes overseeing their daily work, ensuring that compliance requirements are met, completing performance evaluations, and assisting in training of all new staff. Responsible for interpreting new and ongoing federal and state policy and guidance and assisting with the development of needed systems change to ensure ongoing compliance. Troubleshoots systems errors within the state computer system UF Health Early Steps Data Base. Responsible for overseeing and distributing caseloads throughout the 10-county area. Acts as the liaison to the Early Steps State Office (ESSO) for the service coordination aspect of the program; responsible for assisting in the continuing education of SC staff on new policies and procedures and assuring compliance with state and federal requirements. Responsible for the ongoing training of SCs and participating in monthly state conference calls. Responsible for assisting Assistant Director in the oversight of all eligibility clinics. Incumbent to support SC’s in ensuring that all services and supports as documented on the IFSP are in place. Utilizes knowledge of Early Intervention Medicaid, Medicaid Managed Care, Children’s Medical Managed Care, and private insurance regulations and procedures; keeps up to date on the changes in these systems. Responsible for ensuring that services implemented under Part C are provided (as federal law and state procedures and policies stipulate). Responsible for the overseeing through quality analysis that both Federal and State Indicators are being met by the program. Responsible for overseeing of the SC’s timely and appropriate completion of documentation for service provision, maintenance of patient records, billing, and data collection. To train and assist with the entering of data as elated to the above into the statewide data system UF Early Steps data base within the required timeline. Utilizes knowledge of the data system, documentation procedures, Medicaid documentation and billing requirements, and regulations governing Florida's implementation of Part C. Responsible for the oversight and monitoring by the SC’s of both electronic and hard copy patient records; includes timely submission of targeted case management activities for submission into EPIC. Ensures productivity of each SC that case management services were provided during 80% of their weekly working hours assigned to service coordination. Utilizes knowledge of the documentation and billing requirements for Medicaid and other third party payers to provide ongoing support and training to all SC’s. Functions as lead SC supporting SCs and reporting to Assistant Director; works together to ensure best practices in serving program eligible children and their families, to increase procedural efficiency to meet state and federal requirements while staying under contract budget, and to improve working conditions and staff morale. Works with Assistant Director to develop and implement strategies to meet these goals, which often includes making changes in program policies and procedures. Represents the service coordination aspects of the program, including training and oversight of the Service Coordinators, monthly conference calls with the Early Steps State Office (ESSO) for LES Directors and Coordinators, attending ESSO state meetings, and participating on ESSO workgroups (as requested).

Requirements

Bachelor's degree in an appropriate area and two years of relevant experience; or an equivalent combination of education and experience.
One year of experience providing pediatric case management and/or social work (required)
Knowledge of IDEA, Part C Early Intervention, and CMS Early Steps policies
Knowledge of child development, family dynamics, developmental disabilities, and factors that place infants/toddlers at risk for developmental delays
Communication and interpersonal skills that are effective, respectful, and sensitive with respect to diverse and multicultural population of children, families, and co-workers
Team and people building skills; understands the importance of mentoring/coaching employees
Strong computer skills; comfortable using Microsoft Suite (Outlook, Excel, Word, and PowerPoint) and databases
Capable of dealing with periodic cyclical workload pressures and levels of responsibility (required)
Ability to work independently
Ability to solve problems
Ability to move ahead without constant instructions
Ability to function under pressure in a fast-paced human service environment
Leadership ability; confident; knows self well; people gravitate to; commands respect and trust among peers and others
Responsible; completes work without close supervision
Adapts to and implements change; accepts that change is inevitable and embraces change with innovation, courage, and resiliency
Promotes key values; consistently demonstrates work ethics and values
Uses sound judgment; applies knowledge of the business and tasks; uses common sense and analysis to make the best decision

Nice To Haves

Master’s degree

Responsibilities

Overseeing the Service Coordination piece of the program.
Liaison to the Early Steps State Office for the service coordination aspect of the LES.
Continuing education of SC staff on new policies and procedures and assuring compliance with state and federal requirements.
Early Steps self-assessments, developing corrective actions, and developing continuous improvement plans.
Ensuring program is functioning within the realm of evidenced based practices in accordance with state and federal regulations.
Participating in state conference calls and meetings for coordinators and directors, as well as those for service coordinators.
Serving on state-level committees as needed.
Providing case management support as needed.
Supervising the Service Coordination Unit, currently 15.25 service coordinators; includes overseeing their daily work, ensuring that compliance requirements are met, completing performance evaluations, and assisting in training of all new staff.
Interpreting new and ongoing federal and state policy and guidance and assisting with the development of needed systems change to ensure ongoing compliance.
Troubleshooting systems errors within the state computer system UF Health Early Steps Data Base.
Overseeing and distributing caseloads throughout the 10-county area.
Assisting in the continuing education of SC staff on new policies and procedures and assuring compliance with state and federal requirements.
Ongoing training of SCs and participating in monthly state conference calls.
Assisting Assistant Director in the oversight of all eligibility clinics.
Supporting SC’s in ensuring that all services and supports as documented on the IFSP are in place.
Utilizing knowledge of Early Intervention Medicaid, Medicaid Managed Care, Children’s Medical Managed Care, and private insurance regulations and procedures; keeping up to date on the changes in these systems.
Ensuring that services implemented under Part C are provided (as federal law and state procedures and policies stipulate).
Overseeing through quality analysis that both Federal and State Indicators are being met by the program.
Overseeing of the SC’s timely and appropriate completion of documentation for service provision, maintenance of patient records, billing, and data collection.
Training and assisting with the entering of data as elated to the above into the statewide data system UF Early Steps data base within the required timeline.
Oversight and monitoring by the SC’s of both electronic and hard copy patient records; includes timely submission of targeted case management activities for submission into EPIC.
Ensuring productivity of each SC that case management services were provided during 80% of their weekly working hours assigned to service coordination.
Providing ongoing support and training to all SC’s utilizing knowledge of the documentation and billing requirements for Medicaid and other third party payers.
Functioning as lead SC supporting SCs and reporting to Assistant Director; working together to ensure best practices in serving program eligible children and their families, to increase procedural efficiency to meet state and federal requirements while staying under contract budget, and to improve working conditions and staff morale.
Developing and implementing strategies to meet goals with the Assistant Director, which often includes making changes in program policies and procedures.
Representing the service coordination aspects of the program, including training and oversight of the Service Coordinators, monthly conference calls with the Early Steps State Office (ESSO) for LES Directors and Coordinators, attending ESSO state meetings, and participating on ESSO workgroups (as requested).