OPS ELIGIBILITY DETERMINATION SPECIALIST - 67911003

State of Florida • Miami, FL

14d • $26 • Onsite

About The Position

This is a professional position responsible for determining eligibility for individuals applying for APD services. This work requires applying logic or scientific understanding, skill in analyzing and interpreting data and information to formulate decisions of eligibility for APD services. This position will also determine appropriate level of care for waiver participation and other duties as assigned related to application, intake, and eligibility. This position is not a Telework position and is required to report to the APD office in the area it serves. The Agency seeks team members who demonstrate the qualities of being humble, hungry, and smart and lead others to embody the same. This entails lacking excessive ego, sharing credit, being self-motivated, and exercising good judgment and intuition regarding the subtleties of group dynamics. 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

• Bachelor’s degree from an accredited college or university and two years of professional experience in developmental disabilities, special education, mental health, counseling, guidance, social welfare, or health and rehabilitative services.
• A master's degree in a related field can substitute for one year of the required experience.
• Incumbent may be expected to work during emergency situations or natural disasters.
• Valid Driver’s License or other efficient means of transportation to travel for work purposes
• Knowledge of: Use Microsoft Office Programs (Word, Excel, Outlook, Teams, SharePoint).
• Developmental disabilities and level of care requirements for the HCBS iBudget Waiver
• Ability to: Use APD business systems to carry out job duties.
• Enter data in a professional work setting.
• Multi-task effectively.
• Use tracking systems to monitor and complete work assignments within required timeframes.
• Understand, interpret, demonstrate, and manage oneself and to handle interpersonal relationships.
• Listen and understand what others may be saying and asking questions.
• Exercise critical thinking skills, including analyzing available information, observations, and evidence in order to determine appropriate action.
• Manage time effectively, prioritize tasks, set goals, and develop systems for achieving those goals.
• Affectively communicate both verbally and in writing.
• Work independently.
• Be organized.

Responsibilities

• Review applications to determine eligibility for APD services in accordance with Chapter 393, Florida Statutes and applicable Rules 65G-4.014-4.017, Florida Administrative Codes. Determine level of care for participation in Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) and the iBudget Home and Community-Based Services Waiver as defined in 42 CFR §440.150. If upon review of the application it is determined that further testing is necessary to make an eligibility determination, refer the case to one of the agency’s psychological vendors for scheduling and testing. Ensure vendor requests are processed timely and ensure that vendor invoices are submitted on time to the region for timely payment. Upload all new documents received during the review process, as needed, and notify the Intake Coordinator of findings for all determinations.
• Update the applicant/client record in APD iConnect to reflect the correct eligibility determination in accordance with policies and procedures ensuring timeframes and steps are completed accurately. Complete the initial Home and Community-Based Services Waiver Eligibility Worksheet for all eligible clients to reflect their Level of Care for waiver participation.
• Serves as the agency’s expert witness on all eligibility determination Administrative Hearings that are requested.
• Provides in-service training to the contracted providers for APD, Judges, Public Defenders, State Attorneys, Mental Health Courts, etc.
• Participate in Department of Children and Families (DCF) interagency staffing/meetings and provide guidance related to the eligibility criteria for APD services. Participate and provide trainings in agency and community groups regarding APD services, resources, and community service access.
• Performs other duties as assigned. May be expected to work during emergency situations or natural disasters

Benefits

• State Group Insurance coverage options, including health, life, dental, vision, and other supplemental insurance options.
• Retirement plan options, (For more information, please click www.myfrs.com).

What This Job Offers

• Career Level: Mid Level
• Number of Employees: 1,001-5,000 employees